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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 74(3-4)

INFLAMMATORY INDEX AND TREATMENT OF BRAIN ABSCESS

https://doi.org/10.18999/nagjms.74.3-4.313
https://doi.org/10.18999/nagjms.74.3-4.313
c3c2ec48-b73c-40cf-94df-25d511f7b105
名前 / ファイル ライセンス アクション
10_Oyama.pdf 10_Oyama.pdf (664.0 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2012-08-30
タイトル
タイトル INFLAMMATORY INDEX AND TREATMENT OF BRAIN ABSCESS
著者 OYAMA, HIROFUMI

× OYAMA, HIROFUMI

WEKO 45786

OYAMA, HIROFUMI

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KITO, AKIRA

× KITO, AKIRA

WEKO 45787

KITO, AKIRA

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MAKI, HIDEKI

× MAKI, HIDEKI

WEKO 45788

MAKI, HIDEKI

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HATTORI, KENICHI

× HATTORI, KENICHI

WEKO 45789

HATTORI, KENICHI

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NODA, TOMOYUKI

× NODA, TOMOYUKI

WEKO 45790

NODA, TOMOYUKI

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WADA, KENTARO

× WADA, KENTARO

WEKO 45791

WADA, KENTARO

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キーワード
主題Scheme Other
主題 Brain abscess
キーワード
主題Scheme Other
主題 Ventriculitis
キーワード
主題Scheme Other
主題 Nocardia
キーワード
主題Scheme Other
主題 Carbapenem
キーワード
主題Scheme Other
主題 Inflammation marker
抄録
内容記述 This study retrospectively analyzed 12 patients with brain abscesses. Half of the patients were diagnosed inaccurately in the initial stage, and 7.2 days were required to achieve the final diagnosis of brain abscess. The patients presented only with a moderately elevated leukocyte count, serum CRP levels, or body temperatures during the initial stage. These markers changed, first with an increase in the leukocyte count, followed by the CRP and body temperature. The degree of elevation tended to be less prominent, and the time for each inflammatory index to reach its maximum value tended to be longer in the patients without ventriculitis than in those with it. The causative organisms of a brain abscess were detected in 10 cases. The primary causative organisms from dental caries were Streptococcus viridians or milleri, and Fusobacterium nucleatum. Nocardia sp. or farcinica were common when the abscess was found in other regions. The primary causative organisms of unrecognized sources of infection were Streptococcus milleri and Prolionibacterium sp. Nocardia is resistant to many antibiotics. However, carbapenem, tetracycline and quinolone were effective for Nocardia as well as many other kinds of bacteria. In summary, the brain abscesses presented with only mildly elevated inflammatory markers of body temperature, leukocyte and CRP. These inflammatory markers were less obvious in the patients without ventriculitis and/or meningitis. The source of infection tended to suggest some specific primary causative organism. It was reasonable to initiate therapy with carbapenem.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.74.3-4.313
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 74, 号 3-4, p. 313-324, 発行日 2012-08
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7434/7434.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/16742
識別子タイプ HDL
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