{"created":"2023-05-15T16:41:46.614593+00:00","id":16527,"links":{},"metadata":{"_buckets":{"deposit":"eb6aba66-953a-4de1-9921-030cfd361daf"},"_deposit":{"created_by":2,"id":"16527","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"16527"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00016527","sets":["35:36"]},"author_link":["63040","63037","63045","63032","63038","63044","63034","63046","63033","63047","63042","63041","63043","63049","63035","63039","63048","63036"],"item_2_alternative_title_19":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"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"}]},"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1991-12-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"355","bibliographicPageStart":"347","bibliographicVolumeNumber":"19","bibliographic_titles":[{"bibliographic_title":"日本熱帯医学会雑誌"},{"bibliographic_title":"Japanese journal of tropical medicine and hygiene","bibliographic_titleLang":"en"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"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。","subitem_description_type":"Abstract"},{"subitem_description":"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.","subitem_description_type":"Abstract"}]},"item_2_description_63":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"日本熱帯医学会雑誌, vol.19(4), pp.347-355; 1991","subitem_description_type":"Other"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"63041","nameIdentifierScheme":"WEKO"}],"names":[{"name":"勝又, 達哉"}]},{"nameIdentifiers":[{"nameIdentifier":"63042","nameIdentifierScheme":"WEKO"}],"names":[{"name":"河野, 茂"}]},{"nameIdentifiers":[{"nameIdentifier":"63043","nameIdentifierScheme":"WEKO"}],"names":[{"name":"古賀, 宏延"}]},{"nameIdentifiers":[{"nameIdentifier":"63044","nameIdentifierScheme":"WEKO"}],"names":[{"name":"吉富, 裕子"}]},{"nameIdentifiers":[{"nameIdentifier":"63045","nameIdentifierScheme":"WEKO"}],"names":[{"name":"松田, 治子"}]},{"nameIdentifiers":[{"nameIdentifier":"63046","nameIdentifierScheme":"WEKO"}],"names":[{"name":"光武, 耕太郎"}]},{"nameIdentifiers":[{"nameIdentifier":"63047","nameIdentifierScheme":"WEKO"}],"names":[{"name":"東山, 康仁"}]},{"nameIdentifiers":[{"nameIdentifier":"63048","nameIdentifierScheme":"WEKO"}],"names":[{"name":"宮崎, 義継"}]},{"nameIdentifiers":[{"nameIdentifier":"63049","nameIdentifierScheme":"WEKO"}],"names":[{"name":"原, 耕平"}]}]},"item_2_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本熱帯医学会"}]},"item_2_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Japanese Society of Tropical Medicine"}]},"item_2_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00196023","subitem_source_identifier_type":"NCID"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03042146","subitem_source_identifier_type":"ISSN"}]},"item_2_text_62":{"attribute_name":"出版者別言語","attribute_value_mlt":[{"subitem_text_value":"Japanese Society of Tropical Medicine"}]},"item_2_version_type_16":{"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":"Katsumata, Tatsuya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kohno, Shigeru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Koga, Hironobu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yoshitomi, Yuko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Matsuda, Haruko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Mitsutake, Kotaro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Higashiyama, Yasuhito"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Miyazaki, Yoshitsugu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hara, Kohei"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-23"}],"displaytype":"detail","filename":"JJTMH19_347.pdf","filesize":[{"value":"488.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"JJTMH19_347.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/16527/files/JJTMH19_347.pdf"},"version_id":"7f2268c7-2e7c-4185-8a61-568372b8d8ce"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"Management of Pneumocystis carinii pneumonia in patients with conventionally caused immune suppression","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Management of Pneumocystis carinii pneumonia in patients with conventionally caused immune suppression"}]},"item_type_id":"2","owner":"2","path":["36"],"pubdate":{"attribute_name":"公開日","attribute_value":"2009-11-17"},"publish_date":"2009-11-17","publish_status":"0","recid":"16527","relation_version_is_last":true,"title":["Management of Pneumocystis carinii pneumonia in patients with conventionally caused immune suppression"],"weko_creator_id":"2","weko_shared_id":-1},"updated":"2023-05-17T20:43:56.798328+00:00"}