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Volume 63, Issue 3
Displaying 1-6 of 6 articles from this issue
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Original Article
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Michio TOMIYAMA2017 Volume 63 Issue 3 Pages 73-80
Published: May 20, 2017
Released on J-STAGE: May 21, 2018
JOURNAL FREE ACCESSWe retrospectively examined the correlation of the acute nasopharyngitis score (based on the criteria proposed in 2011) with the white blood cell (WBC) count and c-reactive protein (CRP) level, which are indices of the severity of bacterial infection. The study population included 265 patients with acute nasopharyngitis who were examined in this hospital from 2015 to 2016. Their nasopharyngitis scores were positively correlated with their WBC counts and CRP levels. Mild, moderate, and severe nasopharyngitis were defined by scores of 0-3, 4-8, and 9-10, respectively. The patients’ WBC counts and CRP levels were analyzed irrespective of the severity. Patients who had mild, moderate, and severe nasopharyngitis had significantly different WBC counts and CRP levels. The classification of severity based on the nasopharyngitis score was therefore shown to accurately reflect the severity of acute nasopharyngitis. Thus, the nasopharyngitis score is a useful index that can be applied in the selection of treatment for acute nasopharyngitis.View full abstractDownload PDF (17839K) -
Asako KISHIMOTO, Chiyonori INO, Motoko INO, Kazuya OTSU, Masahiro TAN ...2017 Volume 63 Issue 3 Pages 81-87
Published: May 20, 2017
Released on J-STAGE: May 21, 2018
JOURNAL FREE ACCESSFissures are often found in the lower lip. The median deepest and longest fissure, which is referred to as the median fissure of the lower lip, is found in approximately 50% of all people. The fissures seem to make it easy to perform the accordion movement of the lower lip to right and left. We hypothesize that the median fissure is deepest because it is subjected to the greatest amount of tension. In cases in which the mucosa of the lower lip becomes weak or in which tension to both sides becomes strong, a crack occurs ; this may lead to the development of inflammation. Microbiological examinations of 24 cases that presented inflammation of the median fissure, revealed Staphylococcus in 54.2%(most frequent) of the cases and MRSA in 20.8% of the cases (not rare). The other bacteria were considered to be part of the oral flora. Their detection rates were much lower；no bacteria were detected in 16.7% of the cases. This seems to be a big feature of median fissure of the lower lip. In contrast, there were no cases of angular cheilitis or inflammation of the nasal vestibule in which no bacteria were detected. Medical treatment is not always necessary, because cases in which bacteria were not detected were not rare. However, we should keep in mind the fact that MRSA was detected in one in five cases in involving inflammation of the median fissure of the lower lip.View full abstractDownload PDF (6593K)
Case Report
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Tomoya MIURA, Kyoshi HANATA, Atsushi MATSUBARA2017 Volume 63 Issue 3 Pages 88-92
Published: May 20, 2017
Released on J-STAGE: May 21, 2018
JOURNAL FREE ACCESSWe herein report a case of complex odontoma arising in the maxillary sinus. A 61-year-old woman visited our hospital with a chief complaint of pain in her right buccal region, and post-nasal discharge. Computed tomography showed a huge high density mass on the posteroinferior side of the right maxillary sinus and soft tissue density on the upper side of the maxillary sinus, which was thought to reflect maxillary sinusitis. The mass was surgically removed under endoscopic assistance using the Caldwell-Luc procedure and endoscopic surgery was performed to repair the maxillary sinus. The pathological diagnosis was a complex odontoma associated with chronic sinusitis. The patient is doing well at approximately 1 year after surgery.
View full abstractDownload PDF (3354K) -
Michio TOMIYAMA2017 Volume 63 Issue 3 Pages 93-97
Published: May 20, 2017
Released on J-STAGE: May 21, 2018
JOURNAL FREE ACCESSA 35-year-old woman presented with a fever of 39.5°C and chief complaints of a headache and pharyngeal pain that made eating difficult. The oropharynx showed no signs of inflammation, but nasopharyngoscopy revealed pus throughout the nasopharynx. The patient's family history revealed that her one-year-old son had been treated for a respiratory syncytial virus (RSV) infection at our hospital seven days prior to her examination. A rapid diagnosis of a nasopharyngeal fluid swab was positive for RSV. A blood test revealed strong inflammatory reactions, with a leukocyte count of 16,000/μℓ (82.1% neutrophils) and a CRP level of 12.1 mg/dℓ. Pus from the nasopharynx tested positive (3+) for Moraxella catarrhalis. The patient was diagnosed with an RSV infection complicated by a severe bacterial infection of the nasopharynx. Outpatient intravenous (IV) antibacterial therapy was indicated, so 2 g/day intravenous ceftriaxone was administered for 3 days. The fever subsided after IV antibiotic therapy, and the patient recovered after receiving 400mg garenoxacin once per day for 5 days. This case underscores the importance of inquiring about family history when treating acute nasopharyngitis, and that an RSV infection should be considered when making a differential diagnosis.View full abstractDownload PDF (8667K) -
Yuichi SHINZATO, Mika OZAKI, Moriyasu YAMAUCHI, Shingo URATA2017 Volume 63 Issue 3 Pages 98-104
Published: May 20, 2017
Released on J-STAGE: May 21, 2018
JOURNAL FREE ACCESSAngioimmunoblastic T-cell lymphoma (AITL) is a rare subtype of peripheral T-cell lymphoma. Patients usually present with the acute onset of a systemic illness. We herein report a case of AITL mimicking acute tonsillitis with a prolonged clinical course. A 75-year-old woman was referred to our hospital because of a long-lasting fever and a sore throat. Epiglottic edema was also observed. She had been treated for acute tonsillitis for about a month because of bilateral tonsillar exudates, but treatment with the intravenous injection of antibiotics and steroids had had no effect. Enhanced computed tomography confirmed systemic lymph node swelling, and a biopsy of the left inguinal region was performed on the fourth day. Intraabdominal hemorrhaging began abruptly on the sixth day, and blood transfusion was performed. She was referred to a hospital with a hematology department on the seventh day. A diagnosis of malignant lymphoma was made shortly after the biopsy, but a diagnosis of AITL was made a month later. When antibiotic treatment of acute tonsillitis is not effective and the clinical course is prolonged, we must consider the existence of non-bacterial inflammation or neoplastic disease, such as malignant lymphoma.View full abstractDownload PDF (5921K)
Clinical Note
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[in Japanese]2017 Volume 63 Issue 3 Pages 106-109
Published: May 20, 2017
Released on J-STAGE: May 21, 2018
JOURNAL FREE ACCESSDownload PDF (18524K)
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