{"created":"2023-06-19T10:30:50.548306+00:00","id":2994,"links":{},"metadata":{"_buckets":{"deposit":"bc42b637-df6b-4829-b1aa-f32b8d7a5809"},"_deposit":{"created_by":31,"id":"2994","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2994"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002994","sets":["1709617079800:35:800"]},"author_link":["130799","130800","130801","130802","130803","130804","130805","130806","130807","130808"],"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 pneumonia with asymptomatic reversible splenial lesion","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"118","bibliographicPageStart":"113","bibliographicVolumeNumber":"47","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-J202147113","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/2021/KMJ-J202147113.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":"2022194419","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":"川崎医科大学総合内科学１"},{"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":"川崎医科大学神経内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学認知症学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学総合内科学１"}]},"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"},{"subitem_text_language":"en","subitem_text_value":"Clinical Education and Training Center, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Department of Neurology"},{"subitem_text_language":"en","subitem_text_value":"Department of Dementia Research, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of General Internal Medicine 1, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　A pathologic condition characterized by in which abnormal speech or behaviors, disturbances of consciousness, convulsions, and reversible splenial lesion while the patient suffers from fever disease is known as a clinically mild encephalitis / encephalopathy with a reversible splenial lesion (MERS). We report a case with reversible splenial lesion without neurological symptoms in a patient suffering from pneumonia. The 37-years old man sustained a concussion in a traffic accident before the onset of the pneumonia. Later, he developed a fever and wet cough. A follow-up brain MRI after the concussion showed a splenial lesion. Neurological examination revealed no abnormalities. Chest X-ray and CT scan showed pneumonia in left lower lobe. The pneumonia improved after administration of antibiotics. We diagnosed a reversible splenial lesion, because a brain MRI on day 35 revealed the disappearance of the splenial lesion. We believe, cases like this one associated with reversible splenial lesions might be found among patients with febrile diseases without neurological symptoms."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　熱性疾患罹患中に，異常言動・行動，意識障害，痙攣などの神経症状を呈し，可逆性脳 梁膨大部病変を認める病態は，可逆性脳梁膨大部病変を有する軽症脳炎・脳症（clinically mild encephalitis / encephalopathy with a reversible splenial lesion；MERS）として知られている． 我々は，肺炎罹患中に，神経症候を認めない可逆性脳梁膨大部病変を呈した症例を経験したので報告する．患者は37歳，男性．肺炎発症前に，交通事故による脳震盪のエピソードがあった．その後，発熱と湿性咳嗽を生じた．脳震盪のフォローアップ目的で頭部 MRI を施行し，脳梁膨大部病変を認めた．神経学的所見は異常を認めなかった．胸部Ⅹ線および胸部 CT では，左肺下葉に肺炎像を認めた．肺炎に対して，抗菌薬投与を行い，改善を認めた．第35病日の頭部 MRI では脳梁膨大部 病変が消失しており，可逆性の脳梁膨大部病変と診断した．神経症候を認めない熱性疾患例の中に，本症例のような可逆性脳梁膨大部病変を呈する例が潜んでいる可能性があると考える．"}]},"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":"上中, 大地","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"黒川, 勝己","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"和田, 健二","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"友田, 恒一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMADA, Haruki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"UENAKA, Daichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUROKAWA, Katsumi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"WADA, Kenji","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":"2022-04-01"}],"displaytype":"detail","filename":"KMJ-J202147113.pdf","filesize":[{"value":"3.9 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2994/files/KMJ-J202147113.pdf"},"version_id":"995144c3-180b-42bc-9329-67252cd25df5"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"可逆性脳梁膨大部病変","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"肺炎","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Reversible splenial lesion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Pneumonia","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":"無症候性の可逆性脳梁膨大部病変を呈した肺炎の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"無症候性の可逆性脳梁膨大部病変を呈した肺炎の１例","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"31","path":["800"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-04-01"},"publish_date":"2022-04-01","publish_status":"0","recid":"2994","relation_version_is_last":true,"title":["無症候性の可逆性脳梁膨大部病変を呈した肺炎の１例"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-19T04:22:24.170067+00:00"}