{"created":"2023-05-15T09:06:48.210379+00:00","id":13789,"links":{},"metadata":{"_buckets":{"deposit":"82671996-a4a0-435e-9ebb-8ca3fabdab02"},"_deposit":{"created_by":14,"id":"13789","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"13789"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00013789","sets":["1875:1978:1996"]},"author_link":["21761","21762","21763","21764","21765","21766","21767","21768","21769","21770","21771","21772"],"item_5_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"256","bibliographicPageStart":"251","bibliographicVolumeNumber":"74","bibliographic_titles":[{"bibliographic_title":"市立札幌病院医誌"}]}]},"item_5_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"出生直後より、肝腫大、腹水、脳室内出血、血小板低下を呈した先天梅毒の極低出生体重児を経験した。母は梅毒未治療であった。症例は31週5日、体重1498gで出生した。新生児の梅毒反応はRPR(rapid plasma reagin test)定量が母体抗体価の1/2となる32倍で、IgM-FTA-ABS(fluorescent treponema1 antibody-absorption)も陰性であったが、抗Ttreponema pa11idum抗体による免疫組織化学的染色にて、胎盤の絨毛間質および血管内にTtreponema pa11idumの菌体を検出したため、先天梅毒と診断した。治療はペニシリンGなどの抗菌薬、γ一g1oburinの投与、輸血、腹水ドレナージを行い全身状態は改善した。日齢21から黄疸が遷延したが1ケ月程度で軽快し、日齢77に退院した。現在は生後3ケ月で、外来にて発育・発達のフォローを行っている。梅毒は、ペニシリンの普及により激減したが、近年日本では再び増加している性感染症のため、注意が必要である。","subitem_description_type":"Abstract"}]},"item_5_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"市立札幌病院"}]},"item_5_version_type_15":{"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":"塩野, 展子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中山, 加奈子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"越田, 慎一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"里見, 達郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野呂, 歩"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"水島, 正人"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中島, 健夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"早貸, 幸辰"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"奥山, 和彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大川, 由美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊丹, 弘恵"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"深澤, 雄一郎"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"l4256742251.pdf","filesize":[{"value":"12.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"l4256742251.pdf","url":"https://sapmed.repo.nii.ac.jp/record/13789/files/l4256742251.pdf"},"version_id":"afc1a02f-d6f1-46b5-9e67-3f15e4ea2766"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"先天梅毒","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"梅毒","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"胎内感染","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":"technical report","resourceuri":"http://purl.org/coar/resource_type/c_18gh"}]},"item_title":"極低出生体重児で出生した先天梅毒の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"極低出生体重児で出生した先天梅毒の一例","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"14","path":["1996"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-05-12"},"publish_date":"2017-05-12","publish_status":"0","recid":"13789","relation_version_is_last":true,"title":["極低出生体重児で出生した先天梅毒の一例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T04:29:50.502125+00:00"}