Manri Kawakami
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View article: Recent decline in hepatitis E virus prevalence among wild boars in Japan: Probably due to countermeasures implemented in response to outbreaks of classical swine fever virus infection
Recent decline in hepatitis E virus prevalence among wild boars in Japan: Probably due to countermeasures implemented in response to outbreaks of classical swine fever virus infection Open
Previous studies have emphasized the necessity of surveillance and control measures for hepatitis E virus (HEV) infection in wild boars, an important reservoir of HEV. To assess the current situation of HEV infection in wild boars in Japan…
View article: Successful Recovery from Severe Fever with Thrombocytopenia Syndrome and Hemophagocytic Lymphohistiocytosis with Standard Treatment and a Calcium Channel Blocker of Nicardipine Hydrochloride
Successful Recovery from Severe Fever with Thrombocytopenia Syndrome and Hemophagocytic Lymphohistiocytosis with Standard Treatment and a Calcium Channel Blocker of Nicardipine Hydrochloride Open
A 67-year-old man was admitted to our hospital with a high fever. Laboratory tests revealed leukopenia, thrombocytopenia, liver dysfunction, rhabdomyolysis, and hyperferritinemia. He was diagnosed with severe fever with thrombocytopenia sy…
View article: A Case of Human Granulocytic Anaplasmosis Suspected to be Complicated by Cholangitis
A Case of Human Granulocytic Anaplasmosis Suspected to be Complicated by Cholangitis Open
Human granulocytic anaplasmosis is a febrile illness caused by Anaplasma phagocytophilum, an intracellular bacterium transmitted by ticks that is mainly prevalent in the United States and Europe. Five cases have been reported from Japan. A…
View article: Effectiveness of hepatitis virus tests with on-site results in identifying middle-aged individuals with latent viral hepatitis
Effectiveness of hepatitis virus tests with on-site results in identifying middle-aged individuals with latent viral hepatitis Open
当院病院健康フェア（フェア）で肝炎ウイルス検査受検勧奨イベントを企画した．2018年は参加者に肝炎啓発リーフレットを配布し検査勧奨と案内を行った．後日希望者15人が外来受診した（参加者の0.8%）．2019年は当日受検し結果説明も聞けるよう工夫したところ希望者が70人に増えた（参加者の7%，P＜0.0001）．受検者は2018年11人（0.6%）に対し2019年は40人（4%）で有意に増加し（P＜0.0001），年代別では60歳以上が3倍に増加し，30～50歳代は18.7倍…
View article: A Recovered Case of Japanese Spotted Fever with Supportive Treatment Only
A Recovered Case of Japanese Spotted Fever with Supportive Treatment Only Open
We report herein on a case of a 71-year-old female who recovered from Japanese spotted fever (JSF) without tetracycline (TC) treatment. In late September 2015, she suffered from a high fever of 38℃ and appetite loss after mountain hiking. …
View article: Orthodontic Management of Patient with Marfan Syndrome - Case Report and Review of the Literature
Orthodontic Management of Patient with Marfan Syndrome - Case Report and Review of the Literature Open
Marfan syndrome (MFS) is a type of connective tissue disorder caused by a mutation of the fibrillin gene and increased TGF-β in tissues. This disorder leads to connective tissue fragility, with such clinical manifestations as slender finge…
View article: Detection of <i>Rickettsia japonica</i>―DNA from Blood Crust Forming After the Eschar Biopsy in a Case of Japanese Spotted Fever
Detection of <i>Rickettsia japonica</i>―DNA from Blood Crust Forming After the Eschar Biopsy in a Case of Japanese Spotted Fever Open
We report herein on the case of a 54-year-old Japanese male diagnosed as having Rickettsia disease based on the detection of Rickettsia japonica in the blood crust from the biopsy scar of an eschar. In late September 2016, the patient suff…
View article: A case of hepatitis E virus infection in a patient with primary biliary cholangitis
A case of hepatitis E virus infection in a patient with primary biliary cholangitis Open
症例は68歳,男性.発症1年前に腹腔鏡下肝生検にて原発性胆汁性胆管炎(PBC)と診断,以後ウルソデオキシコール酸(UDCA)600 mg,ベザフィブラート200 mg内服により経過観察していた.経過中,発熱と全身倦怠感が出現.黄疸と肝酵素上昇も認めたため,PBCの進展が疑われ当科紹介入院した.海外渡航歴,明らかな生肉の摂取歴は無かった.入院時の血液検査にて肝障害と異型リンパ球を認め,ウイルス性肝炎の合併を考え,補液,肝庇護剤にて経過観察としたところ,黄疸はやや遷延したものの…