{"created":"2023-06-19T10:30:55.067080+00:00","id":3070,"links":{},"metadata":{"_buckets":{"deposit":"2cfa9ebf-4c82-49f0-ad5b-3dfa7a83109c"},"_deposit":{"created_by":31,"id":"3070","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"3070"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00003070","sets":["1709617079800:35:808"]},"author_link":["131346","131347","131348","131349","131350","131351","131352","131353","131354","131355","131356","131357","131358","131359","131360","131361"],"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":"An adult female suspected case of herpangina presenting with fever, headache, and oral phlyctenula","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"16","bibliographicPageStart":"11","bibliographicVolumeNumber":"48","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-J202248011","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/2022/KMJ-J202248011.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"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":"川崎医科大学総合内科学１"},{"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":"川崎医科大学小児科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学小児科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学歯科総合口腔医療学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学歯科総合口腔医療学"},{"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"},{"subitem_text_language":"en","subitem_text_value":"Department of General Internal Medicine 1"},{"subitem_text_language":"en","subitem_text_value":"Department of Neurology"},{"subitem_text_language":"en","subitem_text_value":"Department of Pediatrics"},{"subitem_text_language":"en","subitem_text_value":"Department of Pediatrics"},{"subitem_text_language":"en","subitem_text_value":"Department of Dentistry and General Oral Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Dentistry and General Oral Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of General Internal Medicine 1"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　Herpangina is an acute viral pharyngitis which presents with fever and oral phlyctenula. It is commonly seen in children, usually during summer. We report an adult female suspected of having developed herpangina because on admission she presented with fever, headache, and oral phlyctenula. The 25-year-old female underwent a medical check at our hospital because of fever, headache, and nausea in July. She was admitted to our hospital. The blood test showed elevation of C-reactive protein and procalcitonin. Brain CT scan showed no bleeding nor any space occupying lesion. Chest and abdominal CT scan showed no lesion of fever origin. Her fever and headache improved after antibiotics and symptomatic treatment. But the patient felt that something was wrong within her oral cavity. Herpangina was suspected because of the presence of phlyctenula with a red halo in the soft palate. Viral antibody test of enteroviruses did not identify viruses that commonly cause herpangina. This case indicates that herpangina should be considered for the differential diagnosis during medical examination of an adult patient who presents with fever and stomatitis during summer."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　ヘルパンギーナは，発熱と口腔粘膜の水疱性の発疹が特徴の急性のウイルス性咽頭炎で，おもに小児にみられ，夏に流行する．我々は，発熱，頭痛，軟口蓋の小水疱を呈し，ヘルパンギーナが疑われた成人女性の１例を経験したので報告する．患者は25歳，女性．７月に発熱，頭痛，嘔気を主訴に受診し，入院となった．血液検査では，CRP とプロカルシトニンの上昇を認めた．頭部 CT では，出血や占拠性病変は見られなかった．胸腹部 CT では，熱源となる異常所見は見られなかった．抗菌薬投与と対症療法を行い，発熱，頭痛は改善を認めた．口腔内違和感の訴えがあり，口腔内所見で軟口蓋に紅暈を伴う小水疱を数個認め，エンテロウイルス属感染症（ヘルパンギーナ）が疑われた．エンテロウイルス属のウイルス抗体検査では，原因ウイルスは特定できなかった．夏期に発熱，口内炎を呈する場合には，成人でもへルパンギーナを鑑別に挙げる必要があると考える．"}]},"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":"白井, 亮","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"黒川, 勝己","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田中, 孝明","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中野, 貴司","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福本, 宗子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 友美","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"友田, 恒一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMADA, Haruki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIRAI, Ryo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUROKAWA, Katsumi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TANAKA, Takaaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NAKANO, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUKUMOTO, Motoko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAMOTO, Yumi","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":"2023-03-10"}],"displaytype":"detail","filename":"KMJ-J202248011.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/3070/files/KMJ-J202248011.pdf"},"version_id":"c1962bd5-0a2d-46f4-9e86-fac62b8a143f"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ヘルパンギーナ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Herpangina","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":"発熱，頭痛，軟口蓋の小水疱を呈し， ヘルパンギーナが疑われた成人女性の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"発熱，頭痛，軟口蓋の小水疱を呈し， ヘルパンギーナが疑われた成人女性の１例","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"31","path":["808"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-03-10"},"publish_date":"2023-03-10","publish_status":"0","recid":"3070","relation_version_is_last":true,"title":["発熱，頭痛，軟口蓋の小水疱を呈し， ヘルパンギーナが疑われた成人女性の１例"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-11T07:22:12.853280+00:00"}