Key words: Typhoid fever, Paratyphoid fever, Liver injury, HistoloRical findings of the liver
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1 Key words: Typhoid fever, Paratyphoid fever, Liver injury, HistoloRical findings of the liver
2 Table 1 Abnormality in Liver Function Tests TY; typhoid fever PA; paratyphoid fever caused by Salmonella paratyphi A
3 Fig.1 Valuees of GOT,GPT and LDH Table 2 Number of Patients with Abnormal Liver Function Tests # ( ) Table 3 Laboratory Findings of before Liver Biopsy ; abnormal level assesed by each of total Bilirubin, GOT,GPT
4 感 染症 学 雑 誌 148 Table 4 Laboratory Table 5 Findings Histological at Biopsy Fig.2 Typhoid nodule,case 第60巻 第2号 4,HE ~100 Findings Fig.3 Focal tion,case necrosis and Kupffer cell mobiliza- 4,HE ~100 に は 肝 機 能 検 査 成 績 は お お む ね 回 復 し て い た. 今 回 の5例 示 し た が,共 の 肝 生 検 の 組 織 所 見 はTable5に 通 して み られ た 主 な所 見 と して は 肝 細 胞 のfocalnecrosis,門 脈 域 の 線 維 化 を 伴 う軽 度 の 拡 お よ びKupffer細 胞 の 動 員 な ど で あ っ た. ま た 肝 細 胞 索 の 二 層 性,肝 細 胞 の 二 核 性 な どの 再 い て は 血 清 ビ リル ビ ン2mg/dl以 GPTの U以 上 は16%,GOT, 最 高 値 は そ れ ぞ れ77,170U(正 下)で あ っ た と し て い る.ま たSoubeyrand 生 検 像 が す べ て の 症 例 に 認 め ら れ た.typhoid ら5)は1980年 noduleは1例 て 黄 疸 は3.2%,GOT,GPTの 異 常 は % に 認 め た と 報 告 し て いる.わ れ わ れ の 今 回 の1979 う っ滞,中 た が,肝 に 認 め ら れ た(Fig.2).そ の他胆汁 心 静 脈 周 囲 の壊 死 を 認 め た症 例 が あ っ 細 胞 の 脂 肪 変 性 な ど は み ら れ な か っ た. に 腸 チ フ ス,パ 常 値15,20 年 か ら1983年 ま で の5年 ラ チ フ ス279例 につ い 間 で 血 清 ビ リル ビ ン2mg/ こ れ ら は い ず れ も軽 度 で 急 性 肝 炎 の 回 復 期 あ る い dl以 上 の 症 例 は2例(7.6%)で は 回 復 後 を 思 わ せ る 所 見 で も あ り,診 例 の 頻 度 は 上 記 二 者 の 報 告 よ り も 明 ら か に 高 く, non specific reactive hepatitisの 断 的 に は 所 見 で あ った (Fig.3). ラ チ フ スA合 GPTに 察 腸 チ フ ス の経 過 中 に み られ る肝 障 害 の頻 度 につ い て はRamachandranら4)は1974年 ラ チ フ ス92例 7.6%,GOT,GPTの た と 述 べ て い る.ま の報 告 で 腸 に つ いて黄 疸 の出 現 は 異 常 は24 35%に 認 め られ た これ ら の 異 常 値 の 程 度 に つ あ り,GOTが 比 し て 高 値 の 症 例 が 多 か っ た が,推 的 に は 有 意 差 は 認 め ら れ な か っ た.5001U/1以 を 示 し た 症 例 は2例 フ スAで み ら れ た.腸 はGOT,GPT,LDHと が 高 値 を 示 し た が,こ GOTの み5%の 異常 わ せ て26例(72.2%)で あ っ た.GPTは23例(63.4%)で 4.考 チ フ ス,パ 腸 チ フ ス,パ あ っ た.GOTの 計 学 上 チ フ ス とパ ラ チ もに 腸 チ フス 例 れ らの うち 推 計 学 的 に は 危 険 率 で 有 意 差 が 認 め ら れ た.
