Streptococcus pneumoniae、Klebsiella pneumoniae、Mycoplasma pneumoniae、Chlamydia pneumoniae、Chlamydophila pneumoniae

WordNet

respiratory disease characterized by inflammation of the lung parenchyma (excluding the bronchi) with congestion caused by viruses or bacteria or irritants

PrepTutorEJDIC

肺炎

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1. 成人の外来患者における市中肺炎の治療 treatment of community acquired pneumonia in adults in the outpatient setting
2. Community-acquired pneumonia in children: Outpatient treatment
3. 入院を要する成人における市中肺炎の治療 treatment of community acquired pneumonia in adults who require hospitalization
4. Pneumonia in children: Inpatient treatment
5. 成人における市中肺炎に対する診断的アプローチ diagnostic approach to community acquired pneumonia in adults

English Journal

Micro-organisms Associated with Febrile Neutropenia in Patients with Haematological Malignancies in a Tertiary Care Hospital in Eastern India.

Mandal PK1, Maji SK2, Dolai TK1, De R1, Dutta S1, Saha S1, Bhattacharyya M1.
Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion.Indian J Hematol Blood Transfus.2015 Mar;31(1):46-50. doi: 10.1007/s12288-014-0393-1. Epub 2014 May 4.
There is paucity of information from eastern India with regard to observed dominant micro-organisms causing febrile neutropenia (FN) in patients with haematological malignancies. To identify the prevalence of pathogenic microorganisms associated with FN. A total number of 268 episodes of FN were ana
PMID 25548444

Unrelated Umbilical Cord Blood Transplant for Children with β-Thalassemia Major.

Shah SA1, Shah KM1, Patel KA1, Anand AS1, Talati SS1, Panchal HP1, Patel AA1, Parikh SK1, Parekh BB1, Shukla SN1, Raut SS1.
Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion.Indian J Hematol Blood Transfus.2015 Mar;31(1):9-13. doi: 10.1007/s12288-014-0391-3. Epub 2014 Jun 19.
Beta thalassemia major, one of the most prevalent hemoglobinopathy throughout the word, can be cured by allogenic stem cell transplantation (SCT) (Bone Marrow Transplant 36:971-975, 2005). Many patients, however, lack a suitably matched related sibling donor. Unrelated umbilical cord blood (UCB) can
PMID 25548438

An insight into the biophysical characterization of different states of cefotaxime hydrolyzing β-lactamase 15 (CTX-M-15).

Rehman MT1, Faheem M, Khan AU.
Journal of biomolecular structure & dynamics.J Biomol Struct Dyn.2015 Mar;33(3):625-38. doi: 10.1080/07391102.2014.899925. Epub 2014 Mar 20.
Cefotaxime hydrolyzing β-lactamase-15 (CTX-M-15) is encoded by blaCTX-M-15 gene present on plasmid of various Gram-negative bacteria, such as E. coli, E. cloacae, K. pneumoniae, etc. The widespread dissemination of CTX-M-15 harboring bacteria in hospital as well as community settings is a universal
PMID 24650131

Japanese Journal

Clinical Characteristics of Acute Exacerbations of Idiopathic Pulmonary Fibrosis and Involvement of Viral, Mycoplasma pneumoniae, and Chlamydophila pneumoniae Infections

Anzai Makiko,Fukushima Yasutsugu,Obara Kazuki,Matsuno Kazuhiko,Kikkawa Yasuko,Hirata Hirokuni,Sugiyama Kumiya,Fukuda Takeshi
Dokkyo journal of medical sciences 40(1), 9-16, 2013-03-25
… Demographic characteristics, imagingfindings, laboratory findings, changes in antibody titers against bacteria, Mycoplasma pneumoniae, Chlamydophilapneumoniae, and known viruses, and outcomes were studied.Results:Among the 50 patients with acute exacerbation of IPF( 41 men and 9 women) 29 patients died(mortality rate, 58.0%). … pneumoniae, but acute infection was ruled out by the changes in IgA and IgG antibodies in pairedserum samples. …
NAID 110009560911

Chlamydophila pneumoniae in human immortal Jurkat cells and primary lymphocytes uncontrolled by interferon-γ

