{"created":"2023-06-20T15:56:58.411192+00:00","id":14079,"links":{},"metadata":{"_buckets":{"deposit":"ac83cf79-2f50-442b-8b46-eafa6b8525ee"},"_deposit":{"created_by":51,"id":"14079","owners":[51],"pid":{"revision_id":0,"type":"depid","value":"14079"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00014079","sets":["611:612:613"]},"author_link":["51067","51065","51071","51069","51068","51066","51064","51070"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-11-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"35","bibliographicPageStart":"30","bibliographicVolumeNumber":"1","bibliographic_titles":[{"bibliographic_title":"京都第一赤十字病院医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Kyoto Daiichi hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"溶血性尿毒症症候群（hemolytic uremic syndrome; HUS）は，腸管出血性大腸菌（enterohemorrhagicEscherichia coli; EHEC）感染者の約1 ～ 10％に発症する．そのうち10％前後の患者が何らかの中枢神経症状を呈することが知られている．今回我々はEHEC 感染によりHUS を発症し，異なる臨床経過をたどった2 症例を経験したので報告する. 症例1 は4 歳女児, 症例2 は2 歳男児．下痢とそれに続く粘血便が先行し，入院後にHUS を発症した. 症例1 では水分管理とDIC に準じた治療を施行し順調に回復したが, 症例2 では同様の治療をしたにも関わらず，脳症を発症した．抗痙攣薬の持続点滴，高浸透圧療法, 持続的血液透析濾過（continuous hemodiafilafiltration;CHDF），血漿交換療法（plasma exchange; PE），DIC 治療，ステロイドパルス療法等を施行し, 神経学的後遺症なく退院することができた．両者の違いを比較したところ，脳症を発症する予測因子として，HUS 発症時のCRP 値，LDH 値が有用である可能性が示唆された．","subitem_description_type":"Abstract"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2433-8346","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"池村, 高明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"奥村, 保子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宮本, 洋輔"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹下, 直樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"短田, 浩一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小澤, 誠一郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"濱田, 裕之"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木﨑, 善郎"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-05-23"}],"displaytype":"simple","filename":"8.池村高明.pdf","filesize":[{"value":"6.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kyoto1_000008","url":"https://redcross.repo.nii.ac.jp/record/14079/files/8.池村高明.pdf"},"version_id":"0098df64-b5d3-4fc4-9d2f-e9d32bef8c43"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腸管出血性大腸菌感染症","subitem_subject_scheme":"Other"},{"subitem_subject":"溶血性尿毒症症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"脳症","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"異なる臨床経過をたどった小児腸管出血性大腸菌 感染症関連溶血性尿毒症症候群の2 症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"異なる臨床経過をたどった小児腸管出血性大腸菌 感染症関連溶血性尿毒症症候群の2 症例"},{"subitem_title":"Different clinical courses between two cases of Hemolytic Uremic Syndrome associated with Escherichia coli O-157 infection in childhood","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"51","path":["613"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-05-23"},"publish_date":"2019-05-23","publish_status":"0","recid":"14079","relation_version_is_last":true,"title":["異なる臨床経過をたどった小児腸管出血性大腸菌 感染症関連溶血性尿毒症症候群の2 症例"],"weko_creator_id":"51","weko_shared_id":-1},"updated":"2023-06-20T18:44:59.832139+00:00"}