Pub Date : 2019-11-20DOI: 10.11150/kansenshogakuzasshi.93.763
Sachie Koyama, Noriyuki Watanabe, Junpei Matsuno, Mayu Tabira, G. Hashikita, Yoshitada Taji, Kiyoko Kobayashi, J. Sakai, N. Tarumoto, H. Kurita, K. Mitsutake, Yasuhiro Ebihara
{"title":"A Case of Invasive Pneumococcal Disease Caused by Non-vaccine Serotype Streptococcus pneumoniae","authors":"Sachie Koyama, Noriyuki Watanabe, Junpei Matsuno, Mayu Tabira, G. Hashikita, Yoshitada Taji, Kiyoko Kobayashi, J. Sakai, N. Tarumoto, H. Kurita, K. Mitsutake, Yasuhiro Ebihara","doi":"10.11150/kansenshogakuzasshi.93.763","DOIUrl":"https://doi.org/10.11150/kansenshogakuzasshi.93.763","url":null,"abstract":"","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80063661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-20DOI: 10.11150/kansenshogakuzasshi.92.371
R. Sekiya, K. Fukushima, Masaru Tanaka, K. Yajima, K. Yagita, A. Ajisawa, A. Imamura
A 48-year-old HIV-positive female had discontinued her hospital visits for about 1.5 years. Immediately after returning from a 1.5-month stay in India, she suffered from diarrhea about four times a day and, there-fore, visited our outpatient department. Liver dysfunction was noted on blood sampling, and bileduct dilatation was detected by magnetic resonance imaging (MRI)．Using feces, duodenum, and large intestine specimens, neon blue autofluorescence of the oocyst wall was detected under UV excitation with a fluorescence microscope. These specimens were molecularly biologically identified as Cyclospora cayetanensis using PCR sequencing. Since approval could not be obtained for the treatment of Cyclospora , only antiretroviral therapy (ART) was resumed. The CD4-positivity was above 180/ μ L for about 4 months, but alkaline phosphatase be-came exacerbated. Subsequently, the treatment of Cyclospora was started by prescribing trimethoprim/sul-famethoxazole (ST) (80/160mg, 4 tablets) for 10 days. The liver dysfunction and diarrhea were promptly alle-viated, and the bileduct dilatation was improved on MRI. In study, biliary disease and enteritis due Cyclospora effectively treated with an ST formulation. C. tract in HIV-infected cases in
{"title":"A Case of HIV Infection Who Had Enterocolitis and Biliary Disease Due to Cyclospora after Traveling to India","authors":"R. Sekiya, K. Fukushima, Masaru Tanaka, K. Yajima, K. Yagita, A. Ajisawa, A. Imamura","doi":"10.11150/kansenshogakuzasshi.92.371","DOIUrl":"https://doi.org/10.11150/kansenshogakuzasshi.92.371","url":null,"abstract":"A 48-year-old HIV-positive female had discontinued her hospital visits for about 1.5 years. Immediately after returning from a 1.5-month stay in India, she suffered from diarrhea about four times a day and, there-fore, visited our outpatient department. Liver dysfunction was noted on blood sampling, and bileduct dilatation was detected by magnetic resonance imaging (MRI)．Using feces, duodenum, and large intestine specimens, neon blue autofluorescence of the oocyst wall was detected under UV excitation with a fluorescence microscope. These specimens were molecularly biologically identified as Cyclospora cayetanensis using PCR sequencing. Since approval could not be obtained for the treatment of Cyclospora , only antiretroviral therapy (ART) was resumed. The CD4-positivity was above 180/ μ L for about 4 months, but alkaline phosphatase be-came exacerbated. Subsequently, the treatment of Cyclospora was started by prescribing trimethoprim/sul-famethoxazole (ST) (80/160mg, 4 tablets) for 10 days. The liver dysfunction and diarrhea were promptly alle-viated, and the bileduct dilatation was improved on MRI. In study, biliary disease and enteritis due Cyclospora effectively treated with an ST formulation. C. tract in HIV-infected cases in","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75608360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-20DOI: 10.11150/kansenshogakuzasshi.92.365
Fumiya Yamada, K. Uchida, M. Shinohara, Tsuyoshi Kisimoto
{"title":"The Influence of a Legal Revision on Infectious Agent Surveillance in Local Public Health Institutes","authors":"Fumiya Yamada, K. Uchida, M. Shinohara, Tsuyoshi Kisimoto","doi":"10.11150/kansenshogakuzasshi.92.365","DOIUrl":"https://doi.org/10.11150/kansenshogakuzasshi.92.365","url":null,"abstract":"","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86989143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-20DOI: 10.11150/kansenshogakuzasshi.92.353
H. Nakajima, Hideaki Kariya, T. Kishimoto
