{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679828858752.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3919/jjsa.76.1933"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"030765232"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/030765232"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I030765232"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jjsa/76/8/76_1933/_pdf"}},{"identifier":{"@type":"NAID","@value":"130005128289"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2015399018"}}],"dc:title":[{"@language":"ja","@value":"絞扼性イレウス解除術後に発症した<I>Bacillus cereus</I>敗血症の1例"},{"@language":"en","@value":"A Case of <I>Bacillus Cereus</I> Septicemia following Release of Strangulated Ileus"},{"@value":"症例 絞扼性イレウス解除術後に発症したBacillus cereus敗血症の1例"},{"@language":"ja-Kana","@value":"ショウレイ コウヤクセイ イレウス カイジョ ジュツゴ ニ ハッショウ シタ Bacillus cereus ハイケツショウ ノ 1レイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"The patient was a 78-year-old female with a history of undergoing appendectomy. After having lunch, she experienced severe lower abdominal pain and presented to our emergency outpatient clinic. Abdominal contrast-enhanced CT scan revealed a closed loop of the small intestine and increased fat concentration in the mesentery. The patient was diagnosed as having strangulated ileus and underwent emergency surgery. Hemorrhagic ascites accumulated inside of the abdominal cavity. Removal of a strangulated funicular substance revealed good beating of peripheral arteries and the presence of intestinal peristalsis in spite of color tone failure of the intestinal wall. Bowel resection was not conducted. Although the clinical course was good, fever with shivering developed on the 6<SUP>th</SUP> and 9<SUP>th</SUP> days after the surgery when the patient started eating. Blood culture showed <I>Bacillus cereus</I> colonies on both occasions. Since there were no abdominal symptoms or infectious sources, bacterial translocation (BT) was suspected and meropenem administration was initiated. There was no fever incidence after that, and the patient resumed eating. She was discharged 22 days after the surgery. Care should be taken for development of BT in addition to perforation and stricture in the case of mucosal membrane damage due to ischemic enteritis following release of strangulated ileus."},{"@language":"ja","@value":"症例は78歳，女性．虫垂切除術の既往あり．昼食摂取後から激しい下腹部痛が出現し当院救急外来を受診した．腹部造影CTで小腸のclosed loopと腸間膜の脂肪濃度上昇を認め，絞扼性イレウスと診断して緊急手術を行った．腹腔内には血性腹水が貯留し，小腸を絞扼していた索状物を切離すると腸管壁の色調は不良であったが辺縁動脈の拍動は良好で蠕動もあり，腸管切除は行わなかった．術後経過は良好で，術後6日目に食事を開始したが悪寒・戦慄を伴う発熱があり，血液培養で<I>Bacillus cereus</I>が検出され，腹部症状はなく他に感染源を認めないことからbacterial traslocationと診断した．絶飲食とメロペネムの投与で軽快し，術後22日目に退院した．紋扼性イレウス解除術後には虚血性小腸炎による粘膜障害が起こることがあり，穿孔や狭窄に加えてBTの発症にも注意が必要である．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679828858755","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000316213552"}],"foaf:name":[{"@language":"ja","@value":"林谷 康生"},{"@language":"en","@value":"HAYASHIDANI Yasuo"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Mazda Hospital, Mazda Motor Corporation"},{"@language":"ja","@value":"マツダ株式会社マツダ病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679828858754","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000316213553"}],"foaf:name":[{"@language":"ja","@value":"栗栖 佳宏"},{"@language":"en","@value":"KURISU Yoshihiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Mazda Hospital, Mazda Motor Corporation"},{"@language":"ja","@value":"マツダ株式会社マツダ病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679828858752","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000316213554"}],"foaf:name":[{"@language":"ja","@value":"赤木 真治"},{"@language":"en","@value":"AKAGI Shinji"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Mazda Hospital, Mazda Motor Corporation"},{"@language":"ja","@value":"マツダ株式会社マツダ病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679828858756","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000316213555"}],"foaf:name":[{"@language":"ja","@value":"湯浅 吉夫"},{"@language":"en","@value":"YUASA Yoshio"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Mazda Hospital, Mazda Motor Corporation"},{"@language":"ja","@value":"マツダ株式会社マツダ病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679828858753","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000316213556"}],"foaf:name":[{"@language":"ja","@value":"田中 智子"},{"@language":"en","@value":"TANAKA Tomoko"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Mazda Hospital, Mazda Motor Corporation"},{"@language":"ja","@value":"マツダ株式会社マツダ病院外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13452843"},{"@type":"EISSN","@value":"18825133"},{"@type":"NDL_BIB_ID","@value":"000000107238"},{"@type":"ISSN","@value":"13452843"},{"@type":"LISSN","@value":"13452843"},{"@type":"NCID","@value":"AA11189709"}],"prism:publicationName":[{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)"},{"@language":"ja","@value":"日本臨床外科学会雑誌"},{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)"},{"@language":"en","@value":"J Jpn Surg Assoc"},{"@language":"en","@value":"J. Jpn. Surg. Assoc."