http://hdl.handle.net/10564/4223 2022-11 Fri, 10 Apr 2026 15:25:41 GMT 2026-04-10T15:25:41Z http://hdl.handle.net/10564/4230 タイトル: 診断に難渋したCandida pαrapsilosisによる真菌性腱鞘滑膜炎の一例 著者: 西村, 知子; 酒井, 勇紀; 山口, 尚希; 吉原, 真吾; 平位, 暢康; 小川, 拓; 小川, 吉彦; 大森, 慶太郎; 三笠, 桂一; 笠原, 敬 抄録: A 59-year-old woman presented with swelling of the distal interphalangeal (DIP) joint to base of the distal phalanx of the left middle finger for more than 2 years. The patient was suspected to have infectious tenosynovitis, but the causative microorganism could not be identified. The patient was treated diagnostically with antimicrobial agents，but the condition worsened again during treatment, and Candida parapsilosis was detected in the joint fluid culture. Although it took some time to make a definite diagnosis due to prior antimicrobial therapy at another hospital and failure to promptly perform a third debridement, a diagnosis of fungal tenosynovitis was finally made based on culture and histopathological findings. Tue, 29 Nov 2022 15:00:00 GMT http://hdl.handle.net/10564/4230 2022-11-29T15:00:00Z http://hdl.handle.net/10564/4229 タイトル: A CASE OF CORONAVIRUS DISEASE 2019 COMPLICATED BY VENTILATORASSOCIATED PNEUMONIA, LUNG ABSCESS, AND STAPHYLOCOCCUS AUREUS BACTEREMIA 著者: Okuda, Nao; Yamaguchi, Naoki; Sekine, Takahiro; Nishihara, Yuji; Furukawa, Ryutaro; Fujikura, Hiroyuki; Fukumori, Tatsuya; Nishimura, Tomoko; Imakita, Natsuko; Kasahara, Kei 抄録: Complications of healthcare-associated infections have been reported in patients with coronavirus disease 2019 (COVID-19). We encountered a case of ventilator-associated pneumonia and lung abscess, complicated with Staphylococcus aureus bacteremia and multiple abscesses, in a patient with COVID-19. Streptococci and anaerobes were cultured from the sputum, which was considered to be the causative organism of the lung abscess. In the management of severe COVID-19, care should be taken to prevent complications of healthcare-associated infections; when secondary respiratory tract infections are suspected, the presence of lung abscess and anaerobic culture should be considered. Tue, 29 Nov 2022 15:00:00 GMT http://hdl.handle.net/10564/4229 2022-11-29T15:00:00Z http://hdl.handle.net/10564/4228 タイトル: 【症例報告】胸膜播種を来した肺原発印環細胞癌の一例 著者: 岸, 真吾; 粟屋, 禎一; 池田, 征幸; 谷, 里奈; 國安, 弘基 抄録: Primary signet ring cell carcinoma is a rare subtype of lung adenocarcinoma，but it is extremely invasive and has a poor prognosis. Diagnosis mainly requires immunohistochemical analysis of tissue biopsies and genetic mutations.It is important to exclude metastatic signet ring cell carcinoma from other organs. We describe a case of primary signet ring cell carcinoma of the lung with pleural dissemination，together with a review of the literature. Tue, 29 Nov 2022 15:00:00 GMT http://hdl.handle.net/10564/4228 2022-11-29T15:00:00Z http://hdl.handle.net/10564/4227 タイトル: RELATIONSHIP BETWEEN LOCOMOTOR ORGAN HEALTH STATUS AND PHYSICAL FITNESS TEST IN 5TH GRADE ELEMENTARY SCHOOL STUDENTS 著者: Fukumoto, Takahiko; Ogawa, Munehiro; Tanaka, Yasuhito 抄録: Background: Physical fitness tests determine the current state of physical fitness and athletic ability among children, and the results are widely used as basic administrative data. In 2016, Japan introduced locomotor examinations for elementary school children. In this study, we conducted physical fitness tests and locomotor examinations to assess whether physical fitness is related to locomotor health. Methods:We conducted physical fitness tests (8 items)a nd surveys on locomotor health status (7 items) among 259 girls and 309 boys. Then, we counted the number of children who required consultation with an orthopedic surgeon for a secondary examination. Results: The physical fitness test results were normally distributed. According to the mean value，skewness, and kurtosis, we found no difference between these results and the distribution nationwide. The secondary examination was required in 39 (6.9%)children. A histogram of the physical fitness test results and the number of children requiring a secondary examination revealed no normal distribution，showing polarization between the peaks of the higher and lower parts of the physical fitness test results Conclusions: Those with low physical fitness test results and impaired locomotor health may be affected by obesity, and those with high physical fitness test results and impaired locomotor health may be musculoskeletal overused. Therefore，it is necessary to consider appropriate interventions int he future. Tue, 29 Nov 2022 15:00:00 GMT http://hdl.handle.net/10564/4227 2022-11-29T15:00:00Z