5
6 6) Popper, H. & Schaffner, F.: Liver: Structure New York, 1957, p ) Thaler, H.: Leber Biopsie. Springer Verlag, Berlin-Heidelberg ENew York, 1969, p.98. 8) MacSween, R. N. M., Anthony, P.P.& Scheuer, P. J.: Pathology of the Liver, Churchill Livingstone, Edinburgh London & New York, 1979, p pticemie a Salmonella typhi. Ann. Med. Inter- ne., 135: , ) Uys, C. J., Cavvadas, A., Timme, A. & Keeton, G. R.: A patient with fever jaundice he- patomegaly and renal failure. Sa Mediese Tydskrife, 22: , ) Zimmerman, H. J., Fang, M., Utili, R., Seeff, L. B. & Hoffnagle, J.: Jaundice due to bacterial infection. Gastroenterology, 77: , ) Ramachandran, S., Godrey, J. J. & Pererea, M. V. F.: Typhoid hepatitis. J. A. M. A., 230: 236 5) Soubeyrand, J., Rain, B., Condat, J. M., Ticolat, R., Beugre, K., Diallo, A. D., Fadiga, D. & Beda, B. Y.: Atteintes hepatiques au cours de la fiêvre typhoide. Sem. Hop.Paris, 56: , and function. McGran Hill Book Company, 9) Leoport, C., Imbert, J. C. & Degott, C.: Hepatite granulomateues au cour d'une se- 12) Brito, T. de Vieira, W. T. & Dias, M. D'A.: Jaundice in tiphoid hepatitis: A light and electron microscopy study based on liver biopsies. Acta Hepatogastroenterol., 24: , ) Dan, M., Bar-Mier, S., Jedwab, M. & Shibolet, S.: Typhoid hepatitis with immunoglobulins and bile canaliculi. Arch. Int. Med., 142: 148
7 Hepatic Injury due to Typhoid and Paratyphoid Fever Akira MACHIP),Yoshiro NITTA2),Hiroko SAGARA'),Takehisa SEO') & Yoshio MATSUBARA') Department of Internal Medicine,Tokyo Metropolitan,Ebara General Hospital Department of Internal Medicine,Tokyo Motropolitan,Toshima General Hospital Department of Infectious Disease,Tokyo Metropolitan,Toshima General Hospital It's known that typhoid fever and paratyphoid fever often cause changes indicative of hepatic involvement and even jaundice. This study was conducted on 36 patients (27 cases with typhoid fever (TY) and 9 cases with paratyphoid fever caused by Salmonella paratyphi A (PA) who were admitted to Tokyo Metropolitan Toshima General Hospital from 1979 through 1983 and were all bacteriologically confirmed for the purpose of investigating the liver injury in these diseases. Liver function tests were analysed in all cases and liver biopsies were parformed in 3 cases with TY and 2 cases with PA.The serum bilirubin level was greater than 2 mg/dl in only 2 cases but one patient with jaundice had value over 10 mg/dl.abnormal elevation of the GOT level occurrd in 19 cases (70.4%) with TY and 7 cases (77.8%) with PA.The averages of elevated GOT values were IU/1 in TY and IU/1 in PA.The difference of GOT level between TY and PA was significant (p<0.05).the GPT level was elevated abnormally in 16 cases (59.3%) with TY and in 7 cases (77.8%) with PA.The averages of elevated GPT values were IU/1 in TY and IU/1 in PA.The maximum values of GOT and GPT were 780 and 660 IU/1 in a case of TY.These elevations of GOT and GPT level began around the 14th day of illness and improved to normal level around the 30th day of illness.the LDH level was abnormally high in 92.6% of TY and in 100% of PA.The ALP level was elevated in 63.9% of 36 cases with TY or PA.The y-gtp level was elevated in 41.1% of these 36 cases. The following changes were flequently observed in the liver:the focal necrosis of liver cells,the mobilization of Kupffer cells and the slight enlargement of portal areas.the regeneration of liver cells including two-cell-thick plate and double nuclears of liver cells were shown in all specimens.the typhoid nodule was found in only one case with TY.There were no histological differences between TY and PA. Above-mentioned histological findings were those of so called "non specific reactive hepatits".
