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臨床外科77巻12号

2022年11月発行

文献概要

特集 外科医必携 緊急対応が必要な大腸疾患 緊急対応が必要な良性疾患

感染性大腸炎—劇症型アメーバ性大腸炎,劇症型クロストリジウム感染症

著者: 金子由香1 大森鉄平2 鬼塚裕美3 前田文1 谷公孝1 中川了輔1 腰野蔵人1 近藤宏佳1 隈本力1 番場嘉子1 小川真平1 井上雄志1 山口茂樹1 板橋道朗1

所属機関: 1東京女子医科大学外科学消化器・一般外科 2東京女子医科大学消化器内科 3東京女子医科大学人体病理学

ページ範囲:P.1319 - P.1328

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【ポイント】
◆下痢・腹痛が遷延する場合,感染が背景にないか疑いの目を向ける.
◆偽陰性に注意.
◆手術のタイミングを逸しないようにする.

参考文献

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3)Haque R, Huston CD, Hughes M, et al:Amebiasis. N Engl J Med 348:1565-1573, 2003
4)Takahashi T, Gamboa-Dominguez A, Gomez-Mendez TJ, et al:Fulminant amebic colitis:analysis of 55 cases. Dis Colon Rectum 40:1362-1367, 1997
5)Okamoto M, Kawabe T, Ohata K, et al:Amebic colitis in asymptomatic subjects with positive fecal occult blood test results:clinical features different from symptomatic cases. Am J Trop Med Hyg 73:934-935, 2005
6)Chaturvedi R, Gupte PA, Joshi AS:Fulminant amoebic colitis:a clinicopathological study of 30 cases. Postgrad Med J 91:200-205, 2015
7)Shirley DA, Moonah S:Fulminant amebic colitis after corticosteroid therapy:a systematic review. PLoS Negl Trop Dis 10:e0004879, 2016
8)Ortiz-Castillo F, Salinas-Aragón LE, Sánchez-Aguilar M, et al:Amoebic toxic colitis:analysis of factors related to mortality. Pathog Glob Health 106:245-248, 2012
9)武藤頼彦,渡辺義二,丸山尚嗣,他:劇症型腸アメーバ症の1救命例.日臨外会誌69:1134-1139,2008
10)速水 克,藤井昭芳,松本匡浩,他:穿孔をきたした劇症型アメーバ性大腸炎の1例.日臨外会誌70:2408-2415,2009
11)Bartlett JG:Clinical practice. Antibiotic-associated diarrhea. N Engl J Med 346:334-339, 2002
12)Olson MM, Shanholtzer CJ, Lee JT Jr, et al:Ten years of prospective Clostridium difficile-associated disease surveillance and treatment at the Minneapolis VA Medical Center, 1982-1991. Infect Control Hosp Epidemiol 15:371-381, 1994
13)Kyne L, Warny M, Qamar A, et al:Association between antibody response to toxin A and protection against recurrent Clostridium difficile diarrhoea. Lancet 357:189-193, 2001
14)Moshkowitz M, Ben Baruch E, Kline Z, et al:Clinical manifestations and outcome of Pseudomembranous colitis in an elderly population in Israel. Isr Med Assoc J 6:201-204, 2004
15)Pépin J, Valiquette L, Alary ME, et al:Clostridium difficile-associated diarrhea in a region of Quebec from 1991 to 2003:a changing pattern of disease severity. CMAJ 171:466-472, 2004
感染症診療ガイドライン.2018
17)稲松孝思:抗菌剤投与による下痢症に関する研究 Clostridium difficile腸炎の大腸内視鏡診断を中心に.十全医会誌98:674-685,1989
18)Zar FA, Bakkanagari SR, Moorthi KMLST, et al:A comparison of vancomycin and metronidazole for the treatment of Clostridium difficile-associated diarrhea, stratified by disease severity. Clin Infect Dis 45:302-307, 2007
19)三鴨廣繁,中村 敦:Clostridium difficile感染症(CDI)に関する重症度判定基準の試み.嫌気性菌感染症誌47:41-42,2017
20)Adams SD, Mercer DW:Fulminant Clostridium difficile colitis. Curr Opin Crit Care 13:450-455, 2007
21)Lamontagne F, Labbe AC, Haeck O, et al:Impact of emergency colectomy on survival of patients with fulminant Clostridium difficile colitis during an epidemic caused by a hypervirulent strain. Ann Surg 245:267-272, 2007
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掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

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