Bacterial Pneumonia with Chest Pain Successfully Treated with Saikanto in a Patient with an Antimicrobial Allergy

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  • HARADA Naoyuki
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • YOSHIMURA Akihito
    Department of Rural Medicine, Kochi Health Sciences Center
  • MAKI Toshinobu
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • YOSHINAGA Ryo
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • INOUE Hiroki
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • YANO Hiromi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • KAINUMA Mosaburou
    Department of Japanese Oriental Medicine, Graduate School of Medicine and Pharmaceutical Science, University of Toyama
  • TAHARA Eiichi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital

Bibliographic Information

Other Title
  • 抗菌薬アレルギーにより治療が困難であった胸痛を伴う細菌性肺炎に柴陥湯が奏効した1例
  • コウキンヤク アレルギー ニ ヨリ チリョウ ガ コンナン デ アッタ キョウツウ オ トモナウ サイキンセイ ハイエン ニ シバカントウ ガ ソウコウ シタ 1レイ

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Abstract

<p>A 64 year-old female presented with fever and cough. She had suffered from a cough for one day and we treated her with saikokeishito. However, her symptoms got worse and she developed chest pain. She was diagnosed with bacterial pneumonia at another clinic and she was referred to our hospital 3 days after starting saikokeishito. Her X-ray showed right infiltration in her lung and her blood examination had signs of inflammation. Pneumonia with pleuritis was suspected, but she was allergic to antibacterial drugs and hoped to continue Kampo treatment. We switched saikokeishito to saikanto. Her chest pain decreased soon after taking saikanto and 4 days later only a slight cough remained. Eleven days later, her inflammatory reaction improved. Kampo formulas containing Bupleuri radix are usually selected for pneumonia or pleuritis according to a patient' s pattern identification. We gave her saikanto, a mixture of shosaikoto and shokankyoto, because she had chest pain. Saikanto was significantly effective. There have been few clinical reports about treatment for pneumonia with Kampo medicine alone without using antibacterial drugs. We believe this case shows that Kampo treatment is effective for pneumonia and pleuritis.</p>

Journal

  • Kampo Medicine

    Kampo Medicine 74 (1), 25-30, 2023

    The Japan Society for Oriental Medicine

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