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1-122013 1 2 1 2 20 2,000 2009 12 1 2 1,362 68.1 2009 1 1 9.5 1 2.2 3.6 0.82.9 1.0 0.2 2 4 3 1 2 4 3 Key words acupuncture and moxibustion Treatment with acupuncture, moxibustion and Anma-Massage-Shiatsu
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37:37 小 柴胡 湯 に よる薬 剤 性肝 障 害 の1例 面 平 滑,硬 度 軟,脾 は 触 知 せ ず.神 経 学的 に異常 所見 を 認 め な か った. 梢 血 液 像 に は 異 常 な く,ト ラン ス ア ミナ ー ゼ と胆 道 系 酵 素 の 上 昇 を 認 め た が,ビ リル ビ ン値,脂 質 系 お よ び 蛋 白分 画 は 正 常 で あ った(Table 1).肝 炎
ABSTRACT
Does a Law School Education Increase Lawyers Income and Job Satisfaction?: A Questionnaire Survey of Lawyers who Passed the New Bar Examination and Those who Passed the Old Bar Examination KOYAMA Osamu
;~ (Summary) The Study on the Effects of Foot Bathing on Urination Kumiko Toyoda School of Human Nursing, University of Shiga Prefecture Background Foot bathing is one of the important nursing care for
Fig.1 Case 1,E.H.Clinical Course of Campylobacter Meningitis Table 1 Case 1.E.H.
Key words: Campylobacter fetus,meningitis Fig.1 Case 1,E.H.Clinical Course of Campylobacter Meningitis Table 1 Case 1.E.H. 273 昭 和61年3月20日 Table 2 Case 2.T.N. Fig.3 Case2,T.N.Clinical Campylobacter Fig.2
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32 2008 pp. 93 106 1 Received October 30, 2008 The purpose of this study is to examine the effects of aerobics training class on weight loss for female students in HOKURIKU UNIVERSITY. Seventy four female
Table 1 ICHs in young adults Table 2 Five cases of undetermined etiology
Table 1 ICHs in young adults Table 2 Five cases of undetermined etiology 神 1 1. left : in the right ted MRI, callosum. parietal. right : ICH in 保 洋 之 他 ICHs 4 Ti-weighthe 1. left: rrhagic corpus infarction
8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio
7-14 2010 1 1 1 2 1 1 1 2 Fontaine II ASO61 3 API ASO ASO ASO API API KKKKKKKKKK ASO Fontaine II API Received April 14, 2009; Accepted July 16, 2009 I arteriosclerosis obliterans: ASO ASO 50 70 1,2 Fontaine
1) Barat, I. u. Wagner, R.: Brauer, Beitrage Zur Klinik der Tub., Bd. 71 (1929) 2) Warnecke, F.: Zeitschr. f. Tbk. Bd. 54 (1929) 3) Leoni, Alfonso: Zbl. f. g. Tbk. Forsch. Bd. 33 (1930) 4) Jalavisto, Eva
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55 1 18 Bull. Nara Univ. Educ., Vol. 55, No.1 (Cult. & Soc.), 2006 165 2002 * 18 Collaboration Between a School Athletic Club and a Community Sports Club A Case Study of SOLESTRELLA NARA 2002 Rie TAKAMURA
1) Delbet P: Retrocissement du choledoque. Cholecysto-duodenostomie. Bull Mem Soc Nat Chir 50: 1144-1146, 1924 2) Wiesner RH, LaRusso NF: Clinicopathologic Features of the Syndrome of Primary Sclerosing
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2015 28 1 89 93 CT C3 Tb PCR XP WBC 7 600/mm 3 CRP 4 08mg/dl MRI MRI CT MRI WBC 9 700/mm 3 CRP 6 09mg/dl CT C3 C2 C7 low density area CT 89 28 1 1a 1b 2 MRI T2 3 CT C3 N95 N95 6ml 90 28 1 4 CT C2 C7 low
CHEMOTHERAPY APRIL 1992 VOL. 40 S- 1 Table 1-1. Comparative in vitro activity of meropenem against clinical isolates CNS: coagulase-negative staphylococci CHEMOTHERAPY APRIL 1992 Table 1-2. Comparative
Title 病 理 診 断 アトラス(6) : 循 環 器 系 2: 血 管 - 動 脈 硬 化, 動 脈 瘤,マ ルファン 症 候 群 Author(s) 澤 田, 達 男 ; 遠 井, 素 乃 ; 小 林, 槇 雄 Journal 東 京 女 子 医 科 大 学 雑 誌, 77(9/10):480-486, 2007 URL http://hdl.handle.net/10470/27606 Twinkle:Tokyo
国土技術政策総合研究所 研究資料
