Case of Recurrent Fever With Apparent Response to Antibiotic : Overcoming "CRP dependency"
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概要
- 論文の詳細を見る
A 23-year old female was referred to our clinic for intermittent fever occurring over a period of eight years. Every time she developed fever, blood examination revealed elevated leukocytes and C-reactive protein (CRP). Antibiotics were always given based on elevated CRP with apparent improvement. However, the pattern of periodicity with absence of symptoms in between suggested periodic fever syndrome, particularly Familial Mediterranean Fever (FMF), which was later confirmed by mutation analysis. In Japan there is a tendency to use antibiotics solely based on "elevated CRP"; however, careful review of patient history is essential to identify FMF while avoiding the use of unnecessary antibiotics.
- 日本総合診療医学会の論文
- 2011-06-01
著者
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Oka Hideaki
Department Of Internal Medicine And Clinical Immunology Yokohama City University Graduate School Of
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Ohji Goh
Department Of Gastroenterology Kanebo Memorial Hospital
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Toma Tomoko
Department Of Angiogenesis And Vascular Development School Of Medicine Kanazawa University
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Yachie Akihiro
Department Of Angiogenesis And Vascular Development School Of Medicine Kanazawa University
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Iwata Kentaro
Department Of Infectious Diseases Kobe University Hospital
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Ohji Goh
Department Of Infectious Diseases Kobe University Hospital
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IGARASHI Wataru
Department of Infectious Diseases, Kobe University Hospital
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KITAMURA Tatsuyoshi
Department of General Internal Medicine, Kobe University Hospital
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OBA Yuichiro
Department of Infectious Diseases, Kobe University Hospital
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Oba Yuichiro
Department Of Infectious Diseases Kobe University Hospital
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Kitamura Tatsuyoshi
Department Of General Internal Medicine Kobe University Hospital
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Igarashi Wataru
Department Of Infectious Diseases Kobe University Hospital
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Toma Tomoko
Department Of Pediatrics Graduate School Of Medical Science And School Of Medicine Kanazawa Universi
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Oka Hideaki
Department Of Infectious Diseases Kobe University Hospital
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OKA Hideaki
Department of General Medicine, Kanto Rosai Hospital
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Oka Hideaki
Department of General Internal Medicine, Kanto Rosai Hospital
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Oba Yuichiro
Department of General Medicine, Osaka General Medical Center
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