{"created":"2023-06-20T16:00:12.928030+00:00","id":18531,"links":{},"metadata":{"_buckets":{"deposit":"1541ebb2-2293-4d3e-89d1-b365d6ed5ab5"},"_deposit":{"created_by":22,"id":"18531","owners":[22],"pid":{"revision_id":0,"type":"depid","value":"18531"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018531","sets":["100:90:723"]},"author_link":["67436","67441","6409","70001","70005","70003","70004","67439","25677","70008","70002","6410","70007","6402"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-12","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"59","bibliographicPageStart":"52","bibliographicVolumeNumber":"43","bibliographic_titles":[{"bibliographic_title":"京都第二赤十字病院医学雑誌  "},{"bibliographic_title":"Medical journal of Kyoto Second Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"小小児のCOVID19感染症に関連し，多臓器に高度な炎症を引き起こす小児多系統炎症性症候群（MISC）が報告され，川崎病との類似性が指摘されている．今回，我々はCOVID19家族内感染に罹患し，28 日後にMISCを発症した10 歳女児例を経験した．発熱，頭痛，下腹部痛，全身倦怠感を認めたためMISC第4 病日に細菌性胃腸炎の疑いで入院となった．入院後に川崎病症状とともに血圧低下，心嚢液貯留が出現したため，第7 病日にIVIG（Intravenous Immunoglobulin）2 g/kg 投与を開始した．第8 病日にSARSCoV2抗体価上昇が判明してMISCと診断し，アスピリン内服を追加した．第9 病日にめまいも認めたが，IVIG 2 g/kg 再投与開始後は解熱，全身状態も改善し，第11 病日に心嚢液は消失し，経過中冠動脈拡大を認めず治癒した．COVID19罹患後に発熱持続，血圧低下，消化器症状を伴う年長児例ではMISCの可能性を念頭に置き，早期診断，治療に努める必要があると考えられた．","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"WATANABE, Kanoko"}]}]},"item_5_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例報告","subitem_heading_language":"ja"}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"京都第二赤十字病院"}]},"item_5_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":"渡辺, 鹿乃子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小林, 奈歩"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"小西, 亮"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"藤田, 尚江"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"生嶋, 諒"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"齋藤, 多恵子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"冨井, 敏宏"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"福原, 正太"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"東道, 公人"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"森岡, 茂己"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"藤井, 法子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"加納, 原"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"長村, 敏生"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-02-07"}],"displaytype":"simple","filename":"MJKSRCH43_52.pdf","filesize":[{"value":"879.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kyo2_000136","url":"https://redcross.repo.nii.ac.jp/record/18531/files/MJKSRCH43_52.pdf"},"version_id":"e9253081-fa3b-4552-95a8-2dfd5ac96aca"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"新興感染症","subitem_subject_scheme":"Other"},{"subitem_subject":"血液検査","subitem_subject_scheme":"Other"},{"subitem_subject":"腹部レントゲン","subitem_subject_scheme":"Other"},{"subitem_subject":"心臓超音波検査","subitem_subject_scheme":"Other"},{"subitem_subject":"免疫グロブリン","subitem_subject_scheme":"Other"},{"subitem_subject":"アスピリン","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":"technical report"}]},"item_title":"COVID19 罹患後に 小児多系統炎症性症候群を発症した1 例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"COVID19 罹患後に 小児多系統炎症性症候群を発症した1 例"},{"subitem_title":"A case of a 10-year old Child with Multisystem inflammatory syndrome in children associated with Coronavirus Disease 2019","subitem_title_language":"en"}]},"item_type_id":"5","owner":"22","path":["723"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-02-07"},"publish_date":"2023-02-07","publish_status":"0","recid":"18531","relation_version_is_last":true,"title":["COVID19 罹患後に 小児多系統炎症性症候群を発症した1 例"],"weko_creator_id":"22","weko_shared_id":-1},"updated":"2023-06-20T17:38:44.702422+00:00"}