{"created":"2023-06-20T15:52:47.630080+00:00","id":7119,"links":{},"metadata":{"_buckets":{"deposit":"6d74623e-35c9-4355-bcb2-1e19e99ff110"},"_deposit":{"created_by":29,"id":"7119","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"7119"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00007119","sets":["95:28:262"]},"author_link":["21694","7565","21695","7566","21689","7564","21693"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"31","bibliographicPageStart":"28","bibliographicVolumeNumber":"34","bibliographic_titles":[{"bibliographic_title":"静岡赤十字病院研究報"},{"bibliographic_title":"Journal of Japanese Red Cross Shizuoka Hospital","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"アルコール性肝障害による極度の低血糖が原因と思われる心肺停止蘇生後，葉酸欠乏性貧血，痛風発作の既往がある60歳代男性．入院1週間前に腰痛が出現しほぼ寝たきりとなり，全身の振戦が出現したため当院に救急搬送され，腎盂腎炎に伴う敗血症性ショックが疑われ当科入院となった．血液・尿培養ともにKlebsiella pneumoniae（K. pneumoniae）が検出され，感受性のあるセフメタゾール投与にて治療を開始したが，発熱が遷延し，腰椎化膿性脊椎炎，腸腰筋膿瘍，肺膿瘍を併発したため，メロペネムを第18から44病日まで投与し，computedtomography（CT）で膿瘍の改善を認めた．本症例はK. pneumoniaeに感受性のあるセフメタゾールを投与したにもかかわらず，化膿性脊椎炎，腸腰筋膿瘍，肺膿瘍を合併し，治療に難渋した．糖尿病やアルコール中毒などの基礎疾患を伴うK. pneumoniaeの敗血症では，全身の多発膿瘍出現を考慮して治療方針を選択する必要がある.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"KAJI, Kentaro"}]}]},"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":"静岡赤十字病院"}]},"item_5_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10167098","subitem_source_identifier_type":"NCID"}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0911-9833","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":"梶, 兼太郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中田, 託郎"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"青木, 基樹"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"大岩, 孝子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"望月, 健太朗"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"大鐘, 崇志"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-03-09"}],"displaytype":"simple","filename":"jrcsh3401_28-31.pdf","filesize":[{"value":"4.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf004508","url":"https://redcross.repo.nii.ac.jp/record/7119/files/jrcsh3401_28-31.pdf"},"version_id":"1c9b501f-8063-44a8-ab58-148eb3d166df"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Klebsiella pneumoniae","subitem_subject_scheme":"Other"},{"subitem_subject":"全身性多発膿瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"アルコール中毒","subitem_subject_scheme":"Other"},{"subitem_subject":"K. pneumoniae","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"multiple abscess","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"alcoholism","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":"全身性多発膿瘍を呈したKlebsiella pneumoniae敗血症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"全身性多発膿瘍を呈したKlebsiella pneumoniae敗血症の1例"},{"subitem_title":"Sepsis by Klebsiella Pneumoniae Complicated with Systemic Multiple Abscess: A Case Report","subitem_title_language":"en"}]},"item_type_id":"5","owner":"29","path":["262"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-03-09"},"publish_date":"2015-03-09","publish_status":"0","recid":"7119","relation_version_is_last":true,"title":["全身性多発膿瘍を呈したKlebsiella pneumoniae敗血症の1例"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2023-06-20T20:16:14.724005+00:00"}