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  1. 050 医学部, 大学院医学系研究科
  2. 0502 紀要・刊行物
  3. 05021 信州医学雑誌
  4. Vol. 59 No. 1

第3病日に診断を確定し,救命し得た重症レジオネラ肺炎の1例

http://hdl.handle.net/10091/11718
e9071aab-9dec-4b22-ab0a-27f000a317f4
名前 / ファイル ライセンス アクション
Shinshu_med59-1-03.pdf Shinshu_med59-1-03.pdf (346.3 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2011-02-15
タイトル
言語 ja
タイトル 第3病日に診断を確定し,救命し得た重症レジオネラ肺炎の1例
言語
言語 jpn
キーワード
主題Scheme Other
主題 Legionella pneumonia
キーワード
主題Scheme Other
主題 Legionella pneumophila
キーワード
主題Scheme Other
主題 serogroup 1 レジオネラ肺炎
キーワード
主題Scheme Other
主題 レジオネラ症
キーワード
主題Scheme Other
主題 血清群1
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
著者 山田, 重徳

× 山田, 重徳

WEKO 9471

ja 山田, 重徳

Search repository
城下, 智

× 城下, 智

WEKO 9472

ja 城下, 智

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村木, 崇

× 村木, 崇

WEKO 9473

ja 村木, 崇

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山田, 雪

× 山田, 雪

WEKO 9474

ja 山田, 雪

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岩谷, 勇吾

× 岩谷, 勇吾

WEKO 9475

ja 岩谷, 勇吾

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横沢, 秀一

× 横沢, 秀一

WEKO 9476

ja 横沢, 秀一

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古川, 賢一

× 古川, 賢一

WEKO 9477

ja 古川, 賢一

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石田, 文宏

× 石田, 文宏

WEKO 9478

ja 石田, 文宏

Search repository
田中, 榮司

× 田中, 榮司

WEKO 9479

ja 田中, 榮司

Search repository
信州大学研究者総覧へのリンク
氏名 城下, 智
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.PeLNbVym.html
信州大学研究者総覧へのリンク
氏名 石田, 文宏
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.ueTCHhkh.html
信州大学研究者総覧へのリンク
氏名 田中, 榮司
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.HFDCHekh.html
出版者
出版者 信州医学会
引用
内容記述タイプ Other
内容記述 信州医学雑誌 59(1): 27-31(2011)
書誌情報 信州医学雑誌

巻 59, 号 1, p. 27-31, 発行日 2011-02-10
抄録
内容記述タイプ Abstract
内容記述 A 48-year-old man was admitted to our hospital after suffering from fever, dyspnea, and disturbance of gait for four days before admission. A chest X-ray taken in the emergency unit showed ground glass-like infiltrates in the left upper lung field and blood examinations demonstrated increases in serum CRP,CPK,and AST and a decrease in sodium.Bacterial pneumonia was diagnosed and the patient was started on intravenous administration of doripenem. On hospital day 2, a second chest X-ray revealed that the infiltration had worsened, causing exacerbation of his hypoxemia. We immediately shifted to a combination therapy of pazufloxacin,minomycin, and erythromycin since the Legionella species was suspected to be infecting bacterium. Legionella antigen present in urinalysis on day 3 confirmed this diagnosis. However, the patient’s respiratory condition had rapidly deteriorated, necessitating the use of a respirator. His condition gradually improved with the intensive treatment and he was discharged on hospital day 23. Prompt diagnosis and treatment is necessary for Legionella pneumonia since this disease is one of the main sources of communityacquired pneumonia causing severe symptoms despite of appropriate treatment. Thus, clinicians should bear Legionella pneumonia in mind when treating cases with suspected pneumonia who show the specific clinical findings of this disease,such as an increase in serum AST and a decrease in sodium
資源タイプ(コンテンツの種類)
内容記述タイプ Other
内容記述 Article
ISSN
収録物識別子タイプ PISSN
収録物識別子 0037-3826
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AN00120815
DOI
関連タイプ isIdenticalTo
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.11441/shinshumedj.59.27
関連名称
関連名称 10.11441/shinshumedj.59.27
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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