{"created":"2025-03-03T07:46:21.179698+00:00","id":2000359,"links":{},"metadata":{"_buckets":{"deposit":"7ccd487f-3121-4ec8-acef-3b6b65c34670"},"_deposit":{"created_by":4,"id":"2000359","owner":"4","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2000359"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:02000359","sets":["1:75:1740964477960"]},"author_link":[],"control_number":"2000359","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2025-03-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"51","bibliographicPageStart":"47","bibliographicVolumeNumber":"5","bibliographic_titles":[{"bibliographic_title":"浜松医科大学小児科学雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Hamamatsu Journal of Pediatrics","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"基礎疾患のある小児に対して23価莢膜多糖体肺炎球菌ワクチン（PPSV23）の追加接種が推奨されてきたが， 2024年8月から沈降20価肺炎球菌結合型ワクチン（PCV20）の追加接種が本邦で可能となった．ワクチンの選択についてはガイドラインでの推奨がなく，現場の裁量に委ねられているのが現状である．症例はネフローゼ症候群初発の2歳男児．ステロイド治療開始から4日目に発熱，腹痛，嘔吐を呈し，血液培養からStreptococcus pneumoniaeが検出された．同菌による原発性腹膜炎と診断し，計2週間の抗菌薬治療を行った．本児は沈降13価肺炎球菌結合型ワクチン（PCV13）を4回接種済であったが，今回検出されたS.pneumoniaeの莢膜血清型は「15B/C」であり，PCV13非含有血清型，PCV20及びPPSV23含有血清型であった．小児に対するPPSV23接種の免疫原性が限定的であるため，本児にはPCV20を接種する方針とした．今後は症例を集積し，接種推奨について検討する必要がある．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"An additional dose of the 23-valent pneumococcal polysaccharide vaccine (PPSV23) is recommended for children with underlying medical conditions. However, since August 2024, vaccination with the 20-valent pneumococcal conjugate vaccine (PCV20) has also become available for the same indication in Japan. Currently, there are no guideline recommendations regarding vaccine selection, and the choice of vaccine is left to the discretion of the physician. A 2-year-old boy was referred to our hospital with chief complaints of edema and lack of vitality. He was diagnosed with nephrotic syndrome and started on steroid therapy. On the fourth day of admission, he developed fever, abdominal pain, and vomiting. Blood culture revealed Streptococcus pneumoniae, leading to a diagnosis of primary peritonitis. The patient was treated with antimicrobial agents for a total of two weeks. The capsular serotype of S. pneumoniae identified in this case was “15B/C”, which is not included in PCV13 but is covered by both PCV20 and PPSV23. Due to the limited immunogenicity of PPSV23 in children, we decided to vaccinate him with PCV20. Accumulating further cases and fostering discussions on immunization recommendations will be critical moving forward.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"浜松医科大学小児科学雑誌編集部","subitem_publisher_language":"ja"}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2436-2433","subitem_source_identifier_type":"EISSN"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"0000000089376696","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"https://isni.org/isni/0000000089376696"},{"affiliationNameIdentifier":"00ndx3g44","affiliationNameIdentifierScheme":"ROR","affiliationNameIdentifierURI":"https://ror.org/00ndx3g44"}],"affiliationNames":[{"affiliationName":"浜松医科大学","affiliationNameLang":"ja"},{"affiliationName":"ハママツイカダイガク","affiliationNameLang":"ja-Kana"},{"affiliationName":"Hamamatsu University School of Medicine","affiliationNameLang":"en"}]}],"creatorNames":[{"creatorName":"河西, 彩菜","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"カワニシ, アヤナ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"KAWANISHI, Ayana","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorNames":[{"creatorName":"北形, 綾一","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"キタガタ, リョウイチ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"KITAGATA, Ryoichi","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorNames":[{"creatorName":"内田, 博之","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"ウチダ, ヒロシ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"UCHIDA, Hiroshi","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorNames":[{"creatorName":"宮入, 烈","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"ミヤイリ, イサオ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"MIYAIRI, Isao","creatorNameLang":"en","creatorNameType":"Personal"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-03-15"}],"displaytype":"detail","filename":"hjop_5_1_47.pdf","filesize":[{"value":"634 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/2000359/files/hjop_5_1_47.pdf"},"version_id":"92996c26-e63c-42f6-8a1d-058ce7207103"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"特発性ネフローゼ症候群","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"肺炎球菌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腹膜炎"},{"subitem_subject":"肺炎球菌ワクチン","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"沈降20価肺炎球菌結合型ワクチン","subitem_subject_language":"ja","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Streptococcus pneumoniae血清型15B/Cによる原発性腹膜炎をきたしたネフローゼ症候群例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Streptococcus pneumoniae血清型15B/Cによる原発性腹膜炎をきたしたネフローゼ症候群例","subitem_title_language":"ja"},{"subitem_title":"A Case of Nephrotic Syndrome with Primary Peritonitis Caused by Streptococcus pneumoniae Serotype 15B/C","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["1740964477960"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2025-03-15"},"publish_date":"2025-03-15","publish_status":"0","recid":"2000359","relation_version_is_last":true,"title":["Streptococcus pneumoniae血清型15B/Cによる原発性腹膜炎をきたしたネフローゼ症候群例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2025-03-14T05:00:21.058381+00:00"}