{"_buckets": {"deposit": "966801b2-f377-41e2-bbaa-1ac95785eb2c"}, "_deposit": {"created_by": 3, "id": "904", "owners": [3], "pid": {"revision_id": 0, "type": "depid", "value": "904"}, "status": "published"}, "_oai": {"id": "oai:dmu.repo.nii.ac.jp:00000904", "sets": ["55"]}, "author_link": ["4012", "4011", "4015", "4013", "4019", "4016", "4010", "4009", "4017", "4018", "4020", "4014"], "item_2_biblio_info_12": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2010-10-25", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "3", "bibliographicPageEnd": "205", "bibliographicPageStart": "201", "bibliographicVolumeNumber": "37", "bibliographic_titles": [{"bibliographic_title": "Dokkyo journal of medical sciences"}]}]}, "item_2_description_10": {"attribute_name": "抄録(日)", "attribute_value_mlt": [{"subitem_description": "人工内耳手埋込術を必要としたインフルエンザ桿菌による化膿性髄膜炎を報告した.症例は2 歳男児.感冒症状の5 日目に意識障害が出現し,化膿性髄膜炎と診断された.髄液培養検査で起因菌はインフルエンザ桿菌と判明した.莢膜血清型はb 型で,PBP-3 耐性遺伝子の変異を伴うgBLNAR と判明した.デキサメタゾン0.15 mg/kg×4×4 日,g グロブリン150 mg/kg×2 日,および抗生剤としてCTX 200 mg/kg/日とMEPM120 mg/kg/日を14 日間投与した.経過中,脳MRI で硬膜下膿瘍を確認した.第27 病日の聴性脳幹反応検査では,両耳ともに100 dB 刺激でI-V波すべて無反応を示した.両耳に人工内耳埋込手術を施行し,右耳は聴力が回復したが,左耳は既に蝸牛の骨化が進行し,手術は不能であった.デキサメタゾン療法と適切な抗生剤加療を励行しても,インフルエンザ桿菌による化膿性髄膜炎に伴う聴力障害を完全に回避することは臨床的に不可能である.近年,国内でもインフルエンザ桿菌に対するワクチンが導入された.インフルエンザ桿菌による化膿性髄膜炎および併発する聴力障害を防ぐためには,ワクチン接種による髄膜炎の予防を啓蒙することが重要である.", "subitem_description_type": "Other"}]}, "item_2_description_11": {"attribute_name": "抄録(英)", "attribute_value_mlt": [{"subitem_description": "We repot a surgical cochlear implantation for a deafened2-year-old boy with ossified cochleae after plurent meningitisdue to Haemophilus Influenzae type B. Purulent meningitiswas diagnosed following a consciousness disorder appearingon the 5th day of flu-like symptoms. An inspectionof the cerebrospinal fluid culture identified the originatingbacterium as Haemophilus Influenzae. The capsular serotypewas of type b, and was identified as gBLNAR, whichaccompanies a mutation of the PBP-3 resistance gene. A14-day treatment was provided consisting of dexamethasone(0.15 mg/kg×4×4 days), g -globulin (150 mg/kg×2days), and as an antibiotic, (CTX 200 mg/day and MEPM120 mg/kg/day). An MRI scan of the brain revealed a subduralabscess. An auditory brain-stem response test conductedon the 27th day of hospitalization revealed that bothears showed no response to a 100db stimulation of all WaveI-V. Surgery to insert artificial inner ears was carried outon both ears, and although the right ear regained hearing,ossification of the cochlea in the left ear had already progressed,preventing surgery.Despite the administration of dexamethasone therapy andthe appropriate treatment of antibiotics, completely avoidinghearing disability as a result of purulent meningitis dueto Haemophilus influenza is not clinically possible. In recentyears, a vaccine to Haemophilus influenza has been introduceddomestically. In order to prevent the occurrence ofhearing disability associated with purulent meningitis dueto Haemophilus influenzae, it is important to educate societyon the prevention of purulent meningitis through vaccination", "subitem_description_type": "Other"}]}, "item_2_description_15": {"attribute_name": "表示順", "attribute_value_mlt": [{"subitem_description": "6", "subitem_description_type": "Other"}]}, "item_2_description_16": {"attribute_name": "アクセション番号", "attribute_value_mlt": [{"subitem_description": "KJ00006692679", "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_description_9": {"attribute_name": "記事種別(英)", "attribute_value_mlt": [{"subitem_description": "Cace Report", "subitem_description_type": "Other"}]}, "item_2_source_id_1": {"attribute_name": "雑誌書誌ID", "attribute_value_mlt": [{"subitem_source_identifier": "AA00629581", "subitem_source_identifier_type": "NCID"}]}, "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": "獨協医科大学小児科学"}, {"subitem_text_value": "獨協医科大学小児科学"}, {"subitem_text_value": "獨協医科大学小児科学"}, {"subitem_text_value": "獨協医科大学小児科学"}, {"subitem_text_value": "獨協医科大学耳鼻咽喉・頭頸部外科学"}, {"subitem_text_value": "獨協医科大学小児科学"}]}, "item_2_text_7": {"attribute_name": "著者所属(英)", "attribute_value_mlt": [{"subitem_text_language": "en", "subitem_text_value": "Department