{"_buckets": {"deposit": "82622c05-e0ed-4944-911c-1ff67d87984a"}, "_deposit": {"id": "8501", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "8501"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00008501", "sets": ["456", "902"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "A Case　of　Infectious　Endocarditis　Associated　with　Bile　Duct　Cancer"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2016-02", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "138", "bibliographicPageStart": "132", "bibliographicVolumeNumber": "130", "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": "感染性心内膜炎(Infectious endocarditis, 以下IEと略記)は菌血症や血栓を生じ, 多臓器障害を引き起こす重篤な疾患である. 大腸癌に合併したIEの報告は散見されるが, 胆道癌に関連したものは稀である. 今回われわれは胆管癌の周術期にIEを発症した1例を経験したので報告する. 症例は77歳, 女性. 既往歴は高血圧. 中部胆管癌による閉塞性黄疸で内視鏡的経鼻胆道ドレナージ後に膵頭十二指腸切除術を施行した. 術前胆管炎の所見は認めなかったものの, 開腹時肝膿瘍を認めた. 術後17日目めまい, 嘔吐, 発熱, 術後22日目右片麻痺が出現, 頭部MRIで多発脳梗塞と診断された. 心エコーで大動脈弁と僧帽弁に疣贅と弁破壊を認め, IEと診断した. 術後27日目大動脈弁+僧帽弁置換術を施行した. 主起炎菌は黄色ブドウ球菌であった. 弁置換術後敗血症から脱することができず永眠された. 胆道感染や, ERCPなどによる一過性菌血症, 手術による免疫低下などが本例のIEの発症に関与した可能性が推測された. IEは基礎心疾患を有さなくとも発症するため, まれではあるが, 胆道癌の周術期においても念頭に置き, 心エコーなどを行い早期発見, 治療に努めるべきである.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "59194", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kitami, Chie"}]}, {"nameIdentifiers": [{"nameIdentifier": "59195", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kawachi, Yasuyuki"}]}, {"nameIdentifiers": [{"nameIdentifier": "59196", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Makino, Shigeto"}]}, {"nameIdentifiers": [{"nameIdentifier": "59197", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Nishimura, Atsushi"}]}, {"nameIdentifiers": [{"nameIdentifier": "59198", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kawahara, Mikako"}]}, {"nameIdentifiers": [{"nameIdentifier": "59199", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Niikuni, Keiya"}]}]}, "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": "北見, 智恵"}], "nameIdentifiers": [{"nameIdentifier": "59188", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "河内, 保之"}], "nameIdentifiers": [{"nameIdentifier": "59189", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "牧野, 成人"}], "nameIdentifiers": [{"nameIdentifier": "59190", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "西村, 淳"}], "nameIdentifiers": [{"nameIdentifier": "59191", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "川原, 聖佳子"}], "nameIdentifiers": [{"nameIdentifier": "59192", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "新国, 恵也"}], "nameIdentifiers": [{"nameIdentifier": "59193", "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": "130(2)_132-138.pdf", "filesize": [{"value": "692.9 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 692900.0, "url": {"label": "130(2)_132-138.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/8501/files/130(2)_132-138.pdf"}, "version_id": "079ea2ab-33ec-48e8-85f7-c518d066fdb9"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "胆管癌", "subitem_subject_scheme": "Other"}, {"subitem_subject": "膵頭十二指腸切除術", "subitem_subject_scheme": "Other"}, {"subitem_subject": "感染性心内膜炎", "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": "感染性心内膜炎を合併した中部胆管癌の1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "感染性心内膜炎を合併した中部胆管癌の1例"}, {"subitem_title": "感染性心内膜炎を合併した中部胆管癌の1例", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "902"], "permalink_uri": "http://hdl.handle.net/10191/44337", "pubdate": {"attribute_name": "公開日", "attribute_value": "2016-10-17"}, "publish_date": "2016-10-17", "publish_status": "0", "recid": "8501", "relation": {}, "relation_version_is_last": true, "title": ["感染性心内膜炎を合併した中部胆管癌の1例"], "weko_shared_id": null}