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Volume 57, Issue 1
Displaying 1-6 of 6 articles from this issue
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Original Article
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Kazuhiko KUBO, Eri YAMAGUCHI, Mitsuru OHASHI, Shumei SHIBATA, Chika UE ...2011 Volume 57 Issue 1 Pages 1-6
Published: 2011
Released on J-STAGE: January 01, 2012
JOURNAL FREE ACCESSRespiratory syncytial virus (RSV) infection is often associated with otitis media. The identification of factors by which a pediatrician can predict whether a patient has otitis media would be useful. We studied infant (< 1 year-old) patients with RSV infection who were admitted to Chidoribashi General Hospital from September in 2007 to August in 2009. Fifteen out of fifty-two patients had acute otitis media (AOM). Patients over 4 months of age had AOM more frequently than the younger patients. The white blood cell counts, the rate of neutrophils, and the level of C-reactive protein in the patients with AOM were not different from those without AOM, while the serum level of lactate dehydrogenase (LDH) in the former tended to be higher than that in the latter patients. The patients without Moraxella catarrharis in their nasopharynx tended to have AOM more frequently than the patients with the other microbacteria in their nasopharynx. These results suggest that it may be possible to identify the presence of AOM earlier, allowing for faster treatment in infant patients with RSV, by using the criterion of age (> 4 months old) and the serum LDH level.View full abstractDownload PDF (547K) -
Kyoko ODAGIRI, Masashi HAMADA, Masahiro IIDA, Ei-ichiro YAHAGI, Takash ...2011 Volume 57 Issue 1 Pages 7-12
Published: 2011
Released on J-STAGE: January 01, 2012
JOURNAL FREE ACCESSWe herein report a case of Ramsay Hunt syndrome with generalized herpes zoster, which is considered to be relatively rare. A 74-year-old male with a past history of diabetes mellitus and pancreatic carcinoma, demonstrated left aural vesicles occurring with a febrile attack. Within 24 hours of admission to the hospital, eruptions spread systemically and ipsilateral facial paralysis also developed. He was therefore diagnosed to have Ramsay Hunt syndrome. Since the grade of facial palsy was severe, 60 mg of predonisolone and 3,000 mg of valacyclovir were thus administered. Electroneuronography (ENoG), showed total denervation, and a rehabilitation program was therefore designed for the patient. His facial movement slowly recovered, and pathological synkinesis was thereafter observed. A serological examination showed a significant elevation in the anti-VZV immunoglobulin level. It is therefore important, but clinically difficult to differentiate generalized herpes zoster from a varicella-zoster virus (VZV) reinfection. Viremia following VZV reactivation might cause the onset of generalized herpetic eruptions. In addition, one of the factors for generalized herpes zoster is supposed to be an immunosuppressive condition based on such factors as a relatively old age, the past history of the diabetes mellitus and the pancreatic cancer. Considering the outcome of the present case, the question remains regarding whether or not high dose steroids and drip infusion of acyclovir should have been administered.View full abstractDownload PDF (758K) -
NaokiI SHOGAKI, Ko YOSHIKAWA, Kazunori MORI, Katsumi DOI, Hidetoshi HA ...2011 Volume 57 Issue 1 Pages 13-17
Published: 2011
Released on J-STAGE: January 01, 2012
JOURNAL FREE ACCESSEwing sarcoma is a relatively rare tumor that commonly occurs during childhood. The most common areas in which the disease occurs are the femur, ribs, and pelvis, and it rarely occurs in the head and neck areas. We experienced a case of Ewing sarcoma originating in the left upper jaw in a 34-year-old male. The patient received chemotherapy (VDC [ACT]-IE therapy), surgery, and radiation therapy. About two years have passed since the disease occurred, but the patient remains in remission without any signs of either local recurrence or distant metastasis.View full abstractDownload PDF (1063K) -
Naoki SHOGAKI, Daisuke MURAMOTO, Katsumi DOI, Masatomo KIMURA2011 Volume 57 Issue 1 Pages 18-23
Published: 2011
Released on J-STAGE: January 01, 2012
JOURNAL FREE ACCESSWe herein report two cases of allergic fungal rhinosinusitis due to Alternaria. Allergic fungal rhinosinusitis is a relatively rare disease, and unless the disease is suspected, even its pathological diagnosis is difficult. For the treatment of refractory fungal sinusitis with multiple relapses, it is important to take the existence of allergic fungal rhinosinusitis into account when making a differential diagnosis.View full abstractDownload PDF (941K) -
Hitomi HIGUCHI, Toshifumi SAKATA, Mayumi SUGAMURA, Takashi NAKAGAWA2011 Volume 57 Issue 1 Pages 24-30
Published: 2011
Released on J-STAGE: January 01, 2012
JOURNAL FREE ACCESSThe number of patients with mycosis of the paranasalsinuses is increasing due to the frequent administration of antibiotics and adrenal cortical steroids. We herein present a case report of sinonasal mucormycosis with intracranial and orbital extension which was treated successfully with the long term (- 6 months) use of systemic liposomal amphotericin B.View full abstractDownload PDF (1849K)
Clinical Note
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[in Japanese]2011 Volume 57 Issue 1 Pages 32-34
Published: 2011
Released on J-STAGE: January 01, 2012
JOURNAL FREE ACCESSDownload PDF (718K)
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