of Pediatrics Dokkyo Medical University"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Pediatrics Dokkyo Medical University"}, {"subitem_text_language": "en", "subitem_text_value": "Department of PediatricsDokkyo Medical University"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Pediatrics, Dokkyo Medical University"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Otolaryngology and Bronchoesophagology, Dokkyo Medical University"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Pediatrics, Dokkyo Medical University"}]}, "item_2_title_3": {"attribute_name": "論文名よみ", "attribute_value_mlt": [{"subitem_title": "ジンコウ ナイジ ウメコミ シュジュツ オ ヨウシタ インフルエンザ カンキン ズイマクエン ノ ダンジ レイ "}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "塚田, 佳子"}, {"creatorName": "ツカダ, ケイコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "4009", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "今高, 城治"}, {"creatorName": "イマタカ, ジョウジ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "4010", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "加納, 優治"}, {"creatorName": "カノウ, ユウジ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "4011", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "市川, 剛"}, {"creatorName": "イチカワ, ゴウ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "4012", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "月舘, 利治"}, {"creatorName": "ツキダテ, トシハル", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "4013", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "有阪, 治"}, {"creatorName": "アリサカ, オサム", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "4014", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Tsukada, Keiko", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "4015", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Imataka, George", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "4016", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kano, Yuji", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "4017", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ichikawa, Go", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "4018", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Tsukidate, Toshiharu", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "4019", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Arisaka, Osamu", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "4020", "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": "2017-05-24"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "KJ00006692679.pdf", "filesize": [{"value": "418.5 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 418500.0, "url": {"label": "KJ00006692679.pdf", "url": "https://dmu.repo.nii.ac.jp/record/904/files/KJ00006692679.pdf"}, "version_id": "0f2a15d8-bb7c-44f1-817b-ec76b711ec11"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "化膿性髄膜炎", "subitem_subject_scheme": "Other"}, {"subitem_subject": "インフルエンザ桿菌", "subitem_subject_scheme": "Other"}, {"subitem_subject": "難聴", "subitem_subject_scheme": "Other"}, {"subitem_subject": "聴力障害", "subitem_subject_scheme": "Other"}, {"subitem_subject": "人工内耳", "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": "人工内耳埋込手術を要したインフルエンザ桿菌髄膜炎の男児例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "人工内耳埋込手術を要したインフルエンザ桿菌髄膜炎の男児例"}, {"subitem_title": "Surgical Implantation for Cochlear Ossification after Bacterial Meningitis due to Haemophlius Influenzae Type B in 2-year-Old Boy", "subitem_title_language": "en"}]}, "item_type_id": "2", "owner": "3", "path": ["55"], "permalink_uri": "https://dmu.repo.nii.ac.jp/records/904", "pubdate": {"attribute_name": "公開日", "attribute_value": "2017-05-24"}, "publish_date": "2017-05-24", "publish_status": "0", "recid": "904", "relation": {}, "relation_version_is_last": true, "title": ["人工内耳埋込手術を要したインフルエンザ桿菌髄膜炎の男児例"], "weko_shared_id": 3}