},{"@language":"ja","@value":"日臨外会誌"},{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)"},{"@language":"ja","@value":"日本臨床外科学会雑誌"}],"dc:publisher":[{"@language":"en","@value":"Japan Surgical Association"},{"@language":"ja","@value":"日本臨床外科学会"}],"prism:publicationDate":"2015","prism:volume":"76","prism:number":"8","prism:startingPage":"1933","prism:endingPage":"1937"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"http://id.ndl.go.jp/bib/030765232"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I030765232"},{"@id":"https://www.jstage.jst.go.jp/article/jjsa/76/8/76_1933/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2015399018"}],"availableAt":"2015","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%3CI%3EBacillus%20cereus%3C/I%3E","dc:title":"<I>Bacillus cereus</I>"},{"@id":"https://cir.nii.ac.jp/all?q=bacterial%20traslocation","dc:title":"bacterial traslocation"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%B5%9E%E6%89%BC%E6%80%A7%E3%82%A4%E3%83%AC%E3%82%A6%E3%82%B9","dc:title":"絞扼性イレウス"},{"@id":"https://cir.nii.ac.jp/all?q=%3CI%3EBacillus%20cereus%3C/I%3E","dc:title":"<I>Bacillus cereus</I>"},{"@id":"https://cir.nii.ac.jp/all?q=bacterial%20translocation","dc:title":"bacterial translocation"},{"@id":"https://cir.nii.ac.jp/all?q=strangulated%20ileus","dc:title":"strangulated ileus"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011144725642752","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Clinical spectrum of infection due to Bacillus species"}]},{"@id":"https://cir.nii.ac.jp/crid/1360292618671144192","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Severe systemic and pyogenic infections with Bacillus cereus."}]},{"@id":"https://cir.nii.ac.jp/crid/1360855568862799872","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Experimental Infection of Mice with Bacillus cereus: Studies of Pathogenesis and Pathologic Changes"}]},{"@id":"https://cir.nii.ac.jp/crid/1361699995425748096","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Bacillus Cereus Bacteremia in an Adult with Acute Leukemia"}]},{"@id":"https://cir.nii.ac.jp/crid/1361981468578138240","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Use of Doppler ultrasound in intestinal surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1363388845898095232","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Hepatic-Portal Venous Gas in Adults"}]},{"@id":"https://cir.nii.ac.jp/crid/1363670320331192704","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Inhibition of translocation of viable Escherichia coli from the gastrointestinal tract of mice by bacterial antagonism"}]},{"@id":"https://cir.nii.ac.jp/crid/1363951796082877952","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Multiple Organ Failure Pathophysiology and Potential Future Therapy"}]},{"@id":"https://cir.nii.ac.jp/crid/1364233269897555200","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Intestinal obstruction promotes gut translocation of bacteria"}]},{"@id":"https://cir.nii.ac.jp/crid/1364233271085468032","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Simple Intestinal Obstruction Causes Bacterial Translocation in Man"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679843449216","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Fulminant Septicemic Syndrome of Bacillus cereus in a Leukemic Patient."}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679844121088","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Bacillus cereus septicemia associated with rhabdomyolysis and myoglobinuric renal filure."}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2000893474"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I030765232"},{"@type":"CROSSREF","@value":"10.3919/jjsa.76.1933"},{"@type":"CIA","@value":"130005128289"},{"@type":"OPENAIRE","@value":"doi_dedup___::e85e6597facc5c8ac9d6420562536825"}]}