{"created":"2023-06-19T11:22:28.492125+00:00","id":87,"links":{},"metadata":{"_buckets":{"deposit":"6cf4da4c-9cc1-4187-bc6b-b74ce860e1b6"},"_deposit":{"created_by":12,"id":"87","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"87"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00000087","sets":["14:19"]},"author_link":["679","680","681","682","683","684","685","686","687","688","669","670","671","672","673","674","675","676","677","678"],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"42","bibliographicPageStart":"35","bibliographicVolumeNumber":"37","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":"症例は54歳の男性。41歳の時に糖尿病と診断され，51歳からインスリン治療が行われていた。血糖コントロールは不良で糖尿病性網膜症，足壊疽を併発していた。右趾壊疽の治療中に，脱力感，左下腿と右手関節の腫脹と疼痛のため緊急入院した。左下肢の深部軟部組織感染病巣と血液培養からＡ群溶血性レンサ球菌を検出し，ショックを伴っていたため，Streptococcal Toxic Shock-like Syndrome（STSS）と診断した。その後，壊死性筋膜炎，腸腰筋膿瘍，化膿性脊椎炎を順次合併した。しかし本症例では，総合診療科のコーディネートによって，多職種との連携を逐次迅速に行うことができた。その結果，救急部からの迅速な受け入れ，専門医による観血的検査・治療の適否と実施タイミングの決定や適切な呼吸循環管理，適切な抗菌薬の選択と血糖コントロールを行うことができ，救命・救肢および自宅退院を可能とした。このように，糖尿病患者に発生したSTSSの治療にあたっては，総合診療科の存在が患者の予後を改善する可能性がある。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"Aoki, Atsushi","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Sugawara, Hitoshi","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Ishii, Akira","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Watanabe, Tamami","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Demitsu, Toshio","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Saita, Kazuo","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Sanui, Masamitsu","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Kakei, Masafumi","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Ishikawa, San-e","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Kawakami, Masanobu","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":"青木, 厚","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"菅原, 斉","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石井, 彰","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡辺, 珠美","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"出光, 俊郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"税田, 和夫","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"讃井, 將満","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加計, 正文","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石川, 三衛","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川上, 正舒","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-05-12"}],"displaytype":"detail","filename":"自治医科大学紀要 1881-252X 37巻 p35-42 2015.3.pdf","filesize":[{"value":"773.1 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"自治医科大学紀要 1881-252X 37巻 p35-42 2015.3","url":"https://jichi-ir.repo.nii.ac.jp/record/87/files/自治医科大学紀要 1881-252X 37巻 p35-42 2015.3.pdf"},"version_id":"98cb7d3e-f012-4527-9728-edce1cacd5f3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Streptococcal Toxic Shock-like Syndrome（STSS)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"総合診療科","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"医療チーム連携","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Inter-Professional Work（IPW）","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"糖尿病合併感染症）","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"streptococcal toxic shock-like syndrome (STSS)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Division of General Medicine","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"multidisciplinary medical team","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"inter-professional work (IPW)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"diabetes mellitus and complications","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"総合診療科がコーディネートした医療チーム連携の集学的治療によって救命と救肢ができた糖尿病患者のStreptococcal Toxic Shock－like Syndrome","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"総合診療科がコーディネートした医療チーム連携の集学的治療によって救命と救肢ができた糖尿病患者のStreptococcal Toxic Shock－like Syndrome","subitem_title_language":"ja"},{"subitem_title":"General physicians of the Division of General Medicine successfully coordinate specialists for inter-professional work to treat a patient with streptococcal toxic shock-like syndrome and diabetes mellitus","subitem_title_language":"en"}]},"item_type_id":"2","owner":"12","path":["19"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2015-05-12"},"publish_date":"2015-05-12","publish_status":"0","recid":"87","relation_version_is_last":true,"title":["総合診療科がコーディネートした医療チーム連携の集学的治療によって救命と救肢ができた糖尿病患者のStreptococcal Toxic Shock－like Syndrome"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-25T06:13:42.136068+00:00"}