{"title":"A Serological Survey of Yersinia pseudotuberculosis Infection (1999―2016)","authors":"H. Nakajima, Hideaki Kariya, T. Kishimoto","doi":"10.11150/kansenshogakuzasshi.92.353","DOIUrl":"https://doi.org/10.11150/kansenshogakuzasshi.92.353","url":null,"abstract":"","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91458733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-20DOI: 10.11150/kansenshogakuzasshi.92.391
Tomohiro Hosoda, Takako Misaki, H. Shimizu, N. Okabe, M. Sakamoto
Herein we present the case of a 19-year-old healthy Filipino woman with a 4-day history of fever and headache, who upon admission had a dry cough and rashes distributed on her trunk and proximal limbs. The patient had recently traveled to the Philippines, 1-4 weeks prior to admission, where she had been in close contact with cats and rodents. Laboratory tests showed thrombocytopenia, and elevation of liver en-zyme and C-reactive protein levels. Subsequent polymerase chain reaction (PCR) tests for D e n g u e , Chik un g un ya , and Zika virus, respectively, and Giemsa-stained blood smear for malaria were negative. Her chest X-ray was normal. Our initial diagnosis was typhoid fever. However, even after administering ceftriaxone, the patientʼs fever and headache remained unimproved. A PCR analysis for Rickettsia species was then performed on day 6 of hospitalization, which revealed the presence of Rickettsia typhi . Therefore, the patient was diagnosed as having murine typhus, and minocycline treatment was started on day 9 of hospitalization. The patientʼs clinical symptoms then continued to improve until discharge on day 11 of hospitalization. Diag-nosing murine typhus is difficult in clinical practice because of the non-specific symptoms. Respiratory symptoms and rashes spreading to the extremities will be indicators in distinguishing murine typhus from typhoid fever.
{"title":"Murine Typhus which was Difficult to Distinguish from Typhoid Fever；a Case Report and an Effective Collaboration with a Local Institute of Public Health","authors":"Tomohiro Hosoda, Takako Misaki, H. Shimizu, N. Okabe, M. Sakamoto","doi":"10.11150/kansenshogakuzasshi.92.391","DOIUrl":"https://doi.org/10.11150/kansenshogakuzasshi.92.391","url":null,"abstract":"Herein we present the case of a 19-year-old healthy Filipino woman with a 4-day history of fever and headache, who upon admission had a dry cough and rashes distributed on her trunk and proximal limbs. The patient had recently traveled to the Philippines, 1-4 weeks prior to admission, where she had been in close contact with cats and rodents. Laboratory tests showed thrombocytopenia, and elevation of liver en-zyme and C-reactive protein levels. Subsequent polymerase chain reaction (PCR) tests for D e n g u e , Chik un g un ya , and Zika virus, respectively, and Giemsa-stained blood smear for malaria were negative. Her chest X-ray was normal. Our initial diagnosis was typhoid fever. However, even after administering ceftriaxone, the patientʼs fever and headache remained unimproved. A PCR analysis for Rickettsia species was then performed on day 6 of hospitalization, which revealed the presence of Rickettsia typhi . Therefore, the patient was diagnosed as having murine typhus, and minocycline treatment was started on day 9 of hospitalization. The patientʼs clinical symptoms then continued to improve until discharge on day 11 of hospitalization. Diag-nosing murine typhus is difficult in clinical practice because of the non-specific symptoms. Respiratory symptoms and rashes spreading to the extremities will be indicators in distinguishing murine typhus from typhoid fever.","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82766125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-20DOI: 10.11150/kansenshogakuzasshi.92.347
H. Shimizu, Saori Kida, Y. Sugiyama, Soichiro Sugiyama, Y. Matsumoto, Y. Ota, J. Tsukiji, E. Miyajima, S. Ito
{"title":"The Analysis of Invasive Haemophilus influenza Infections During the Past Thirteen Years","authors":"H. Shimizu, Saori Kida, Y. Sugiyama, Soichiro Sugiyama, Y. Matsumoto, Y. Ota, J. Tsukiji, E. Miyajima, S. Ito","doi":"10.11150/kansenshogakuzasshi.92.347","DOIUrl":"https://doi.org/10.11150/kansenshogakuzasshi.92.347","url":null,"abstract":"","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81252087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-20DOI: 10.11150/kansenshogakuzasshi.92.386
N. Tsuda, Tadanao Harigae, Y. Masui, Y. Kikuchi, M. Mizokami, H. Yazaki
