{"created":"2023-06-20T15:57:00.273960+00:00","id":14124,"links":{},"metadata":{"_buckets":{"deposit":"d54cdf97-b017-4744-8272-f1ab3534143e"},"_deposit":{"created_by":41,"id":"14124","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"14124"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00014124","sets":["340:341:552"]},"author_link":["51257","51256","51259","51255","51258"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"44","bibliographicPageStart":"41","bibliographicVolumeNumber":"23","bibliographic_titles":[{"bibliographic_title":"高知赤十字病院医学雑誌"},{"bibliographic_title":"Medical Journal of Kochi Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は87 歳男性．関節リウマチ（RA）の治療中に肺炎のため近医で入院治療を受けていたが，\n白血球減少が見られ当科を紹介．入院後，Felty 症候群と診断．肺炎治療後，プレドニン投与で白血\n球は増加し，臨床症状も改善し退院．その後，間質性肺炎を発症し再入院．喀痰からニューモシスチ\nス・イロベティDNAPCR が陽性であり，ニューモシスチス肺炎（PCP）として治療を開始．呼吸不全，\n慢性腎不全が進行し，心筋梗塞も発症し死亡．病理解剖では，肺から病原体は検出されず間質性肺炎\nを認めた．カンジダの血流感染も認めた．PCP を契機に間質性肺炎が進行したものと考えられた．自\n己免疫疾患に発症する間質性肺炎は感染症との鑑別が困難であり，合併する肺炎の治療に難渋する場\n合は免疫抑制を強力にすることも考慮すべきである．","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"高知赤十字病院図書室運営委員会"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-7427","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"溝渕, 樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"安冨, 義親"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"車田, 賢太郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"頼田, 顕辞"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"黒田, 直人"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-06-06"}],"displaytype":"simple","filename":"2018高知赤十字病院医学雑誌_溝渕Dr.pdf","filesize":[{"value":"889.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kochi23-10","url":"https://redcross.repo.nii.ac.jp/record/14124/files/2018高知赤十字病院医学雑誌_溝渕Dr.pdf"},"version_id":"dd5c0322-28a4-4a1a-96d1-ff5788c73906"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"関節リウマチ","subitem_subject_scheme":"Other"},{"subitem_subject":"Felty 症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"ニューモシスチス肺炎","subitem_subject_scheme":"Other"},{"subitem_subject":"間質性肺炎","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":"Felty症候群の一剖検例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Felty症候群の一剖検例"}]},"item_type_id":"10001","owner":"41","path":["552"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-06-06"},"publish_date":"2019-06-06","publish_status":"0","recid":"14124","relation_version_is_last":true,"title":["Felty症候群の一剖検例"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T18:47:40.210450+00:00"}