{"created":"2023-06-20T15:48:59.318889+00:00","id":3512,"links":{},"metadata":{"_buckets":{"deposit":"71596ec5-664d-496a-9753-e2d2e6a5f1ec"},"_deposit":{"created_by":4,"id":"3512","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3512"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003512","sets":["1:12:72"]},"author_link":["10287","10288","10289","10290","10291","10292","10293","10294","10295","10296","10297","10298","10299","10300","10301"],"control_number":"3512","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"125","bibliographicPageStart":"120","bibliographicVolumeNumber":"8","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":"腸チフスは、発熱を含む全身感染症であり、しばしば菌血症を伴う。症状は発熱、下痢等、非特異的な場合も多い。稀な疾患であるが、合併症として腸出血や腸穿孔の可能性もあり、妊産婦死亡の一因となりうる。今回、敗血症の定義に含まれるq-SOFA scoreが診断に有効であった腸チフス合併妊娠の一例を経験したので報告する。症例は35歳2妊1産。海外渡航歴はなかった。妊娠17週2日より下痢と発熱を認め、第3病日に救急外来を受診した。q SOFA score 2点に該当し、消化器感染症による敗血症を疑い、抗菌薬投与を開始した。第5病日に血液培養検体からS.typhiが検出された。第6病日より解熱し下痢の改善を認めた。第20病日に退院した。妊娠38週3日に既往帝王切開に対して選択的帝王切開術を実施し、母児共に経過は順調であった。妊産婦死亡を減らすためにも、稀な疾患を含めた重篤な感染症を見逃さず、qSOFA scoreを用いた速やかな診断および治療を行うことが重要であると考えられた。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Typhoid fever is a systemic infection caused by Salmonella typhi and is often associated with bacteraemia. Its symptoms are often nonspecific, such as fever and diarrhoea. Although rare, severe complications of typhoid fever such as intestinal haemorrhage and bowel perforation can contribute to maternal mortality. Here we report a case of pregnancy complicated by typhoid fever, in which the ‘Quick Sequential Organ Failure Assessment (q-SOFA) score’ useful for effective and prompt therapy by helping in the diagnosis of sepsis. A 35-year-old female presented to the emergency department of our hospital with continuous diarrhoea and pyrexia for 3 days at a gestational age of 17 weeks and 2 days. She had no history of overseas travel. Her q-SOFA score was 2, which indicated sepsis due to gastrointestinal infection; therefore, antibiotic administration was started. S. typhi was detected from the blood culture sample on day 5. Fever was reduced on day 6 and diarrhoea improved. The patient was discharged from the hospital on day 20. Selective caesarean section was performed for the previous caesarean section at 38 weeks and 3 days of gestation, and both the mother and child were doing well. To improve maternal mortality rate, serious infectious diseases, including the rare ones, should not be overlooked and prompt diagnosis and treatment should be performed using the q-SOFA score.","subitem_description_language":"en","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":"2020027103","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 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":[{"creatorNames":[{"creatorName":"稲見, 勝朗","creatorNameLang":"ja"},{"creatorName":"INAMI, Katsuaki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10287","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"金森, 隆志","creatorNameLang":"ja"},{"creatorName":"KANAMORI, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10288","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"川合, 健太","creatorNameLang":"ja"},{"creatorName":"KAWAI, Kenta","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10289","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中野, 史織","creatorNameLang":"ja"},{"creatorName":"NAKANO, Shiori","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10290","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"丸山, 享子","creatorNameLang":"ja"},{"creatorName":"MARUYAMA, Kyoko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10291","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"松家, まどか","creatorNameLang":"ja"},{"creatorName":"MATSUYA, Madoka","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10292","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"堀越, 義正","creatorNameLang":"ja"},{"creatorName":"HORIKOSHI, Masayoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10293","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"安立, 匡志","creatorNameLang":"ja"},{"creatorName":"ADACHI, Masashi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10294","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"幸村, 康弘","creatorNameLang":"ja"},{"creatorName":"KOHMURA, Yasuhiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10295","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"磯村, 直美","creatorNameLang":"ja"},{"creatorName":"ISOMURA-FURUTA, Naomi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10296","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"内田, 季之","creatorNameLang":"ja"},{"creatorName":"UCHIDA, Toshiyuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10297","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鈴木, 一有","creatorNameLang":"ja"},{"creatorName":"SUZUKI, Kazunao","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10298","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"伊東, 宏晃","creatorNameLang":"ja"},{"creatorName":"ITOH, Hiroaki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10299","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"金山, 尚裕","creatorNameLang":"ja"},{"creatorName":"KANAYAMA, Naohiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10300","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"幸村, 友季子","creatorNameLang":"ja"},{"creatorName":"KOHMURA-KOBAYASHI, Yukiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10301","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":"2019-09-24"}],"displaytype":"detail","filename":"jsog_8_2_120.pdf","filesize":[{"value":"560.6 kB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"jsog_8_2_120","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/3512/files/jsog_8_2_120.pdf"},"version_id":"40c34a00-c41e-48cd-8645-0e7861026bf2"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Salmonella Typh","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Salmonella infection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Sepsis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Pregnancy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"qSOFA score","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":"qSOFA scoreが診断に有効であった敗血症を伴う腸チフス合併妊娠の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"qSOFA scoreが診断に有効であった敗血症を伴う腸チフス合併妊娠の一例","subitem_title_language":"ja"},{"subitem_title":"A case of pregnancy complicated by typhoid fever in which the qSOFA score was effective in the diagnosis of sepsis.","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["72"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-09-24"},"publish_date":"2019-09-24","publish_status":"0","recid":"3512","relation_version_is_last":true,"title":["qSOFA scoreが診断に有効であった敗血症を伴う腸チフス合併妊娠の一例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-08-01T06:42:22.511841+00:00"}