{"title":"Cerebral Syphilitic Gumma Suspected to have Developed during Primary Syphilis and Treated with Antibiotics in an HIV-Negative Patient","authors":"N. Tsuda, Tadanao Harigae, Y. Masui, Y. Kikuchi, M. Mizokami, H. Yazaki","doi":"10.11150/kansenshogakuzasshi.92.386","DOIUrl":"https://doi.org/10.11150/kansenshogakuzasshi.92.386","url":null,"abstract":"","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75962030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"梅毒に対するアモキシシリン1,500mg 内服治療の臨床的効果","authors":"和彦 池内, 一彰 福島, 勝 田中, 矢嶋 敬史郎, 紀貴 関谷, 綾子 関谷, 如樹 柳澤, 篤 味澤, 顕史 今村","doi":"10.11150/KANSENSHOGAKUZASSHI.92.358","DOIUrl":"https://doi.org/10.11150/KANSENSHOGAKUZASSHI.92.358","url":null,"abstract":"","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78020052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-20DOI: 10.11150/kansenshogakuzasshi.92.380
H. Kimura, K. Mizutomi, Eiichi Ohta, Akiko Nakano, K. Ohkusu
Shewanella haliotis is an aquatic gram-negative rod, recently isolated from the gut microflora of abalone ( Haliotis discus hannai ) in 2007. Human disease caused by this species is extremely rare. We report the case of a 66-year-old man undergoing hemodialysis who was admitted for necrotizing soft-tissue infection on the left hand with sepsis. He had a history of liver cirrhosis and colon cancer. Clinical findings showed swollen erythema with purpura and bullae on his left hand. Gram-negative rods were detected in the blood culture. The colonies grew on the Thiosulfate Citrate Bile Salts Sucrose medium (TCBS), and produced H 2 S on the Triple Sugar Iron (TSI) agar. The pathological features presented hemorrhagic necrosis with an infiltration of neutrophils and lymphocytes in the subcutaneous tissue. S. haliotis was identified by 16S rRNA sequence analysis, nevertheless automated identification in the hospital showed Shewanella algae . Ceftazidime and isepamicin administration for 1 week and cefozopran and isepamicin administration for 1 week followed by oral levofloxacin for 1 week cured the sepsis, and furthermore, topical ointment completely cured the skin ulcer over 2.5 months. We should be aware that human infection caused by S. haliotis can result in severe necrotising soft-tissue infection with sepsis.
{"title":"A Case of Necrotising Soft-tissue Infection and Sepsis Caused by Shewanella haliotis","authors":"H. Kimura, K. Mizutomi, Eiichi Ohta, Akiko Nakano, K. Ohkusu","doi":"10.11150/kansenshogakuzasshi.92.380","DOIUrl":"https://doi.org/10.11150/kansenshogakuzasshi.92.380","url":null,"abstract":"Shewanella haliotis is an aquatic gram-negative rod, recently isolated from the gut microflora of abalone ( Haliotis discus hannai ) in 2007. Human disease caused by this species is extremely rare. We report the case of a 66-year-old man undergoing hemodialysis who was admitted for necrotizing soft-tissue infection on the left hand with sepsis. He had a history of liver cirrhosis and colon cancer. Clinical findings showed swollen erythema with purpura and bullae on his left hand. Gram-negative rods were detected in the blood culture. The colonies grew on the Thiosulfate Citrate Bile Salts Sucrose medium (TCBS), and produced H 2 S on the Triple Sugar Iron (TSI) agar. The pathological features presented hemorrhagic necrosis with an infiltration of neutrophils and lymphocytes in the subcutaneous tissue. S. haliotis was identified by 16S rRNA sequence analysis, nevertheless automated identification in the hospital showed Shewanella algae . Ceftazidime and isepamicin administration for 1 week and cefozopran and isepamicin administration for 1 week followed by oral levofloxacin for 1 week cured the sepsis, and furthermore, topical ointment completely cured the skin ulcer over 2.5 months. We should be aware that human infection caused by S. haliotis can result in severe necrotising soft-tissue infection with sepsis.","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73503837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-20DOI: 10.11150/kansenshogakuzasshi.92.376
K. Isomoto, H. Yamakawa, E. Hagiwara, Masahiro Hayashi, R. Shintani, T. Katano, T. Ogura
{"title":"An Infected Bulla Caused by Nocardia nova","authors":"K. Isomoto, H. Yamakawa, E. Hagiwara, Masahiro Hayashi, R. Shintani, T. Katano, T. Ogura","doi":"10.11150/kansenshogakuzasshi.92.376","DOIUrl":"https://doi.org/10.11150/kansenshogakuzasshi.92.376","url":null,"abstract":"","PeriodicalId":17724,"journal":{"name":"Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75747410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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