{"created":"2023-06-19T10:30:04.895670+00:00","id":2172,"links":{},"metadata":{"_buckets":{"deposit":"cd557e61-3495-4f0c-92ba-55eb58fc40f0"},"_deposit":{"created_by":31,"id":"2172","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2172"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002172","sets":["1709617079800:35:686"]},"author_link":["109707","109708","109709","109710","109711","109712","109713","109714","109715","109716","109717","109718","109719","109720","109721","109722","109723","109724","109725","109726"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"68","bibliographicPageStart":"63","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_10001_description_33":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Case Report","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"川崎医学会","subitem_publisher_language":"ja"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J201945063","subitem_relation_type_select":"DOI"}}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2019/KMJ-J201945063.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_relation_35":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2020200377","subitem_relation_type_select":"ICHUSHI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_10001_text_31":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　A-32-year-old male was referred to our hospital due to the presence of an abnormal shadow on chest radiograph. The patient did not have clinical symptoms, underlying disease, or smoking history. Laboratory findings were unremarkable, except for the QuantiFERON-TB Gold In-Tube test®. Chest computed tomography revealed the presence of centrilobular nodule with bronchiectasis in the left lower lobe. We performed a bronchoscopic examination to reach a definitive diagnosis. Subsequently, the epithelioid granuloma, (including Langhans giant cells) was obtained through biopsy. In addition, DNA–DNA hybridization (DDH) showed that the fast-acid bacilli of bronchoalveolar lavage fluid (BALF) was smear-positive and culture-positive for Mycobacterium kansasii (M. kansasii ). After the diagnosis of pulmonary M. kansasii disease, we administered Isoniazid, Rifampicin and Ethambutol over the course of 1 year. Eventually, the abnormal shadow was improved. Although pulmonary M. kansasii disease is associated with the development of thin-wall cavity lesions in the upper lobe of males with smoking history, we observed a rare case showing similar radiological findings to those of the nodular-bronchiectatic type of pulmonary Mycobacterium avium complex disease. The treatment was different by the kinds of nontuberculous mycobacteria. Therefore, it was important to identify the causative microorganism by performing positive diagnostic methods, including bronchoscopy."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　症例は32歳，男性．既往歴は特になく，喫煙歴もなかった．自覚症状はなかったが，定期的にとられた胸部Ｘ線写真で異常影を指摘され，当科受診となった．検査所見では，クオンティフェロン®（QFT®）が判定保留であった．CT 上，左下葉に気管支拡張を伴った小葉中心性粒状影を認めた．確定診断を得るため，気管支鏡検査を実施したところ，生検組織で多核巨細胞を含む類上皮細胞性肉芽腫がえられ，気管支肺胞洗浄液（Bronchial Alveolar Lavage fluid; BALF）から抗酸菌塗抹陽性，培養陽性，DNA–DNA hybridization（DDH）法にてMycobacterium kansasii（M.kansasii ）が同定された．肺M.kansasii 症と診断後，イソニアジド（Isoniazid：INH），リファンピシン（Rifampicin：RFP），エタンブトール（Ethambutol：EB）による治療を開始し，１年間継続したところ，陰影の改善が得られた．従来，肺M.kansasii 症は喫煙男性において上葉に薄壁空洞を呈しやすいといわれてきたが，今回私共は健常な若年男性の左下葉に結節・気管支拡張型の肺Mycobacterium avium complex（MAC）症に類似した画像所見を呈した症例を経験した．非結核性抗酸菌症の治療は，菌種により治療法は異なるため，気管支鏡検査を含めた積極的な診断法を行うことにより，原因菌を同定することが重要と考えられた．"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"田中, 仁美","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小橋, 吉博","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"八十川, 直哉","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"橘高, 誠","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"黒瀬, 浩史","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"阿部, 公亮","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉岡, 大介","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"白井, 亮","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加藤, 茂樹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小賀, 徹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TANAKA, Hitomi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KOBASHI, Yoshihiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YASOKAWA, Naoya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KITTAKA, Makoto","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUROSE, Koji","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ABE, Masaaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YOSHIOKA, Daisuke","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIRAI, Ryo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KATO, Shigeki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OGA, Toru","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-04-01"}],"displaytype":"detail","filename":"KMJ-J201945063.pdf","filesize":[{"value":"6.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2172/files/KMJ-J201945063.pdf"},"version_id":"96c0b8a9-a914-42a7-9654-f3a63f66bb26"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"肺M.kansasii 症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"結節・気管支拡張型","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"気管支鏡検査","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Pulmonary Mycobacterium kansasii disease","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Nodular-bronchiectatic type","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Bronchoscopy","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"健康な若年男性にみられた結節・気管支拡張型肺M.kansasii 症の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"健康な若年男性にみられた結節・気管支拡張型肺M.kansasii 症の１例","subitem_title_language":"ja"},{"subitem_title":"A case of pulmonary Mycobacterium kansasii disease in a healthy young male","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"31","path":["686"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-04-01"},"publish_date":"2020-04-01","publish_status":"0","recid":"2172","relation_version_is_last":true,"title":["健康な若年男性にみられた結節・気管支拡張型肺M.kansasii 症の１例"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-19T04:11:05.442859+00:00"}