Pleuritis Caused by Campylobacter jejuni subspecies jejuni in a Patient Undergoing Long-Term Hemodialysis
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概要
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A 73-year-old female hemodialysis patient experienced fever, shortness of breath on effort, and chest discomfort. A decrease in breath sounds in the right lung field, leukocytosis, elevated CRP level, and a right massive pleural effusion were observed. The patient was diagnosed with bacterial pleuritis based on leukocyte-predominant exudative pleural effusion, and treated with ceftriaxone. Her symptoms, however, were not improved, so thoracic drainage was attempted. Campylobacter species were isolated from cultured pleural fluid samples, and Campylobacter jejuni subspecies jejuni was detected on the multiplex PCR assay. The antibiotic was therefore changed to minocycline following pazufloxacin, and her symptoms were improved.
著者
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Ohkusu Kiyofumi
Department Of Microbiology Gifu University Graduate School Of Medicine
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Hirayama Kouichi
Department Of Internal Medicine Institute Of Clinical Medicine University Of Tsukuba
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NAGAI Miho
Department of Nephrology, Tokyo Medical University Ibaraki Medical Center
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Ohishi Tsuyoshi
Department Of Orthopaedic Surgery Enshu General Hospital
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Shimohata Homare
Department Of Nephrology Tokyo Medical University Ibaraki Medical Center
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KOBAYASHI Masaki
Department of Nephrology, Tokyo Medical University Ibaraki Medical Center
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Kobayashi Masaki
Department of Analytical Chemistry, Faculty of Pharmaceutical Sciences, Josai University
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Nagai Miho
Department of Biopharmaceutics, Kyoto Pharmaceutical University
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Ohishi Tsuyoshi
Department of Infection, Tokyo Medical University Ibaraki Medical Center
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