{"created":"2023-06-20T15:49:05.352582+00:00","id":3634,"links":{},"metadata":{"_buckets":{"deposit":"487f142e-66e3-466d-a067-006cf4540cb5"},"_deposit":{"created_by":4,"id":"3634","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3634"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003634","sets":["1:12:74"]},"author_link":["10654","10655","10656","10657","10658","10659","10660"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"58","bibliographicPageStart":"53","bibliographicVolumeNumber":"9","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"放線菌 (Actinomyces israelii) は子宮内避妊器具(IUD: intrauterine contraceptive device)関連の骨盤腹膜炎(PID: pelvic inflammatory disease)の起因菌として知られている。妊娠中に検出される例は少ないが、重篤な子宮内感染症を来すことがある。今回我々は、妊娠中に放線菌感染を認めたが、子宮頸管炎・絨毛膜羊膜炎には至らず良好な周産期転帰を得た一例を経験したので報告する。24歳、4妊3産。第3子分娩後にIUDを挿入されていた。無月経を主訴に当院を受診。妊娠反応陽性、経腹超音波検査にて児頭大横径より妊娠28週と診断した。初診時に子宮頸管内にIUDを認めたため、抜去し細胞診に提出したところ、放線菌の菌体を認めた。腹痛、発熱といった感染徴候は認めなかった。妊娠32週よりアモキシシリン(AMPC) 1g/日内服加療を開始し妊娠管理を行った。40週5日、3217g男児を自然分娩した。分娩後もAMPC内服は継続し計6か月行い、全経過を通じて骨盤腹膜炎は認めなかった。IUD挿入中の妊娠を認めた場合には、IUDの細菌培養検査に加え細胞診検査も施行することで、放線菌感染をより的確に診断しうる可能性がある。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Actinomyces israelii is known as the causative bacteria of pelvic inflammatory disease (PID) associated with intrauterine contraceptive devices (IUDs). There are few reports detected during the pregnancy, but it can lead to serious intrauterine infections. We report a case in which actinomycete infection was observed during pregnancy, but cervicitis and chorioamnionitis did not occur and a good perinatal outcome was obtained.\nThe patient, a 24-year old woman with 4 gravida and 3 para used IUD after her third birth. She received obstetrical examinations and was diagnosed with 28 weeks of gestation by transabdominal ultrasonography at our hospital. We detected the IUD in her uterine cervix and removed it to check the cytological diagnosis during the initial visit. The result of cytology revealed the presence of Actinomyses. She had neither abdominal pain nor fever. Amoxicillin (AMPC) 1g / day oral treatment started from the 32 weeks of gestation. The patient spontaneously delivered a weighted 3217g boy at 40 weeks and 5 days. The oral AMPC administration was continued for a total of 6 months. She had no pelvic peritonitis throughout the clinical course.\nIf pregnancy is observed during IUD insertion, it may be possible to more accurately diagnose actinomycete infection by performing cytological tests in addition to IUD bacterial culture tests.","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_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21871914","subitem_source_identifier_type":"ISSN"}]},"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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"富里, 祥子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"橋本, 正広","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小山内, 久人","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"橋本, 裕子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"阪部, 江里子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"立岡, 和弘","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岩崎, 真也","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-10-14"}],"displaytype":"detail","filename":"jsog_9_2_53.pdf","filesize":[{"value":"492.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_9_2_53","url":"https://hama-med.repo.nii.ac.jp/record/3634/files/jsog_9_2_53.pdf"},"version_id":"9d92519a-5435-4281-9a3b-e04a5aeabc8f"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Actinomyces","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"intrauterine devices","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"chorioamnionitis","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":"妊娠中に放線菌感染を認めた一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"妊娠中に放線菌感染を認めた一例","subitem_title_language":"ja"},{"subitem_title":"Actinomycotic infection in pregnancy: a case report","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["74"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-10-14"},"publish_date":"2020-10-14","publish_status":"0","recid":"3634","relation_version_is_last":true,"title":["妊娠中に放線菌感染を認めた一例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T06:58:39.577635+00:00"}