{"created":"2021-03-01T06:12:31.280550+00:00","id":8501,"links":{},"metadata":{"_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":["453:456","471:537:538:902"]},"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","filename":"130(2)_132-138.pdf","filesize":[{"value":"692.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-10-17"},"publish_date":"2016-10-17","publish_status":"0","recid":"8501","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_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:42:51.173675+00:00"}