Item type |
琉球大学リポジトリ登録用アイテムタイプ(1) |
公開日 |
2022-12-06 |
タイトル |
|
|
タイトル |
特発性直腸穿孔術後に発症した悪性症候群の 1 例 |
|
言語 |
ja |
タイトル |
|
|
タイトル |
A case of postoperative neuroleptic malignant syndrome in a patient with idiopathic perforation of the rectum |
|
言語 |
en |
作成者 |
平良, 勝己
中山, 正彦
比嘉, 昇
玉木, 正人
上里, 忠興
|
アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
neuroleptic malignant syndrome |
主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
antipsychotics |
主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
peritonitis |
内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
The patient was a 47-year-old woman, who was receiving oral medication for schizophrenia and hyperthyroidism. She was diagnosed as generalized peritonitis associated with idiopathic rectal perforation and underwent the Hartmannʼs procedure. She exhibited a fever of 40℃, muscle rigidity, hypomimia, profuse sweating, and tachycardia of 130 beats / min from the 8th day of illness. Exacerbation of peritonitis was suspected, and antibiotics were administered, but no improvements were observed. Neuroleptic malignant syndrome was suspected due to a rise in creatine phosphokinase(CPK)and the suspension of orally administered antipsychotics. Upon administration of dantrolene sodium from the 10th day of illness, the patientʼs fever decreased to 36℃, and she showed improvement in general condition by the 16th day of illness. It was difficult to distinguish between residual abscesses after generalized peritonitis and neuroleptic malignant syndrome as the cause of persistent fever. However, we report on this case, with some literature review, since the patient experienced malignant syndrome, which developed after idiopathic rectal perforation, that was treated by the use of dantrolene sodium. |
|
言語 |
en |
出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
言語 |
|
|
言語 |
jpn |
資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
収録物識別子 |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
1346-888X |
収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
書誌情報 |
巻 40,
号 1-4,
p. 47-53,
発行日 2021-10
|