{"created":"2023-06-20T14:25:38.219220+00:00","id":811,"links":{},"metadata":{"_buckets":{"deposit":"a7bfb017-8b2b-419c-a0b2-671981e7affd"},"_deposit":{"created_by":3,"id":"811","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"811"},"status":"published"},"_oai":{"id":"oai:dmu.repo.nii.ac.jp:00000811","sets":["81:51"]},"author_link":["3446","3441","3450","3453","3448","3444","3460","3459","3461","3462","3445","3452","3443","3455","3456","3447","3442","3464","3457","3458","3454","3451","3463","3449"],"item_2_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-10-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"159","bibliographicPageStart":"153","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"Dokkyo journal of medical sciences"}]}]},"item_2_description_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_description":"35歳男性.入院約6週前より喀痰,咳嗽出現.数日前に左上肺空洞影指摘,喀痰中抗酸菌(3+)検出され入院.INH,RFP,PZA 及びEB による標準化学療法が開始された.咳嗽,呼吸困難,両肺野狭窄音聴取及び多量排菌持続し,気管支鏡所見上気管〜両側主気管支に隆起性潰瘍病変を認め,気管支結核を確定.高度の呼吸器症状遷延のため中等量のステロイド点滴投与を開始し,症状ならびに気道粘膜病変は改善した.高率に気管・気管支瘢痕収縮へ移行しうる気道粘膜像であったが,中等量の全身ステロイド療法により回避された.気道瘢痕狭窄回避のため,気管支結核活動性病変には中等量以上の全身ステロイド療法を考慮すべきと考えられた.","subitem_description_type":"Other"}]},"item_2_description_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_description":"A 35-year-old man admitted to the hospital because of acavitary lesion in the lung and acid-fast bacilli (AFB) (3+) in a sputum specimen, a polymerase-chain-reaction ofwhich revealed positive for M. tuberculosis. He had beenwell until approximately 6 weeks before admission, whenproductive cough developed. He also had temperature of upto 38 ℃, hoarseness, and shortness of breath couple of daysbefore. Intractable cough, dyspnea, wheeze in both lungfields, and numerous AFB in a sputum sustained, despiteprompt introduction of conventional chemotherapy containingINH, rifampicin, pyrazinamide, and ethambutol. Diagnosisof EBTB was confirmed by fibroptic bronchoscopy,which revealed granulomatous ulceration in the mucosa oftrachea and both main bronchi. Accordingly, intravenousmedium-dose methylprednisolone was administered, resultingrelief from serious respiratory manifestation and avoidanceof cicatricial stenosis of trachea and bronchi. This outcomesuggested that the current early intervention withglucocorticoid should be considered in serious active lesionof tracheal and bronchial mucosa in patients with EBTB.","subitem_description_type":"Other"}]},"item_2_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_type":"Other"}]},"item_2_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA00629581"}]},"item_2_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03855023","subitem_source_identifier_type":"ISSN"}]},"item_2_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"大田原赤十字病院リウマチ科"},{"subitem_text_value":"獨協医科大学日光医療センター膠原病・アレルギー内科 : 獨協医科大学日光医療センター呼吸器内科"},{"subitem_text_value":"獨協医科大学日光医療センター呼吸器内科"},{"subitem_text_value":"獨協医科大学内科学(呼吸器・アレルギー)"},{"subitem_text_value":"獨協医科大学内科学(呼吸器・アレルギー)"},{"subitem_text_value":"獨協医科大学内科学(呼吸器・アレルギー) : 大田原赤十字病院呼吸器内科"},{"subitem_text_value":"獨協医科大学内科学(呼吸器・アレルギー)"},{"subitem_text_value":"獨協医科大学内科学(呼吸器・アレルギー)"},{"subitem_text_value":"独立行政法人国立病院機構宇都宮病院呼吸器内科"},{"subitem_text_value":"大田原赤十字病院呼吸器内科"},{"subitem_text_value":"大田原赤十字病院呼吸器内科"},{"subitem_text_value":"大田原赤十字病院呼吸器内科"}]},"item_2_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Rheumatology, Ohtawara Red Cross Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Rheumatology and Clinical Immunology, Dokkyo Medical University Nikko Medical Center, Department of Respiratory Medicine, Dokkyo Medical University Nikko Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Dokkyo Medical University Nikko Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine and Clinical Immunology, Dokkyo Medical University"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine and Clinical Immunology, Dokkyo Medical University"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine and Clinical Immunology, Dokkyo Medical University, Department of Respiratory Medicine, Ohtawara Red Cross Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine and Clinical Immunology, Dokkyo Medical University"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine and Clinical Immunology, Dokkyo Medical University"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Utsunomiya National Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Ohtawara Red Cross Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Ohtawara Red Cross Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Ohtawara Red Cross Hospital"}]},"item_2_title_3":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_title":"ソウキ ノ ゼンシン ステロイド リョウホウ ニヨリ キドウ ノ ハンコン キョウサク オ カイヒ デキタ キカンシ ケッカク ノ 1ショウレイ"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"池野, 義彦"},{"creatorName":"イケノ, ヨシヒコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"戸田, 正夫"},{"creatorName":"トダ, マサオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鹿島, 隆一"},{"creatorName":"カシマ, リュウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"降旗, 友恵"},{"creatorName":"フリハタ, トモエ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"新井, 良"},{"creatorName":"アライ, リョウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"阿久津, 郁夫"},{"creatorName":"アクツ, イクオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石井, 芳樹"},{"creatorName":"イシイ, ヨシキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福田, 健"},{"creatorName":"フクダ, タケシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡田, 壮令"},{"creatorName":"オカダ, タケノリ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"眞塩, 一樹"},{"creatorName":"マシオ, カズキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"崎尾, 浩由"},{"creatorName":"サキオ, ヒロユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"近江, 史人"},{"creatorName":"オウミ, フミト","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ikeno, Yoshihiko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Toda, Masao","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kashima, Ryuichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Furihata, Tomoe","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Arai, Ryo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Akutsu, Ikuo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ishii, Yoshiki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Fukuda, Takeshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Okada, Takenori","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Mashio, Kazuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sakio, Hiroyuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Omi, Fumito","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-05-24"}],"displaytype":"detail","filename":"KJ00006365522.pdf","filesize":[{"value":"433.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00006365522.pdf","url":"https://dmu.repo.nii.ac.jp/record/811/files/KJ00006365522.pdf"},"version_id":"23876f59-9c2c-4b41-bb3f-a5d12f7f0248"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"気管支結核"},{"subitem_subject":"気管支瘢痕狭窄"},{"subitem_subject":"ステロイド"},{"subitem_subject":"endobronchial tuberculosis","subitem_subject_language":"en"},{"subitem_subject":"cicatricial stenosis","subitem_subject_language":"en"},{"subitem_subject":"glucocorticoid","subitem_subject_language":"en"}]},"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":"早期の全身ステロイド療法により気道の瘢痕狭窄を回避出来た気管支結核の1症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"早期の全身ステロイド療法により気道の瘢痕狭窄を回避出来た気管支結核の1症例"},{"subitem_title":"Early Intervention with Methylprednisolone has Rescued from the Risk of Cicatricial Stenosis of Bronchi in a Patient with Endobronchial Tuberculosis( EBTB)","subitem_title_language":"en"}]},"item_type_id":"2","owner":"3","path":["51"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-05-24"},"publish_date":"2017-05-24","publish_status":"0","recid":"811","relation_version_is_last":true,"title":["早期の全身ステロイド療法により気道の瘢痕狭窄を回避出来た気管支結核の1症例"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-20T16:17:37.954151+00:00"}