{"created":"2023-06-19T11:23:59.032208+00:00","id":4618,"links":{},"metadata":{"_buckets":{"deposit":"b84b9c9c-78d0-4fc6-bb37-3a74f6ac33ff"},"_deposit":{"created_by":3,"id":"4618","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4618"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004618","sets":["7","7:23"]},"author_link":["14286","14287","14288"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-01-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"37","bibliographicPageStart":"35","bibliographicVolumeNumber":"18","bibliographic_titles":[{"bibliographic_title":"日本骨・関節感染症研究会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"A群β溶連菌による化膿性膝関節炎からToxic shock like syndromeに陥った症例を経験した.患者は73歳男で,充分な全身管理を行い,肝庇護剤,膵酵素阻害剤,利尿剤を投与することにより全身状態は改善傾向を示した.抗生剤はアンピシリンとクリンダマイシンを18日間投与,γ-グロブリンも併用し,急性期を乗り切ることができた.その後,滑膜切除術と関節固定術を施行し,患肢を温存できた.症状発現から受診までに1週間以上経過していたにもかかわらず救命に成功し患肢を温存できたのは,関節包がバリアーとなり細菌の増殖や外毒素の影響が関節内にとどまったからではないかと考えられた","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":"1345-8922","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2005129322"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"966"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"634"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Hamaguchi, Hidetoshi"},{"subitem_text_language":"en","subitem_text_value":"Matsuno, Takeo"},{"subitem_text_language":"en"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"小原, 和宏","creatorNameLang":"ja"},{"creatorName":"オバラ, カズヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14286","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"浜口, 英寿","creatorNameLang":"ja"},{"creatorName":"ハマグチ, ヒデトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14287","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"松野, 丈夫","creatorNameLang":"ja"},{"creatorName":"マツノ, タケオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14288","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"5413.pdf","filesize":[{"value":"2.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5413.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4618/files/5413.pdf"},"version_id":"e0f89cf9-f3c2-4d45-b17a-062111682f71"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"溶血性連鎖球菌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"化膿性関節炎","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Toxic shock like syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"A群β溶血性連鎖球菌による化膿性膝関節炎","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"A群β溶血性連鎖球菌による化膿性膝関節炎","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2013-09-04"},"publish_date":"2013-09-04","publish_status":"0","recid":"4618","relation_version_is_last":true,"title":["A群β溶血性連鎖球菌による化膿性膝関節炎"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T08:45:07.629724+00:00"}