| Item type |
紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2019-04-03 |
| タイトル |
|
|
タイトル |
Syphilitic Meningitis in a Human Immunodeficiency Virus-Negative Woman |
|
言語 |
en |
| その他（別言語等）のタイトル |
|
|
その他のタイトル |
梅毒性髄膜炎を発症したヒト免疫不全ウイルス非感染女性の1例 |
|
言語 |
ja |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
rapid plasma reagin （RPR） test |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
syphilis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
syphilitic meningitis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Treponema pallidum |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 |
Minato, Saori
yamashita, Takeshi
Yoshida, Katsuyuki
Kawamura, Ai
Watanabe, Tamami
Ishii, Akira
Fukuchi, Takahiko
Sugawara, Hitoshi
Kawase, Masaaki
Demitsu, Toshio
|
| 著者別名 |
|
|
|
姓名 |
湊, さおり |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
山下, 武志 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
吉田, 克之 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
河村, 愛 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
渡辺, 珠美 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
石井, 彰 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
福地, 貴彦 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
菅原, 斉 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
川瀬, 正昭 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
出光, 俊郎 |
|
|
言語 |
ja |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
The“ Stop! Syphilis Project” was started in Japan in 2018.
A 29-year-old woman was admitted with fever, acute onset of posterior cervical pain, urodynia, and positive signs of meningeal irritation. Three months before admission, her heterosexual partner had been diagnosed with primary symptomatic syphilis with induration, but her initial serological screening tests for syphilis [rapid plasma reagin （RPR） test and Treponema pallidum hemagglutination （TPHA） test] were negative. She presented with a painless genital lesion at 2 months before the current hospitalization and
with skin rashes at 1 month before hospitalization； however, these were not recognized as symptomatic for syphilis. Additionally, urodynia appeared at 2 weeks before admission； the patient underwent serological rescreening for syphilis, which tested positive （RPR： 128-fold, TPHA： 640.0 titer unit）, and posterior cervical pain appeared at 10 days before hospitalization. After emergent hospitalization, she was diagnosed with syphilitic meningitis without human immunodeficiency virus infection. Antimicrobial treatment with penicillin G was continued for 2 weeks, after which the fever, posterior cervical pain, urodynia, and rash subsided, and the patient was discharged on hospital day 16. On day 187 after starting treatment, RPR was 8-fold and TPHA was 262.4 titer unit.
This case report highlights the fact that for the timely detection and appropriate treatment of syphilis,primary care physicians should recommend a repeated RPR test with incubation period taken into account,even in the absence of symptoms and even if initial screening results are negative. |
| 書誌情報 |
自治医科大学紀要
en : Jichi Medical University Journal
巻 41,
p. 29-34,
発行日 2019-03
|
| 出版者 |
|
|
出版者 |
自治医科大学 |
| ISSN |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
1881-252X |
自治医科大学紀要1881-252X(41)p29-34 2019 (396.5 kB)
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