書誌事項
- タイトル別名
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- A Case of Septic Pulmonary Embolism due to <i>Peptostreptococcus micros</i> with Multiple Infection of the Head and Neck
- 症例 多彩な頭頸部病変を呈したPeptostreptococcus microsによる敗血症性肺塞栓症の1例
- ショウレイ タサイ ナ アタマ ケイブ ビョウヘン オ テイシタ Peptostreptococcus micros ニ ヨル ハイケツショウセイ ハイ ソクセンショウ ノ 1レイ
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A 46-year-old man with no underlying diseases visited our hospital with otorrhea, ocular motility disorder of the left eye, dizziness and loss of appetite which had lasted for two months. Chest radiography and computed tomography (CT) showed bilateral multiple pulmonary nodules and cavities. Furthermore, CT of the head and neck revealed bilateral mastoiditis, a left orbital abscess and a deep neck abscess. Peptostreptococcus micros was cultured from blood and otorrhea specimens. In addition, P. micros DNA was detected with the polymerase chain reaction (PCR) method in the specimens from the site of culture-negative lesions (i.e. sputum, bronchoalveolar lavage, neck abscess). Thus, we diagnosed the lung lesions as septic pulmonary embolisms (SPEs). The clinical findings of the head and neck had improved following antibiotics treatment for five weeks, and follow-up chest radiography and CT showed that all lesions almost disappeared. Since some SPE patients demonstrate a slow progression, SPE should be included in the differential diagnosis of multiple pulmonary nodules such as Wegenerʼs glanulomatosis or neoplasm.
収録刊行物
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- 感染症学雑誌
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感染症学雑誌 87 (6), 761-766, 2013
一般社団法人 日本感染症学会
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詳細情報 詳細情報について
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- CRID
- 1390001205049399680
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- NII論文ID
- 130004922131
- 40019903658
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- NII書誌ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- NDL書誌ID
- 025072008
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
