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An Overwhelming Postsplenectomy Infection Syndrome Associated with Diabetes M ellitus
http://hdl.handle.net/10087/4810
http://hdl.handle.net/10087/4810a2538f1c-8d69-4844-8c05-4aef0196b515
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
59_275.pdf (139.0 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2009-08-27 | |||||
| タイトル | ||||||
| タイトル | An Overwhelming Postsplenectomy Infection Syndrome Associated with Diabetes M ellitus | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | autoimmune hemolytic anemia | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | postsplenectomy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | diabetes mellitus | |||||
| 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 | journal article | |||||
| 著者 |
Mai, Tomizawa
× Mai, Tomizawa× Takashi, Nagai× Kazunori, Tonouchi× Naoko, Tonooka× Gen, Takahashi× Mie, Kotake× Ken, Masubuchi× Takao, Ishizuka× Kunihiko, Iizuka× Yoshio, Umegae |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | A 72-year-old male diabetic patient was admitted due to autoimmune hemolytic anemia (AIHA).\nWe started 1mg/kg weight of prednisolone daily and multiple daily insulin infusion for hyperglycemia.\nGall bladder cancer and early stage gastric cancer were then diagnosed. We removed the gall bladder\nand the spleen for treatment of AIHA without prednisolone for better control of diabetes mellitus. Five\nweeks later, endoscopic gastromucosal resection (EMR) was performed for gastric cancer. The patient\nsuffered from fever and respiratory failure after 4 days. Chest computed tomography showed consolidation,\nbronchial wall thickening and a ground glass appearance in bilateral lungs. Although the sputum\nand blood culture were negative,β-D-glucan and mannan antigen increased. Neutrophilia (87％)was\nshown. The WBC count had not increased (7300/μl) compared with the CRP elevation (21.8mg/dl).\nTherefore, we diagnosed overwhelming postsplenectomy infection syndrome followed by atypical pathogen\ninfection. We used ciprofloxacin and fosfluconazol, respirator at low tidal volume ventilation,\nsivelestat sodium hydrate and methylprednisolone for respiratory failure and regular insulin aiming for\na blood glucose range of from 80 to 140mg/dl. The patient subsequently recovered | |||||
| 書誌情報 |
The Kitakanto medical journal = 北関東医学 巻 59, 号 3, p. 275-280, 発行日 2009-08-01 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 1343-2826 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN10585677 | |||||
| フォーマット | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | application/pdf | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 出版者 | ||||||
| 出版者 | 北関東医学会 | |||||
| 資源タイプ | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Journal Article | |||||
| 更新日 | ||||||
| 日付 | 2017-03-27 | |||||
| 日付タイプ | Created | |||||
