| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2017-09-28 |
| タイトル |
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タイトル |
A case of fulminant amebic colitis that could be saved |
|
言語 |
en |
| 言語 |
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言語 |
eng |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
UENO, Daisuke
MURAKAMI, Haruaki
OKAMOTO, Yuko
KAWAI, Akimasa
KUBOTA, Hisako
HIGASHIDA, Masaharu
OKA, Yasuo
OKADA, Toshimasa
TSURUTA, Atsushi
MATSUMOTO, Hideo
UENO, Tomio
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| 著者所属(英) |
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|
en |
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Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
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en |
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Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
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en |
|
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Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
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|
en |
|
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Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
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Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
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Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
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Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
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Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
|
Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
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|
en |
|
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Department of Digestive Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
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|
en |
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Department of Digestive Surgery, Kawasaki Medical School |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Fulminant amebic colitis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Metronidazole |
| 抄録(英) |
|
|
|
en |
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An 80-year-old man was admitted to a neighboring hospital with severe diarrhea and bloody stools. He did not have a remarkable medical history, was not homosexual, and had not traveled outside the country for several years. Colonoscopy was performed on the day of admission and revealed multiple ulcerations with edematous mucosa throughout the colorectum. Histopathological findings of biopsy specimen could not identify the reason for the inflamed colon. On postadmission day 6, the patient developed severe abdominal pain and underwent an emergent surgery for pan-peritonitis due to bowel perforation. The laparotomy revealed glossy fecal pan-peritonitis with perforation of the sigmoid colon; necrosis was observed through the entire length of the colon. The colonic tissue was extremely fragile and exhibited a blotting paper-like appearance. Total colectomy, sigmoid mucous fistula, ileostomy, and intraperitoneal drainage were performed. On postadmission day 12, histopathological findings of resected specimen raised the suspicion of amebic dysentery, and we accordingly treated him with metronidazole (2,250 mg/day) administered orally. Abdominal CT images taken on days 12 and 20 postadmission showed multiple liver abscesses, which improved following metronidazole administration. Metronidazole was discontinued 14 days after initiation as the patient’s general condition improved. His condition remained stable thereafter, and he was transferred two months after admission. |
| 書誌情報 |
en : Kawasaki medical journal
巻 43,
号 1,
p. 13-19,
発行日 2017
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| 出版者 |
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出版者 |
Kawasaki Medical Society |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
0385-0234 |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
2434-3404 |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12685295 |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12029005 |
| DOI |
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|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.11482/KMJ-E43(1)13 |
| 記事種別(英) |
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内容記述 |
Case Report |
| 関連サイト |
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|
識別子タイプ |
URI |
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関連識別子 |
http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2017en/KMJ-E43(1)13.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 |
PDF (1.9 MB)
