{"_buckets": {"deposit": "e1440bd1-9ee8-4d97-a474-5ed77493afd4"}, "_deposit": {"id": "10559", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "10559"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00010559", "sets": ["456", "973"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Pneumocystis Pneumonia Complicating Methotrexate and Tacrolimus Therapy in Rheumatoid Arthritis"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2009-11", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "11", "bibliographicPageEnd": "589", "bibliographicPageStart": "585", "bibliographicVolumeNumber": "123", "bibliographic_titles": [{"bibliographic_title": "新潟医学会雑誌"}, {"bibliographic_title": "新潟医学会雑誌", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "症例は70歳, 女性. 2005年に関節リウマチを発症し, プレドニゾロン, メトトレキサートによる治療を受けたが症状コントロール困難であった. 2006年10月からタクロリムスを追加され, 関節症状の改善を認めた. 2007年2月末から咳嗽, 喀痰, 呼吸困難感, 全身倦怠感が出現し, 画像上両側肺野に ground glass opacity を認めたため, メトトレキサート肺臓炎, ニューモシスチス肺炎を疑い, メトトレキサートとタクロリムスを中止し, メチルプレドニゾロン・パルス療法とTrimethoprim-sulfamethoxazole投与を行った. 気管支肺胞洗浄液からニューモシスチスの嚢子が検出されニューモシスチス肺炎と診断した. 関節リウマチに対してメトトレキサー卜, タクロリムスを使用する症例が近年増加しており, 日和見感染のリスクが高まると考えられる. さらにメトトレキサートによる肺臓炎とニューモシスチス肺炎の鑑別も重要である.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "72234", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Tsubata, Chikako"}]}, {"nameIdentifiers": [{"nameIdentifier": "72235", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Tanabe, Yoshinari"}]}, {"nameIdentifiers": [{"nameIdentifier": "72236", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Tanaka, Junichi"}]}, {"nameIdentifiers": [{"nameIdentifier": "72237", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Asakawa, Katsuaki"}]}, {"nameIdentifiers": [{"nameIdentifier": "72238", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hirahara, Kiyoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "72239", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Tetsuka, Takafumi"}]}, {"nameIdentifiers": [{"nameIdentifier": "72240", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Sakagami, Takuro"}]}, {"nameIdentifiers": [{"nameIdentifier": "72241", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Koya, Toshiyuki"}]}, {"nameIdentifiers": [{"nameIdentifier": "72242", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Terada, Masaki"}]}, {"nameIdentifiers": [{"nameIdentifier": "72243", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Takada, Toshinari"}]}, {"nameIdentifiers": [{"nameIdentifier": "72244", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Narita, Ichiei"}]}, {"nameIdentifiers": [{"nameIdentifier": "72245", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Murakami, Shuichi"}]}, {"nameIdentifiers": [{"nameIdentifier": "72246", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kuroda, Takeshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "72247", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hasegawa, Takashi"}]}, {"nameIdentifiers": [{"nameIdentifier": "72248", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Suzuki, Eiichi"}]}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟医学会"}]}, "item_7_select_19": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_7_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00182415", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "00290440", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "津畑, 千佳子"}], "nameIdentifiers": [{"nameIdentifier": "72219", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "田邊, 嘉也"}], "nameIdentifiers": [{"nameIdentifier": "72220", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "田中, 淳一"}], "nameIdentifiers": [{"nameIdentifier": "72221", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "朝川, 勝明"}], "nameIdentifiers": [{"nameIdentifier": "72222", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "平原, 潔"}], "nameIdentifiers": [{"nameIdentifier": "72223", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "手塚, 貴文"}], "nameIdentifiers": [{"nameIdentifier": "72224", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "坂上, 拓郎"}], "nameIdentifiers": [{"nameIdentifier": "72225", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "小屋, 俊之"}], "nameIdentifiers": [{"nameIdentifier": "72226", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "寺田, 正樹"}], "nameIdentifiers": [{"nameIdentifier": "72227", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "高田, 俊範"}], "nameIdentifiers": [{"nameIdentifier": "72228", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "成田, 一衛"}], "nameIdentifiers": [{"nameIdentifier": "72229", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "村上, 修一"}], "nameIdentifiers": [{"nameIdentifier": "72230", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "黒田, 毅"}], "nameIdentifiers": [{"nameIdentifier": "72231", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "長谷川, 隆志"}], "nameIdentifiers": [{"nameIdentifier": "72232", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "鈴木, 栄一"}], "nameIdentifiers": [{"nameIdentifier": "72233", "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": "2019-08-06"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "123(11)_585-589.pdf", "filesize": [{"value": "1.4 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1400000.0, "url": {"label": "123(11)_585-589.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/10559/files/123(11)_585-589.pdf"}, "version_id": "ace75e13-b778-458e-9e06-666f04103725"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "関節リウマチ", "subitem_subject_scheme": "Other"}, {"subitem_subject": "タクロリムス", "subitem_subject_scheme": "Other"}, {"subitem_subject": "メトトレキサート", "subitem_subject_scheme": "Other"}, {"subitem_subject": "ニューモシスチス肺炎", "subitem_subject_scheme": "Other"}, {"subitem_subject": "ST合剤", "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": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "メトトレキサートとタクロリムス使用中にニューモシスチス肺炎を合併した関節リウマチの1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "メトトレキサートとタクロリムス使用中にニューモシスチス肺炎を合併した関節リウマチの1例"}, {"subitem_title": "メトトレキサートとタクロリムス使用中にニューモシスチス肺炎を合併した関節リウマチの1例", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "973"], "permalink_uri": "http://hdl.handle.net/10191/28556", "pubdate": {"attribute_name": "公開日", "attribute_value": "2014-07-22"}, "publish_date": "2014-07-22", "publish_status": "0", "recid": "10559", "relation": {}, "relation_version_is_last": true, "title": ["メトトレキサートとタクロリムス使用中にニューモシスチス肺炎を合併した関節リウマチの1例"], "weko_shared_id": null}