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Management of Pneumocystis carinii pneumonia in patients with conventionally caused immune suppression
http://hdl.handle.net/10069/22401
http://hdl.handle.net/10069/22401ac160fd6-e2e0-468d-b573-4231433b99cb
名前 / ファイル | ライセンス | アクション |
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JJTMH19_347.pdf (488.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2009-11-17 | |||||
タイトル | ||||||
タイトル | Management of Pneumocystis carinii pneumonia in patients with conventionally caused immune suppression | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Katsumata, Tatsuya
× Katsumata, Tatsuya× Kohno, Shigeru× Koga, Hironobu× Yoshitomi, Yuko× Matsuda, Haruko× Mitsutake, Kotaro× Higashiyama, Yasuhito× Miyazaki, Yoshitsugu× Hara, Kohei |
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著者別名 | ||||||
姓名 | 勝又, 達哉 | |||||
著者別名 | ||||||
姓名 | 河野, 茂 | |||||
著者別名 | ||||||
姓名 | 古賀, 宏延 | |||||
著者別名 | ||||||
姓名 | 吉富, 裕子 | |||||
著者別名 | ||||||
姓名 | 松田, 治子 | |||||
著者別名 | ||||||
姓名 | 光武, 耕太郎 | |||||
著者別名 | ||||||
姓名 | 東山, 康仁 | |||||
著者別名 | ||||||
姓名 | 宮崎, 義継 | |||||
著者別名 | ||||||
姓名 | 原, 耕平 | |||||
その他のタイトル | ||||||
その他のタイトル | AIDS以外の免疫抑制患者におけるニューモシスチスカリニ肺炎の管理 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | AIDS以外の免疫抑制状態に,ニューモシスチスカリニ肺炎を発症した,10症例に臨床的検討を加えた。発症様式では,成人T細胞白血病の2例は前駆症状が長かったが,他の症例では急性の発症を示した。発症時の胸部レントゲンでは,全例において両側ぴまん性の陰影を認めた。確定診断は,8例において経気管支的肺生検,または気管支肺胞洗浄によって2例において剖検によってなされた。診断時には,LDHの値は発症前の値に比べて高度に上昇しており,肺胞気動脈血酸素分圧較差も高度に開大しており,これらの値が早期診断に有用であることが示唆された。他の日和見感染の合併は,5例に認められた。治療においては,ぺンタミジンとST合剤の併用は,副作用は少なかったものの,有効率も低かった。コルチコステロイドは,補助療法として有用と考えられた。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Ten non-AIDS patients with Pneumocystis carinii pneumonia were studied. While the 2 patients with adult T cell leukemia had longer prodromes, the other 8 patients had acute onset. At presentation a chest radiograph revealed an abnormal bilateral diffuse shadow in all cases. In 8 patients, diagnostic material was obtained by transbronchial lung biopsy and/or bronchoalveolar lavage, and in 2 patients at postmortem. At the time of diagnosis the serum lactate dehydrogenase value was much higher than prior to the acute illness, and the AaDO2 gradient was highly increased: These appear to be useful as markers for an initial diagnosis. Other opportunistic organisms were isolated in 5 patients. The concomitant use of pentamidine and cotrimoxazole was relatively well tolerated, but with a high incidence of treatment failure. Corticosteroids appeared to be effective as an adjunctive therapy. | |||||
書誌情報 |
日本熱帯医学会雑誌 en : Japanese journal of tropical medicine and hygiene 巻 19, 号 4, p. 347-355, 発行日 1991-12-15 |
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出版者 | ||||||
出版者 | 日本熱帯医学会 | |||||
出版者別言語 | ||||||
Japanese Society of Tropical Medicine | ||||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 03042146 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00196023 | |||||
権利 | ||||||
権利情報 | Japanese Society of Tropical Medicine | |||||
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 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 日本熱帯医学会雑誌, vol.19(4), pp.347-355; 1991 |