{"created":"2023-06-20T15:50:39.407859+00:00","id":3526,"links":{},"metadata":{"_buckets":{"deposit":"37c91636-f25c-4c5b-a904-9b0668e7851b"},"_deposit":{"created_by":18,"id":"3526","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3526"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003526","sets":["99:64:119"]},"author_link":["6842","78","8208","380","49","8233","48","80","1527","129","8112","8109"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"108","bibliographicPageStart":"102","bibliographicVolumeNumber":"9","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":"背景の類似した肝膿瘍を短期間に3例経験したので報告する.症例1は65歳,男性.糖尿病,胆石症の既往とアルコール多飲歴あり.誘因なく高熱を来たし,近医に入院.抗生剤治療に反応せず,当科に転入院した.腹部CT で径5~6㎝の肝膿瘍が2個認められた.症例2は62歳,男性.糖尿病とアルコール性肝疾患の既往あり.高熱にて近医に入院し,抗生剤投与後も解熱せず.CT にて径7㎝の肝膿瘍が見出されたため,当科に入院した.症例3は67歳,男性.糖尿病とアルコール性肝疾患の既往あり.高熱にて近医に入院し,腹部CTにて径11㎝の肝膿瘍が認められ,当科に転入院し\r\nた.3症例とも敗血症,DICを合併しており,経皮経肝膿瘍ドレナージ,抗生物質,血糖コントロールなどにより徐々に改善した.肝膿瘍は高頻度に発生する疾患ではないが,4ヶ月間で遭遇した3例はいずれも発症前に経口薬にてコントロール可能な2型糖尿病とアルコール性肝疾患を共通して有しており,これらに伴う白血球機能・免疫力の低下や細菌の腸管透過性の亢進などが肝膿瘍の発症・巨大化に関与した可能性が考えられた.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"MIKI, Hirokazu"}]}]},"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/2004pdf/020.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":"三木, 浩和"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹内, 恭子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宮城, 順子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"新谷, 保実"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"佐藤, 幸一"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宮, 恵子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宇山, 攻"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"石倉, 久嗣"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"一森, 敏弘"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"阪田, 章聖"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"長田, 淳一"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-05-14"}],"displaytype":"simple","filename":"trchmj0901_102-108.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf002330","url":"https://redcross.repo.nii.ac.jp/record/3526/files/trchmj0901_102-108.pdf"},"version_id":"59cd636d-cf6d-4371-b9dd-660a581a23a3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"肝膿瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"糖尿病","subitem_subject_scheme":"Other"},{"subitem_subject":"アルコール性肝疾患","subitem_subject_scheme":"Other"},{"subitem_subject":"liver abscess","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"diabetes mellitus","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"alcoholic liver disease","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":"アルコール性肝疾患を有する3型糖尿病患者に発症した肝膿瘍の3例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"アルコール性肝疾患を有する3型糖尿病患者に発症した肝膿瘍の3例"},{"subitem_title":"Liver Abscess Seen in3 Patients with Type 2 Diabetes Mellitus Complicated by Alcoholic Liver Disease","subitem_title_language":"en"}]},"item_type_id":"5","owner":"18","path":["119"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-05-14"},"publish_date":"2013-05-14","publish_status":"0","recid":"3526","relation_version_is_last":true,"title":["アルコール性肝疾患を有する3型糖尿病患者に発症した肝膿瘍の3例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T22:05:55.810433+00:00"}