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Sequential changes in pathophysiology of systemic inflammatory response in a disseminated neonatal herpes simplex virus (HSV) infection

https://asahikawa-med.repo.nii.ac.jp/records/4304
https://asahikawa-med.repo.nii.ac.jp/records/4304
1bde3460-6e51-4fc6-bcf1-b0a3531a2fdb
名前 / ファイル ライセンス アクション
5058.pdf 5058.pdf (349.7 kB)
Item type 学術雑誌論文 / Journal Article_02(1)
公開日 2013-02-25
タイトル
タイトル Sequential changes in pathophysiology of systemic inflammatory response in a disseminated neonatal herpes simplex virus (HSV) infection
言語 en
言語
言語 eng
キーワード
主題Scheme Other
キーワード Neonatal HSV infection
キーワード
主題Scheme Other
キーワード Sepsis
キーワード
主題Scheme Other
キーワード Anti-inflammatory intervention
キーワード
主題Scheme Other
キーワード HMGB1
キーワード
主題Scheme Other
キーワード Cytochrome c
資源タイプ
資源タイプ journal article
著者 長森, 恒久

× 長森, 恒久

ja 長森, 恒久

ja-Kana ナガモリ, ツネヒサ

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Koyano, Shin

× Koyano, Shin

en Koyano, Shin

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Asai, Yoko

× Asai, Yoko

en Asai, Yoko

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Nohara, Fumikatsu

× Nohara, Fumikatsu

en Nohara, Fumikatsu

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Okamoto, Toshio

× Okamoto, Toshio

en Okamoto, Toshio

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Nagaya, Ken

× Nagaya, Ken

en Nagaya, Ken

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Hayashi, Tokitsugi

× Hayashi, Tokitsugi

en Hayashi, Tokitsugi

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Miura, Yurika

× Miura, Yurika

en Miura, Yurika

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Tsuda, Naoya

× Tsuda, Naoya

en Tsuda, Naoya

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Iseki, Kenichi

× Iseki, Kenichi

en Iseki, Kenichi

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東, 寛

× 東, 寛

ja 東, 寛

ja-Kana アズマ, ヒロシ

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著者 ローマ字
Azuma, Hiroshi
著者 ローマ字
en
書誌情報 Journal of Clinical Virology

巻 53, 号 3, p. 265-267, 発行日 2012-03-01
ISSN
収録物識別子タイプ PISSN
収録物識別子 1386-6532
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 10.1016/j.jcv.2011.12.017
PubMed番号
識別子タイプ PMID
関連識別子 22237001
抄録
内容記述タイプ Abstract
内容記述 BACKGROUND: Disseminated neonatal herpes simplex virus (HSV) infection causes a typical systemic inflammatory response syndrome and has a high mortality rate. However, the validity of anti-inflammatory intervention against this condition remains unknown. \nOBJECTIVES: We sought to demonstrate the sequential changes in the pathophysiology of disseminated neonatal HSV infections. \nSTUDY DESIGN: The HSV serum copy number as well as high-mobility group box 1 (HMGB1) and cytochrome c concentrations, which predict the severity and mortality rate of sepsis, were sequentially evaluated in a patient with disseminated neonatal HSV infection caused by HSV-2. \nRESULTS: As the patient presented with evidence of hyper-inflammation and severe illness, we empirically undertook anti-inflammatory intervention that included the administration of prednisolone, high-dose immunoglobulin, and blood exchange therapy in addition to high-dose acyclovir (ACV) therapy. The patient survived without significant neurological sequela. We found that (1) the serum concentrations of both HMGB1 and cytochrome c were extremely high, (2) temporal increases in these biomarkers were observed after admission, and (3) interestingly, the increase in HMGB1 level preceded that of cytochrome c. These results suggested that the pathophysiology of this condition changed sequentially in a dramatic manner, and the timing of our anti-inflammatory intervention was prior to the transition of pathological status from hyper-inflammation to massive apoptosis. \nCONCLUSIONS: Anti-inflammatory intervention may only be effective if it is undertaken during the early phase of disseminated neonatal HSV infections.
言語 en
注記
内容記述タイプ Other
注記 Author
資源タイプ
内容記述タイプ Other
資源タイプ text
著者版フラグ
出版タイプ AM
フォーマット
内容記述タイプ Other
内容記述 application/pdf
ID(XooNIps)
22237001
閲覧数(XooNIps)
ダウンロード数(XooNIps)
508
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Cite as

長森, 恒久, Koyano, Shin, Asai, Yoko, Nohara, Fumikatsu, Okamoto, Toshio, Nagaya, Ken, Hayashi, Tokitsugi, Miura, Yurika, Tsuda, Naoya, Iseki, Kenichi, 東, 寛, n.d., Sequential changes in pathophysiology of systemic inflammatory response in a disseminated neonatal herpes simplex virus (HSV) infection: 265–267 p.

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