{"created":"2021-03-01T06:14:42.349737+00:00","id":10559,"links":{},"metadata":{"_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":["453:456","471:537:538:973"]},"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","filename":"123(11)_585-589.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-07-22"},"publish_date":"2014-07-22","publish_status":"0","recid":"10559","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_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:44:12.226653+00:00"}