DSpace コレクション: 2001-082001-08http://hdl.handle.net/10564/15442026-04-09T03:41:20Z2026-04-09T03:41:20Zアメーバ性肝膿瘍を発症した男性同性愛者の1例森下, 佐紀杉本, 有美相澤, 茂幸小島, 邦行徳岡, 泰紀森岡, 千恵澤井, 正佳榑松, 由佳子簗瀬, 公嗣山本, 浩治餅, 忠雄辻之上, 裕久福井, 博吉川, 正英石坂, 重昭http://hdl.handle.net/10564/6692017-05-29T06:07:21Z2001-08-27T15:00:00Zタイトル: アメーバ性肝膿瘍を発症した男性同性愛者の1例
著者: 森下, 佐紀; 杉本, 有美; 相澤, 茂幸; 小島, 邦行; 徳岡, 泰紀; 森岡, 千恵; 澤井, 正佳; 榑松, 由佳子; 簗瀬, 公嗣; 山本, 浩治; 餅, 忠雄; 辻之上, 裕久; 福井, 博; 吉川, 正英; 石坂, 重昭
抄録: We report a case of amoebic liver abscess in which the infection with
Entamoeba histolytica (E.histolytica) was caused through homosexuality. The patient was a
51-year-old man who was married and had a daughter. He visited a doctor after
enduring a fever for ten days. A blood examination disclosed leukocytosis with
neutrophil prevalence (WBC 16600 /μl, 82% neutrophils) and abnormal liver function
(AST 55 IU/ml, ALT 114 IU/ml, ALP 784 IU/ml). An abdominal ultrasonography
revealed a space-occupying lesion (SOL) in the liver. He was admitted to our hospital for
further evaluation. Magnetic resonance image demonstrated that the hepatic SOL was an
abscess, 7cm in diameter. Chemotherapy with antibiotics, PIPC, and percutaneous
transhepatic abscess drainage (PTAD) were immediately performed. E.histolytica was not
detected in the drained effluent. Although those treatments seemed to be effective, a
serological examination revealed that he was positive to E. histolytica. Repeated interviews
clarified homosexuality, and the re-examination of the effluent in PTAD duct
demonstrated an amoebic form of E.histolytica. The patient was successfully treated with
metronidazole and discharged on the 31st hospital day. In diagnosing the hepatic
amoebasis, serological examination is greatly useful, specially when the detection of
E.histolytica has been unsuccessful.2001-08-27T15:00:00Z成人に発症した風疹髄膜脳炎の1例吉田, 裕紀子伴, 圭一郎山路, 國弘舛田, 譲二塩見, 直幸http://hdl.handle.net/10564/6682017-05-29T06:07:21Z2001-08-27T15:00:00Zタイトル: 成人に発症した風疹髄膜脳炎の1例
著者: 吉田, 裕紀子; 伴, 圭一郎; 山路, 國弘; 舛田, 譲二; 塩見, 直幸
抄録: A 32-year-old man was admitted to our hospital because of headache,
nausea and vomiting 6 days after onset of a typical rubella in April 1997. Spinal tap
revealed high initial pressure, pleocytosis, and a positive reaction for anti-rubella IgM.
On the 3rd hospital day, consciousness level was down and abnormal behavior appeared.
The CT scans showed diffuse brain edema. Diffuse slowing waves were observed on the
electroencephalogram. He recovered completely one month after onset of rubella. Adult
patients with rubella meningoencephalitis are extremely rare. We herein report an adult
case and discuss the relevant literature.2001-08-27T15:00:00Z2回の寛解導入に成功した高齢者 KOR-SA3544 陽性骨髄低形成性急性リンパ球性白血病の1例京田, 有輔岩野, 正之山野, 繁中谷, 公彦本宮, 千陽路中嶋, 民夫椎木, 英夫中村, 忍http://hdl.handle.net/10564/6672017-06-11T23:20:26Z2001-08-27T15:00:00Zタイトル: 2回の寛解導入に成功した高齢者 KOR-SA3544 陽性骨髄低形成性急性リンパ球性白血病の1例
著者: 京田, 有輔; 岩野, 正之; 山野, 繁; 中谷, 公彦; 本宮, 千陽路; 中嶋, 民夫; 椎木, 英夫; 中村, 忍
抄録: We report a case of myelohypoplastic acute lymphocytic leukemia (ALL)
with KOR-SA3544 positive cells. A 67-year-old man was admitted to our hospital
because of pharyngitis. Laboratory data revealed leukopenia (2,000/μl). He was
diagnosed as ALL (L2) with KOR-SA3544 as a surface-marker. Prognosis of ALL with
KOR-SA3544 positive cells in aged patients is considered not to be good, because KOR-
SA3544 is associated with Philadelphia chromosome. He was treated according to the
protocol JAL-SG ALL-93 by the combination of Vincristine, Doxorubicin, L-
Asparaginase, and Methotrexate. A bone marrow examination after chemotherapy did
not show any blastic cells or ALL cells. Thus, in spite of the presence of KOR-SA3544
positive cells, complete remission could be introduced by the treatment. During the
treatment, serious side effects did not occur.2001-08-27T15:00:00Z十二指腸潰瘍穿孔の保存的治療中に再燃して腹腔ドレナージにより治癒し得た1例高濱, 靖上山, 直人河野, 安宣吉川, 雅章今西, 正巳籠島, 忠中島, 祥介http://hdl.handle.net/10564/6662017-05-29T06:07:21Z2001-08-27T15:00:00Zタイトル: 十二指腸潰瘍穿孔の保存的治療中に再燃して腹腔ドレナージにより治癒し得た1例
著者: 高濱, 靖; 上山, 直人; 河野, 安宣; 吉川, 雅章; 今西, 正巳; 籠島, 忠; 中島, 祥介
抄録: A 37-year-old woman was admitted with high grade fever and severe
epigastralgia. Physical examination revealed severe tenderness in the epigastric region
with negative bowel sound and Blumberg sign. A CT scan of the abdomen confirmed the
presence of fluid collection in the right subphrenic region, Douglas pouch and right
pleural cavity. Endoscopic findings revealed a perforated active ulcer at the anterior wall
of duodenal bulbs. The patient was managed non-operatively, receiving treatment with
i.v. antibiotics, i.v. gama globulin, nasogastric suction, and i.v. H2-blocker. The
patient's inflammatory reaction of blood examination improved for a short time, but the
inflammatory reaction relapsed on day 6, and repeated CT scans showed that the
abdominal fluid collection gradually increased. A 18 Fr catheter for percutaneous
drainage was inserted into the fluid collection in the right subphrenic space under
ultrasound guidance. Ascites from the catheter was yellowish and turbid, but no bacteria
or true fungi were detected from the culture. The patient's fever and inflammatory
reaction resolved within 5 days and she was discharged on day 26. We present a patient
with a duodenal ulcer who was managed conservatively with percutaneous drainage of
associated right subphrenic ascites.2001-08-27T15:00:00Z