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- 山下 裕之
- National Center for Global and Health Medicine, Division of Rheumatology
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- 上田 洋
- National Center for Global and Health Medicine, Division of Rheumatology
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- 高橋 裕子
- National Center for Global and Health Medicine, Division of Rheumatology
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- 三森 明夫
- National Center for Global and Health Medicine, Division of Rheumatology
書誌事項
- タイトル別名
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- A Case of Adult-onset Varicella PneumoniaandVaricella-zoster Virus (VZV) MeningitisResulting from a Reoccurrence of Varicella
- 症例 成人に発症した水痘再感染による水痘肺炎及び水痘 : 帯状疱疹ウイルス髄膜炎の1例
- ショウレイ セイジン ニ ハッショウ シタ スイトウ サイカンセン ニ ヨル スイトウ ハイエン オヨビ スイトウ : タイジョウホウシンウイルス ズイマクエン ノ 1レイ
- 水痘再感染による水痘肺炎・VZV 髄膜炎の1 例
この論文をさがす
説明
The patient was a 74-year old male who presented with a skin rash, cough, and impaired consciousness. Adiffuse, systemic, dark red rash was observed and he was admitted. Varicella infection was diagnosed based on the varicella-zoster virus (VZV)-IgM levels. The extremely high VZV- IgG levels observed were unlikely to be present inaninitial infection and the infection was thought to be a reoccurrence. Diffuse nodular shadows measuring ≤5mm indiameter were observed on chest computed tomography (CT) ; this was consistent with the typical imaging findings of varicella pneumonia. <BR> The cerebrospinal fluid (CSF) was positive for CSF VZV-IgM antibody, CSF VZV-PCR, and CSF antibody titer index. A diagnosisofvaricella meningitis was made. When both respiratory and neurological symptoms are observed inpatients with varicella infection, it is necessary to consider a combined diagnosis of varicella pneumonia and varicella meningitis/encephalitis and perform chest imaging and a CSF examination. Repeated asymptomaticre-infection isconsidered necessary in order to maintaina life long immunity to varicella ; however, the opportunities for asymptomaticre-infection are decreasing with the declining birth rate and trend toward small families. As a result, reoccurrences of varicella infection in the elderly are expected to increase with rapidlyincreasing longevity.
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 86 (3), 306-309, 2012
一般社団法人 日本感染症学会
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キーワード
詳細情報 詳細情報について
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- CRID
- 1390282680025158656
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- NII論文ID
- 10031162344
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- NII書誌ID
- AN00047715
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- COI
- 1:STN:280:DC%2BC38jmtVCltA%3D%3D
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- ISSN
- 1884569X
- 03875911
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- NDL書誌ID
- 023815676
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- PubMed
- 22746055
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- 本文言語コード
- ja
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- 資料種別
- journal article
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- データソース種別
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- JaLC
- NDLサーチ
- Crossref
- PubMed
- CiNii Articles
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可
