{"created":"2023-06-19T11:23:07.778867+00:00","id":3605,"links":{},"metadata":{"_buckets":{"deposit":"66997dac-7e30-4285-bc90-1255e27f1b1c"},"_deposit":{"created_by":3,"id":"3605","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3605"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003605","sets":["7","7:23"]},"author_link":["10398","10399","10400"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2000-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"194","bibliographicPageStart":"191","bibliographicVolumeNumber":"12","bibliographic_titles":[{"bibliographic_title":"小児感染免疫"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"4歳男児.腹痛,発熱を主訴とした.細菌性腸炎を疑い,治療を開始したが軽快せず,腹部CTで鏡面像を伴う腸管拡張,回盲部を中心とした腸管壁の肥厚と長径約10cmの腫大した脾を認め,回盲部の筋性防御が出現したため開腹手術を行った.第19病日に解熱し,第25病日に血液から検出された菌がS.paratyphi Bと同定された.その10日後には陰性化したため,家庭内,幼稚園では手洗いの指導のみを行った.病初期の血液および回復期の便からS.paratyphi Bが検出されたことに加え,長期にわたる発熱,経過中の白血球および血小板減少,肝機能障害からパラチフスと診断した.保存血清を用いて血清エンドトキシンおよび炎症性サイトカインを経時的に測定した.エンドトキシンおよびTNFαは全経過を通じて測定感度以下で検出されなかったが,中毒症状の強い病初期に血清中のIL1β,IL6がピーク値を示して検出され,特にIL6は発熱経過と関連して推移した","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0917-4931","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2001067804"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1012"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"916"}]},"item_5_text_7":{"attribute_name":"著者 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