ISSN TECHNICAL NOTE of National Institute for Land and Infrastructure Management No256 September 2005 Experimental Study on Seismic Behavior of Seawalls for Controlled Waste Disposal Shingo KANO, Katsuya
STUDIES ON THE RELATION BETWEEN LATE DUMPING SYNDROME AND GLUCAGON RESPONCES TO GLUCOSE Taisuke MATSUI The First Department of Surgery, Nara Medical U
STUDIES ON THE RELATION BETWEEN LATE DUMPING SYNDROME AND GLUCAGON RESPONCES TO GLUCOSE Taisuke MATSUI The First Department of Surgery, Nara Medical University, Kashihara (Director: Prof. H. Nakano) This
Table 1 Distribution of CF antibody titers against Chlamydia psittaci among imported birds
Key words: Chlamydiosis, Imported birds, CF and HI test, Pathological study Table 1 Distribution of CF antibody titers against Chlamydia psittaci among imported birds Table 2 Distribution of HI antibody
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CHEMOTHERAPY Fig. 1 Body weight changes of pregnant mice treated orally with AM- 715 Day of sestation
CHEMOTHERAPY CHEMOTHERAPY Fig. 1 Body weight changes of pregnant mice treated orally with AM- 715 Day of sestation CHEMOTHERAPY Table 1 Preliminaly test of AM- 715 1): Mean } SD *: Significant difference
400 46 THE JAPANESE JOURNAL OF ANTIBIOTICS 65 6 Dec. 2012 LVFX 100 mg 3 / 7 150 mg 2 / 7 2 2006 2008 9 LVFX PK PD 2009 7 100 mg 1 3 500 mg 1 1 AUC/MIC
Dec. 2012 THE JAPANESE JOURNAL OF ANTIBIOTICS 65 6 399 45 2012 11 5 LVFX 500 mg 1 1 20 Chlamydia trachomatis C. trachomatismycoplasma genitalium M. genitalium LVFX 1 500 mg 1 1 7 22 22 C. trachomatis 17
A Study on the Influence of the Fluctuation of Source Voltage during Spot Welding on the Strength of Weld* By Tatsuya Hashimoto** Kinzi Tanuma** Abstr
A Study on the Influence of the Fluctuation of Source Voltage during Spot Welding on the Strength of Weld* By Tatsuya Hashimoto** Kinzi Tanuma** Abstract It is well known that even a-slight fluctuation
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The Journal of the Japan Academy of Nursing Administration and Policies Vol 9, No 2, pp 3140, 2006 原著 看護師の内服与薬業務における 確認エラー に関する検討 Study of Confirmation Errors for Internal Use by Nurses 濱田康代 1) 田口大介 2)
Clustering in Time and Periodicity of Strong Earthquakes in Tokyo Masami OKADA Kobe Marine Observatory (Received on March 30, 1977) The clustering in time and periodicity of earthquake occurrence are investigated
A study on thyroid function in patients on chronic dialysis Masahumi Kikkawa, Issei Tanaka, Naoki Haruta, Takao Hinoi, Tamaki Nakatani, Kazuaki Miyamo
A study on thyroid function in patients on chronic dialysis Masahumi Kikkawa, Issei Tanaka, Naoki Haruta, Takao Hinoi, Tamaki Nakatani, Kazuaki Miyamoto Artifical Kidney Center, Hiroshima Prefectural Hiroshima
Table 1.Distribution and number of cases with acute upper respiratory tract infections classified according to antimicrobial agents administered Table 2. Distribution of cases which were enrolled to set
Title 神経因性膀胱にともなう排尿障害に対する塩酸ブナゾシンの臨床効果 - 二重盲検比較試験による検討 - 小柳, 知彦 ; 富樫, 正樹 ; 丸, 彰夫 ; 折笠, 精一 ; 相馬, Author(s) 崎, 淳 ; 安田, 耕作 ; 阿曽, 佳郎 ; 本問, 之夫 ; 三宅, 弘厚生 ; 熊
Title 神経因性膀胱にともなう排尿障害に対する塩酸ブナゾシンの臨床効果 - 二重盲検比較試験による検討 - 小柳, 知彦 ; 富樫, 正樹 ; 丸, 彰夫 ; 折笠, 精一 ; 相馬, Author(s) 崎, 淳 ; 安田, 耕作 ; 阿曽, 佳郎 ; 本問, 之夫 ; 三宅, 弘厚生 ; 熊澤, 淨一 ; 武井, 実根雄 Citation 泌尿器科紀要 (1990), 36(10): 1233-1252
11) Kumar, R., et al.: Lancet, 1 : 90, 1973. 12) Baek, S. M., et al.: Ann. Surg., 177: 253, 1973. 13) Beak, S. M., et al.: Ann. Surg., 178 : 605, 1978. 14) Beak, S. M., et al.: Surgery, 77: 632, 1975.