Ishida Kasumi,Kubo Takeru,Saeki Ayumi,Yamane Chikayo,Matsuo Junji,Yimin,Nakamura Shinji,Hayashi Yasuhiro,Kunichika Miyuki,Yoshida Mitsutaka,Takahashi Kaori,Hirai Itaru,Yamamoto Yoshimasa,Shibata Ken-Ichiro,Yamaguchi Hiroyuki
Microbes and infection / Institut Pasteur 15(3), 192-200, 2013-03-00
… Lymphocytes are a potential host cell for Chlamydophila pneumoniae, although why the bacteria must hide in lymphocytes remains unknown. … pneumoniae grew normally in human lymphoid Jurkat cells, even in the presence of IFN-γ or under stimulation with phorbol myristate acetate plus ionomycin. … pneumoniae survived in enriched human peripheral blood lymphocytes, even in the presence of IFN-γ. …
NAID 120005228354

臨床研究・症例報告兄から同一の血清型株が検出された血清型10Aの肺炎球菌性髄膜炎の1カ月女児例

山中崇之,入月浩美,相澤悠太 [他]
小児科臨床 66(2), 261-265, 2013-02-00
NAID 40019547058

Related Pictures

★リンクテーブル★

リンク元	「100Cases 76」
拡張検索	「M. hyopneumoniae」「Mycoplasma ovipneumoniae」「Chlamydophila pneumoniae肺炎」「Chlamydia pneumoniae pneumonia」「hyopneumoniae」

「100Cases 76」

　　[★]

☆case76　頭痛

■glossary

傾眠 drowsiness 正常、病的の区別なく眠り込む場合に用いられる

意識不鮮明　 confusion 周囲に対する認識や理解は低下し、思考の清明さや、記憶の正確さが失われる

錯乱　 confusion　夢幻様状態より見当識障害と思考の滅裂が見られる状態(PSY.40)

MA = Master of Arts 文学修士

　The Master of Arts (BrE: MA, UsE: M.A.) is awarded in Arts, Humanities, Theology and Social Sciences (Wikipedia)

graduate student 大学院生

rousable adj. 覚醒できる、目を覚ますことができる

rouse vt. ～の目を覚まさせる、呼び起こす。喚起する、鼓舞する、奮起させる。(感情を)起こさせる、かき立てる

lateralize vt. (生理)(大脳が)(左右半球に心的機能差がある、左右差がある。(器官・機能・活動などが)大脳の(左右いずれかの)片側優位下にある。(医学)(障害などが)大脳の片半球にあると診断される

乳頭浮腫 papilledema 原因を問わず視神経乳頭が腫脹している状態

うっ血乳頭 choked disc 脳圧亢進による乳頭浮腫

■症例

24歳、男性　精神学の修士過程を専攻している大学院生

主訴：激しい頭痛

現病歴：頭部全体に痛みがある。2回嘔吐。傾眠と錯乱が認められるようになった。明るい光を嫌う()he finds bright lights uncomfortable。

既往歴：病気の既往はない。アレルギーはない。タバコ1日10本。アルコール24 unit/week(缶ビール(350ml)13.7本/週)。薬は服用してない。

家族歴：彼女と同居。3歳と4歳の子供がいる。

・診察 examination

　見た感じ紅潮しており、調子が悪そう。体温：39.2℃。項部硬直あり(he has stiffness on passice flexion of his neck)。皮疹なし。副鼻腔に圧痛なし。鼓膜所見は正常。脈拍：120/分。血圧：98/74 mmHg。心血管系、胸部、腹部に異常所見なし(normal)。意識レベル低下。命令に応じて覚醒する(JCS10？)。局所神経症状認めない。眼底所見正常

・検査 investigation

　血液検査

　　白血球：上昇。血清 Na：低下。血清尿素：上昇。血清クレアチニン：上昇。血液培養：検査中

　画像検査

　　胸部X線：異常所見なし。頭部 CT：正常

　心電図：洞性頻脈

　腰椎穿刺

　　髄液所見：混濁。白血球：増多。蛋白：増多。糖：低下(普通の人の血糖100mg/dLと考える。→　1g/L　→　1/180　mol/L　→　5.56 mmol/L。グラム染色：結果待ち

■Q

　診断、鑑別診断、管理

■A

　細菌性髄膜炎、髄膜炎・クモ膜下出血、経験的抗菌薬投与・