{"created":"2023-06-20T15:58:43.763768+00:00","id":16312,"links":{},"metadata":{"_buckets":{"deposit":"ae732eaf-6987-4d5c-93e1-ea0d768a206b"},"_deposit":{"created_by":29,"id":"16312","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"16312"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00016312","sets":["95:28:581"]},"author_link":[],"control_number":"16312","item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"60","bibliographicPageStart":"54","bibliographicVolumeNumber":"39","bibliographic_titles":[{"bibliographic_title":"静岡赤十字病院研究報","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of Japanese Red Cross Shizuoka Hospital","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"放線菌症は慢性化膿性肉芽腫性感染症で，悪性腫瘍との鑑別がしばしば問題となる．骨盤内放線菌症は子宮内避妊器具装着（IUD）例がほとんどだが，我々は子宮内避妊器具非装着例で病理診断にて卵巣放線菌膿瘍と診断した1例を経験した．症例は73歳，女性．発熱，意識障害で救急搬送され，Computed Tomographyにて内部不均一で境界不明瞭な右卵巣腫瘤および右水腎症を認めた．閉塞性腎盂腎炎による敗血症のため，集中治療を要した．付属器膿瘍や卵巣境界悪性腫瘍を疑い待機的に手術を施行し，病理診断で卵巣放線菌膿瘍と診断した．術後6か月間のアモキシシリン1g／日内服にて，感染の再燃なく経過した．放線菌は培養検査で検出されにくく，病理学的に証明される例が多い．特に子宮内避妊器具非装着例では鑑別に挙がりにくいが，長期抗菌薬治療により再発を予防できることから，積極的に探索・診断するべき疾患である．局所浸潤傾向の強い骨盤内腫瘤を認める場合には，子宮内避妊器具非装着例においても放線菌症の可能性を念頭に置き，培養陰性例では早期に外科的介入を考慮する必要がある．","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡赤十字病院"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0911-9833","subitem_source_identifier_type":"ISSN"}]},"item_10002_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":[{"creatorAlternatives":[{"creatorAlternative":"Matsuda,Risa","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"松田, 理沙","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"市川, 義一","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"江﨑, 正俊","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"平松, 真生子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"栗原, みずき","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"田代, 和弘","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"根本, 泰子","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-03-16"}],"displaytype":"simple","filename":"jrcsh3901_54-60.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf008911","url":"https://redcross.repo.nii.ac.jp/record/16312/files/jrcsh3901_54-60.pdf"},"version_id":"af266b46-7d79-4566-8aac-56a3a9d2df83"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"放線菌","subitem_subject_scheme":"Other"},{"subitem_subject":"骨盤内膿瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"卵巣膿瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"Actinomyces","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Actinomycosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Pelvic abscess","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Ovarian abscess","subitem_subject_language":"en","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"子宮内避妊器具装着歴のない放線菌感染による骨盤内膿瘍の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"子宮内避妊器具装着歴のない放線菌感染による骨盤内膿瘍の1例","subitem_title_language":"ja"},{"subitem_title":"Ovarian Actinomycosis without Any History of Intrauterine Device Implantation","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"29","path":["581"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-03-16"},"publish_date":"2020-03-16","publish_status":"0","recid":"16312","relation_version_is_last":true,"title":["子宮内避妊器具装着歴のない放線菌感染による骨盤内膿瘍の1例"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2024-01-17T05:55:06.822718+00:00"}