THE JAPANESE JOURNAL OF PERSONALITY 2007, Vol. 15 No. 2, 217–227
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Mikio Yamamoto: Dynamical Measurement of the E-effect in Iron-Cobalt Alloys. The AE-effect (change in Young's modulus of elasticity with magnetization
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AUTONOMIC FUNCTIONAL STATE IN RENAL TUBERCULOSIS REPORT III. SERUM CHOLINESTERASE ACTIVITY IN RENAL TUBERCULOSIS Sanai Yamamura The Department of Urol
AUTONOMIC FUNCTIONAL STATE IN RENAL TUBERCULOSIS REPORT III. SERUM CHOLINESTERASE ACTIVITY IN RENAL TUBERCULOSIS Sanai Yamamura The Department of Urology, Kumamoto University College of Medicine (Director:
Key words: E. coli O 157: H7, fosfomycin, verotoxin, mouse infection
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Key words : influenza, nested-pcr, serotype
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Fig. 1 Distribution of department stores in the Tokyo Metropolitan Area (1998) Fig. 2 Cluster structure Table 2 Average factor scores for cluster analysis Table 3 Average attributes for store clusters
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The Daoist Ritual Concerning Those Who Committed Suicide by Hanging Himself and Its Regional Differences in Taiwan: Focusing on a Comparison between Gaoxiong-Pingdong Region and Tainan Region YAMADA Akihiro
1) Tatelman M: The angiographic evaluation of cerebral arteriosclerosis. Radiology 70: 801-810, 1958. 2) Elkeles A: A comparative study of calcified 8) Limpert JD, Vogelzang RL, Yao JST: Computed tomography
社会学部紀要 １１８号☆／６．藤原
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191252005.2 19 *1 *2 *3 19562000 45 10 10 Abstract A review of annual change in leading rice varieties for the 45 years between 1956 and 2000 in Japan yielded 10 leading varieties of non-glutinous lowland
Fig. 1 A: Effects of intramuscular injection of glucagon on the blood glucose levels (changes from basal, ƒ BG) as compared with effects of scopolamin
Fig. 1 A: Effects of intramuscular injection of glucagon on the blood glucose levels (changes from basal, ƒ BG) as compared with effects of scopolamine butylbromide during upper gastrointestinal endoscopy.
SUMMARY This paper evaluates the livelihood recovery programs in the affected area of the Great East Japan Earthquake disasters, conducted by NPO/NGOs, private companies and governments. This was the first
1) University Group Diabetes Program: A study of hypoglycemic agents on vascular complica- in patients with adult-onset tions diabetes. I. Design, methods and baseline results. Diabetes 19 (suppl. 2):
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百人一首かるた選手の競技時の脳の情報処理に関する研究
Mem. Faculty. B. O. S. T. Kinki University No. 24 : 33 43 (2009) 33 34 Memoirs of The Faculty of B. O. S. T. of Kinki University No. 24 (2009) になる 音 の 先 頭 ゆら 平 均 30~ 羽 田 後 に 取 り 札 を 認 識 していることを 見 出 した0
Changes in Electrodermal Activity Associated with Candies and Chewing Gum Chewing Satoshi Beppu, Takeshi Morita*, Susumu Igarashi **, Kanichi Seto* an
Changes in Electrodermal Activity Associated with Candies and Chewing Gum Chewing Satoshi Beppu, Takeshi Morita*, Susumu Igarashi **, Kanichi Seto* and Yosihiro Amemiya Abstract: This study was designed
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Research in Higher Education - Daigaku Ronshu No.24 (March 1995) 77 A Study of the Process of Establishing the Student Stipend System in the Early Years of the PRC Yutaka Otsuka* This paper aims at explicating
Title 歯性病巣の関連する皮膚疾患におけるビオチンの効用 Author(s) 高橋, 愼一 ; 川島, 淳子 ; 森本, 光明 ; 山根, 源之 Journal, (): - URL Right Posted at the Inst
Title 歯性病巣の関連する皮膚疾患におけるビオチンの効用 Author(s) 高橋, 愼一 ; 川島, 淳子 ; 森本, 光明 ; 山根, 源之 Journal, (): - URL http://hdl.handle.net/10130/526 Right Posted at the Institutional Resources for Unique Colle Available from