{"created":"2021-03-01T06:17:33.332618+00:00","id":13215,"links":{},"metadata":{"_buckets":{"deposit":"6778b570-7169-45fb-baa4-2cb24790b037"},"_deposit":{"id":"13215","owners":[],"pid":{"revision_id":0,"type":"depid","value":"13215"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00013215","sets":["453:456","471:537:538:1041"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Successful Treatment of MRSA Sepsis with Linezolid (ZYVOX^<[○!R]>) : a Case Report"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"174","bibliographicPageStart":"171","bibliographicVolumeNumber":"118","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":"MRSA感染症に対するlinezolid (ZYVOX^<[○!R]>)の有効性は確認されており,欧米では実地臨床で広く使用されている.一方,本邦ではlinezolidの保険適応はVRE感染症に限定されている.今回,外科手術後のMRSA敗血症に対しlinezolidが著効した1症例を経験したので報告する.症例は73歳男性.膵臓癌に対して幽門輪温存膵頭十二指腸切除術が施行された.術後感染予防のため,術前胆汁培養で検出されたPseudomonas fluorescensに感受性のあるbiapenem(OMEGACIN^<[○!R]>)を手術当日から6日間点滴静注した.術後10病日より39℃台の熱発が出現し,中心静脈栄養カテーテルを抜去するとともにbiapenemをさらに6日間投与した,しかし,39℃台の熱発が持続し,術後10病日の血液培養でMRSAが検出された.術後14病日には血圧低下(80mmHg台)と頻呼吸が出現したため,MRSA敗血症によるショックと診断した.術後15病日からlinezolid (ZYVOX^<[○!R]>)1200mg/日の点滴静注を開始したところ,48時間以内に解熱した.全身状態も速やかに改善し,術後28病日に軽快退院した.本症例の経験および文献的考察から,linezolidは腎機能低下例や自験例の如く時間的猶予のない重症MRSA感染症が良い適応と考えられる.バンコマイシン(VCM)など既存の抗生物質で治療困難なMRSA感染症に対しては,linezolidの救命的な使用も考慮すべきであろう.","subitem_description_type":"Abstract"}]},"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":"生天目, 信之"}],"nameIdentifiers":[{"nameIdentifier":"87143","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"白井, 良夫"}],"nameIdentifiers":[{"nameIdentifier":"87144","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"畠山, 勝義"}],"nameIdentifiers":[{"nameIdentifier":"87145","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"加藤, 清"}],"nameIdentifiers":[{"nameIdentifier":"87146","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":"2019-08-07"}],"displaytype":"detail","filename":"KJ00004351507.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00004351507.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/13215/files/KJ00004351507.pdf"},"version_id":"40dbf650-a3d4-45f7-b7e1-3166ce3c14bb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"linezolid","subitem_subject_scheme":"Other"},{"subitem_subject":"メチシリン耐性黄色ブドウ球菌(MRSA)","subitem_subject_scheme":"Other"},{"subitem_subject":"バンコマイシン耐性腸球菌(VRE)","subitem_subject_scheme":"Other"},{"subitem_subject":"敗血症","subitem_subject_scheme":"Other"},{"subitem_subject":"抗菌薬感受性","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":"MRSA (メチシリン耐性黄色ブドウ球菌)敗血症に対しlinezolid (ZYVOX^<○!R>)が著効した1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"MRSA (メチシリン耐性黄色ブドウ球菌)敗血症に対しlinezolid (ZYVOX^<○!R>)が著効した1例"},{"subitem_title":"MRSA (メチシリン耐性黄色ブドウ球菌)敗血症に対しlinezolid (ZYVOX^<○!R>)が著効した1例","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1041"],"pubdate":{"attribute_name":"公開日","attribute_value":"2007-05-10"},"publish_date":"2007-05-10","publish_status":"0","recid":"13215","relation_version_is_last":true,"title":["MRSA (メチシリン耐性黄色ブドウ球菌)敗血症に対しlinezolid (ZYVOX^<○!R>)が著効した1例"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:45:46.130275+00:00"}