ID | 47087 |
フルテキストURL | |
タイトル(別表記) | Acute respiratory distress syndrome following infection of influenza A (H1N1) virus
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著者 |
谷口 暁
岡山大学病院 呼吸器・アレルギー内科
中原 淳
岡山大学病院 救急科
高田 三郎
岡山大学病院 呼吸器・アレルギー内科
佐久川 亮
岡山赤十字病院 呼吸器内科
長野 修
岡山大学病院 救急科
Kaken ID
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抄録 | A 28-year-old man with a history of mental retardation was admitted to our hospital because of dyspnea, cough and high fever. His SpO(2) level at room-environmental conditions was in the eighties, and his chest radiograph showed diffuse infiltrates in both lungs. He was diagnosed as suffering from influenza A by a rapid influenza virus antigen test. The echocardiogram showed no evidence of left cardiac failure; therefore, his symptoms were consistent with acute respiratory distress syndrome (ARDS). Oseltamivir was started, and antibiotics were also given because of the possibility of secondary bacterial infection. Due to respiratory failure and low blood pressure, which suggested septic shock, intensive treatments including mechanical ventilation were performed. Corticosteroid therapy was started for ARDS and sepsis, and these therapies improved his respiratory condition. Polymerase chain reaction of his pharyngeal swab revealed that he had influenza A (H1N1). This is the first case of ARDS following infection by influenza A (H1N1) virus in Japan.
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キーワード | インフルエンザ A (influenza A)
H1N1
急性呼吸促迫症候群 (acute respiratory distress syndrome)
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備考 | 症例報告 (Case Report)
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発行日 | 2011-12-01
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出版物タイトル |
岡山医学会雑誌
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出版物タイトル(別表記) | Journal of Okayama Medical Association
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巻 | 123巻
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号 | 3号
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出版者 | 岡山医学会
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出版者(別表記) | Okayama Medical Association
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開始ページ | 221
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終了ページ | 225
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ISSN | 0030-1558
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NCID | AN00032489
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資料タイプ |
学術雑誌論文
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関連URL | http://www.okayama-u.ac.jp/user/oma/
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言語 |
日本語
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著作権者 | Copyright (c) 2011 岡山医学会
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論文のバージョン | publisher
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査読 |
有り
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DOI | |
Eprints Journal Name | joma
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