{"created":"2023-06-20T15:50:19.796191+00:00","id":3012,"links":{},"metadata":{"_buckets":{"deposit":"74df41d2-8571-4dd8-9011-6cb6cf401b53"},"_deposit":{"created_by":18,"id":"3012","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3012"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003012","sets":["99:64:67"]},"author_link":["6842","46","49","6637","48","110","6638","273","6843","6635","47"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"75","bibliographicPageStart":"70","bibliographicVolumeNumber":"15","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は55歳，女性．52歳で糖尿病を指摘され内服治療を開始した．その後，前胸部・頸部・頭頂部などに有痛性皮下腫瘤の出現・消退を反復するようになり，HbA1C12.6 ％と血糖コントロール悪化のため入院した．インスリン治療を開始し血糖コントロールは改善したが，左肩甲骨外側の皮下腫瘤摘出術の結果，非定型抗酸菌症（Mycobacterium avium）による皮下膿瘍と診断された．同時期の胸部CT にて左下肺野に不整形結節影が認められ，抗結核薬3剤による治療を開始した．1ヶ月後にHbA1Cは8.4％まで低下したが，肺結節は増大し，腰痛が出現．腰椎XP・MRI にてL3の骨溶解像，Th11以下の椎体に不均一な信号が認められ，骨生検にて非定型抗酸菌が証明された．Kanamycinを追加し，その後の経過は良好である．糖尿病は非定型抗酸菌症の発症・増悪の危険因子であるが，本例は感染の合併に伴う血糖コントロール悪化を契機に発見されるなど，稀な臨床経過を示した．","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"KONDO, Eri"}]}]},"item_5_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_5_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.tokushima-med.jrc.or.jp/hospital/medical/2010pdf/015.pdf","subitem_relation_type_select":"URI"}}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878","subitem_source_identifier_type":"ISSN"}]},"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":"近藤, 絵里"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中井, 陽"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 英司"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"島田, 直"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"三木, 浩和"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金崎, 淑子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"新谷, 保実"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宮, 恵子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"長江, 浩朗"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"成瀬, 章"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-11-19"}],"displaytype":"simple","filename":"trchmj1501_70-75.pdf","filesize":[{"value":"680.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf001932","url":"https://redcross.repo.nii.ac.jp/record/3012/files/trchmj1501_70-75.pdf"},"version_id":"2aa4f91e-48c5-4692-b23a-c84eb26bc3a8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"2型糖尿病","subitem_subject_scheme":"Other"},{"subitem_subject":"非定型抗酸菌症","subitem_subject_scheme":"Other"},{"subitem_subject":"皮下膿瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"脊椎カリエス","subitem_subject_scheme":"Other"},{"subitem_subject":"type 2 diabetes mellitus","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"atypical mycobacterium infection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"subcutaneous abscess","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"vertebral caries","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":"technical report"}]},"item_title":"血糖コントロール悪化時に非定型抗酸菌性皮下膿瘍・脊椎カリエスを発症した2型糖尿病の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"血糖コントロール悪化時に非定型抗酸菌性皮下膿瘍・脊椎カリエスを発症した2型糖尿病の1例"},{"subitem_title":"A case of type ２ diabetes mellitus caused by the worsening of glycemic control along with subcutaneous abscess and vertebral caries complications caused by atypical mycobacterium infection","subitem_title_language":"en"}]},"item_type_id":"5","owner":"18","path":["67"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-11-19"},"publish_date":"2012-11-19","publish_status":"0","recid":"3012","relation_version_is_last":true,"title":["血糖コントロール悪化時に非定型抗酸菌性皮下膿瘍・脊椎カリエスを発症した2型糖尿病の1例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:56:20.316222+00:00"}