{"created":"2023-06-19T10:30:46.284487+00:00","id":2911,"links":{},"metadata":{"_buckets":{"deposit":"eadc5cc4-e308-4969-b1f5-3c0cc2b87d61"},"_deposit":{"created_by":31,"id":"2911","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2911"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002911","sets":["1709617079800:35:791"]},"author_link":["109971","109972","109973","109974","109975","109976","109977","109978"],"item_10001_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of meningitis-retention sydrome","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"37","bibliographicPageStart":"33","bibliographicVolumeNumber":"46","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-J202046033","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":"https://igakkai.kms-igakkai.com/wp/wp-content/uploads/2020/KMJ-J202046033.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":"2021178668","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":"AA12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03865924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758089X","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":"川崎医科大学総合内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合医療センター臨床教育研修センター"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合医療センター臨床教育研修センター"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合内科学"},{"subitem_text_language":"ja"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of General Internal Medicine 1, Kawasaki Medical School, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Clinical Education and Training Center, Kawasaki Medical School, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Clinical Education and Training Center, Kawasaki Medical School, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Department of General Internal Medicine 1, Kawasaki Medical School, Kawasaki Medical School General Medical Center"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　Occurrence of urinary retention or dysuria during the clinical course of aseptic meningitis is called meningitis-retention syndrome (MRS). We report the case of a 28-year-old man who developed acute urinary retention during the clinical course of aseptic meningitis. He had presented high fever and headache followed by dysuria, and had been given antibiotics (Levofloxacin, 500 mg/day). As his fever did not subside, he was referred to our hospital. On admission, blood tests, urinalysis, and brain, chest, and abdominal CT revealed no abnormality. Later. he developed acute urinary retention and we performed a lumbar puncture. The results of cerebrospinal fluid (CSF) examination showed mononuclear leukocytosis, indicating he had meningitis. We suspected his meningitis could have been caused by herpes simplex, and started him on acyclovir (750 mg/day, on Day 14). His fever subsided and as PCR exmanination for herpes simplex virus was negative, acyclovir was withdrawn. Bacterial culture of CSF was also negative. Thereafter, examination of CSF showed an improvement of the cellularity profile. Finally, on Day 49 he could start to urinate by himself. Clinicians should be able to recognize MRS in a patient with refractory fever, who develops acute urinary retention or dysuria of unknown origin during the clinical course of hospitalization."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　無菌性髄膜炎に尿閉や排尿障害が合併することがあり，髄膜炎尿閉症候群（meningitisretention syndrome：MRS）と呼ばれる．我々は，尿閉を合併した無菌性髄膜炎の１例を経験した．患者は28歳男性．38℃台の発熱，頭痛の後，排尿困難が出現した．抗菌薬レボフロキサシン 500mg/ 日を投与されたが解熱せず，当院を紹介受診した．受診した時点では頭痛は消失していた．血液検査，尿検査，頭部および胸腹部 CT 検査では，発熱の原因となる異常所見が見られず，精査目的で入院した．入院後も排尿困難が持続し，尿閉となった．無菌性髄膜炎に尿閉が合併した症例報告があることから，髄液検査を施行し，単核球優位の細胞増加を認め，髄膜炎と診断した．単純ヘルペスウイルス性髄膜炎の可能性を考慮し，抗ウイルス薬アシクロビル 750 mg/ 日の投与を開始し，解熱を認めた．髄液単純ヘルペスウイルスの PCR 検査が陰性と判明したため，アシクロビルの投与を中止した．髄液の細菌培養検査で細菌は検出されなかった．髄液再検にて，細胞数の改善を認めた．髄膜炎の改善に伴って，徐々に自尿が増加し，最終的には完全に自力で排尿が可能な状態に改善した．無菌性髄膜炎に尿閉や排尿障害が合併する場合があることを認識する必要がある．原因不明の尿閉をみた場合は，MRS も念頭に置くべきと考える．"}]},"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":"山田, 治来","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"久保, 公人","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"日比, 京佑","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"友田, 恒一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMADA, Haruki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUBO, Masato","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HIBI, Kyosuke","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TOMODA, Koichi","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":"2022-10-18"}],"displaytype":"detail","filename":"KMJ-J202046033.pdf","filesize":[{"value":"976.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2911/files/KMJ-J202046033.pdf"},"version_id":"2ff31561-e544-4cea-9cac-ef1cb3eb0a56"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"髄膜炎尿閉症候群","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Meningitis-retention sydrome","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":"髄膜炎尿閉症候群の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"髄膜炎尿閉症候群の１例","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"31","path":["791"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-10-18"},"publish_date":"2022-10-18","publish_status":"0","recid":"2911","relation_version_is_last":true,"title":["髄膜炎尿閉症候群の１例"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-12T06:50:15.781316+00:00"}