{"created":"2023-06-20T15:48:39.692107+00:00","id":3182,"links":{},"metadata":{"_buckets":{"deposit":"56c31f5b-51f3-4081-922c-a89fec05a75e"},"_deposit":{"created_by":4,"id":"3182","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3182"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003182","sets":["1:12:60"]},"author_link":["9454","9455","9456","9457","9458","9459","9460","9461"],"control_number":"3182","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"60","bibliographicPageStart":"55","bibliographicVolumeNumber":"7","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of the Shizuoka Society of Obstetrics and Gynecology","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Mycoplasma hominis（以下M.hominis）は泌尿生殖器領域における常在菌であり、産婦人科の術後感染症の原因菌として症例報告が散見される。今回、腹腔鏡下子宮全摘術に腟断端部よりM.hominisによる上行性感染と考えられた症例を経験した。症例は45歳、子宮筋腫のため腹腔鏡下子宮全摘術を行った。子宮を経腟的に細切搬出を行い、その際、腟入口部から円蓋部に至る腟壁裂傷を生じ縫合修復した。術後にCMZ（セフメタゾール）を投与したが、術後2日目より発熱と腹痛が出現し、術後4日目にWBCは正常範囲内であったがCRPの上昇を認め、ABPC/SBT（アンピシリン/スルバクタム）に変更した。しかし、症状の改善なく、術後第8病日に、β-ラクタム系の抗菌薬が無効なことやCRP優位の炎症反応高値などの特徴からM.hominis感染を早期より積極的に疑いCLDM（クリンダマイシン）に変更した。当院の腟培養では陰性であったが、他院に腟培養検体を送付しReal-time PCR法を使用することでM.hominisが同定された。CLDM使用後からは臨床症状の速やかな改善を認め術後12日目に退院した。術後感染の原因としてM.hominisによる腟断端部/裂傷縫合部からの上行性感染が考えられた。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡産科婦人科学会","subitem_publisher_language":"ja"}]},"item_3_relation_27":{"attribute_name":"医中誌論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2018318089","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2187-1914","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 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Megumi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9457","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"加藤, 恵","creatorNameLang":"ja"},{"creatorName":"KATO, Megumi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9458","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"江河, 由起子","creatorNameLang":"ja"},{"creatorName":"EGAWA, Yukiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9459","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鈴木, まり子","creatorNameLang":"ja"},{"creatorName":"SUZUKI, Mariko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9460","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"根本, 泰子","creatorNameLang":"ja"},{"creatorName":"NEMOTO, Taiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9461","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":"2018-08-27"}],"displaytype":"detail","filename":"jsog_7_1_55.pdf","filesize":[{"value":"518.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_7_1_55.pdf","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/3182/files/jsog_7_1_55.pdf"},"version_id":"c8471a42-1f45-4ccd-ae02-aa4c6314babc"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Mycoplasma hominis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Postoperative infection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Total laparoscopic hysterectomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"surgical site infection","subitem_subject_language":"en","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":"腹腔鏡下子宮全摘術後に腟断端部から Mycoplasma hominis による上行性感染が考えられた１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腹腔鏡下子宮全摘術後に腟断端部から Mycoplasma hominis による上行性感染が考えられた１例","subitem_title_language":"ja"},{"subitem_title":"Mycoplasma hominis infection from vagina after total laparoscopic hysterectomy: A case report","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["60"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2018-03-23"},"publish_date":"2018-03-23","publish_status":"0","recid":"3182","relation_version_is_last":true,"title":["腹腔鏡下子宮全摘術後に腟断端部から Mycoplasma hominis による上行性感染が考えられた１例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-07-31T07:04:10.648786+00:00"}