{"_buckets": {"deposit": "bdbd8fe5-394e-45d4-9cc1-db6c1e5ca31a"}, "_deposit": {"created_by": 12, "id": "613", "owners": [12], "pid": {"revision_id": 0, "type": "depid", "value": "613"}, "status": "published"}, "_oai": {"id": "oai:jichi-ir.repo.nii.ac.jp:00000613", "sets": ["28"]}, "author_link": [], "item_2_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2011-03", "bibliographicIssueDateType": "Issued"}, "bibliographicPageEnd": "153", "bibliographicPageStart": "147", "bibliographicVolumeNumber": "33", "bibliographic_titles": [{"bibliographic_title": "自治医科大学紀要"}, {"bibliographic_title": "Jichi Medical University Journal", "bibliographic_titleLang": "en"}]}]}, "item_2_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "メトロニダゾールに対する副反応のためにチニダゾールで治療した後天性免疫不全症候群に併発したアメーバ性大腸炎を経験した。症例は42歳,男性。入院3ヶ月前から下痢が持続し他院入院。下部内視鏡検査でアメーバ性大腸炎と診断され,メトロニダゾールの内服が開始された。投与3日目に四肢と前胸部に皮疹が出現したため内服を中止した。その後,食欲低下と急激な体重減少,会話時の息切れ,動悸が出現し当院を受診。ヒト免疫不全ウイルス-RNA 量が2.0×106コピー/ml,末梢血CD4陽性リンパ球数が63 /μlであったことから後天性免疫不全症候群に併発したニューモシスチス肺炎による低酸素血症の診断で入院となった。なお,同性愛については再三否定。sulfamethoxazole-trimetoprim合剤とプレドニゾロンによる治療中,第11病日より39℃台の発熱と頻回の水様性下痢が見られた。第15病日に下部内視鏡検査を施行したところ,大腸粘膜全体の糜爛形成と生検組織内にアメーバ虫体を認め,アメーバ性大腸炎の再発と診断。第17病日よりメトロニダゾールの投与開始し解熱傾向となった。しかし,第22病日に再度39℃台の発熱が出現したためメトロニダゾールを中止し,チニダゾールの内服に変更した。その後は,発熱なく下痢の回数も減少し便潜血も陰性化した。外来でHighly Active Anti-Retroviral Therapyを開始する方針となり,第43病日に退院した。メトロニダゾール,チニダゾールともにアメーバ性大腸炎の治療薬としては,保険適応外の使用であり,早期の適応症追加が望まれる。", "subitem_description_type": "Abstract"}]}, "item_2_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"names": [{"name": "Tamami, WATANABE", "nameLang": "en"}]}, {"names": [{"name": "Hitoshi, SUGAWARA", "nameLang": "en"}]}, {"names": [{"name": "Hiroshi, MATSUBAYASHI", "nameLang": "en"}]}, {"names": [{"name": "Akira, ISHII", "nameLang": "en"}]}, {"names": [{"name": "Atsushi, AOKI", "nameLang": "en"}]}, {"names": [{"name": "Shinya, USHIMARU,", "nameLang": "en"}]}, {"names": [{"name": "Mitsuhiro, NOKUBI", "nameLang": "en"}]}, {"names": [{"name": "Junji, NISHIDA", "nameLang": "en"}]}, {"names": [{"name": "Yukio, YOSHIDA", "nameLang": "en"}]}, {"names": [{"name": "Masanobu, KAWAKAMI", "nameLang": "en"}]}]}, "item_2_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "自治医科大学"}]}, "item_2_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "1881-252X", "subitem_source_identifier_type": "PISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "渡辺, 珠美", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "菅原, 斉", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "松林, 洋志", "creatorNameLang": "ja"}]}, 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メトロニダゾールに対する副反応のために チニダゾールで治療し得た後天性免疫不全症候群に 併発したアメーバ性大腸炎の1例
https://jichi-ir.repo.nii.ac.jp/records/613
https://jichi-ir.repo.nii.ac.jp/records/613