This study examined the barriers to writing case reports among Japanese physicians who participated in a web series titled "Let's Write Case Report! What you need do be Accepted" and explored differences these based on physicians' years of experience. The design was cross-sectional nature. Throughout August November 2020, respondents sessions. Using an 11-point scale, from -5 (not barrier at all) 0 (neither) 5 (very much barrier), 16 items interrogated which elements could report writing....

We report a case of pseudo-renal failure caused by urinary ascites due to spontaneous bladder rupture following transurethral resection tumour (TUR-BT). A 63-year-old man presented with 2 months abdominal distension ascites. Laboratory findings showed elevated serum creatinine and hyperkalaemia. Peritoneal fluid urea, potassium levels were greater than those in levels. CT scan partial wall thinning the wall, cystography indicated fragility dome where latest TUR-BT was performed. Pseudo-renal...

A 63-year-old woman with a history of type 1 diabetes mellitus and IgA nephropathy, on maintenance dialysis for 10 years, presented exertional dyspnea week’s duration bloody sputum since the previous day. On day admission, patient had awoken clouding consciousness; she was brought to emergency outpatient department by ambulance. …

Infection by Enterococcus durans (E. durans) is very rare; reported cases are often preceded therapy or an immunosuppressed state, including infective endocarditis, urinary tract infection, wound infection. A few of endocarditis exist, with no reports describing involvement blood access The patient 83-year-old man who had been undergoing hemodialysis for 8 years due to renal failure caused diabetic nephropathy. He developed and infection/infective aneurysm durans; these conditions were...

Abstract Aim To investigate the items that are considered by physicians when making decisions regarding resumption of oral intake among patients with aspiration pneumonia who have undergone short‐term fasting. Methods We surveyed 2490 Japanese hospitals had internal medicine and respiratory departments. mailed questionnaires contained 24 related to after head department at each hospital. Cronbach statistics, principal component analysis cluster were used analyze results. Results received...

Background . Tuberculous peritonitis is difficult to diagnose due its varying clinical features, in addition the low yield on bacterial culture or polymerase chain reaction using ascitic fluid samples. This study aimed investigate sensitivity and specificity of elevated adenosine deaminase (ADA) levels as a diagnostic marker for tuberculous peritonitis. Methods A retrospective cohort 181 adult patients who underwent ADA level examination at Jichi Medical University Hospital between January...

Abstract Background Infectious mononucleosis due to the Epstein–Barr virus is an infectious disease that causes appearance of atypical lymphocytes in peripheral blood; it mainly presents with fever, tonsillar pharyngitis, and lymphadenopathy. In addition hepatitis, splenomegaly, rashes, can involve different organs. Here, a case epididymitis as rare complication patient virus-associated was reported. Case presentation A healthy 23-year-old man visited outpatient clinic fever pharyngitis....

Pyomyositis is typically caused by Staphylococcus aureus, and rare in temperate climates, although its prevalence has been recently increasing. This infection often involves the thigh, associated with immunodeficiency.We report case of a healthy 20-year-old Japanese woman who experienced fever continuous pain for several days. She was admitted to our hospital diagnosed pyomyositis after we discovered an abscess between muscles her dorsal distal left thigh using computed tomography....

In Japan, aspiration pneumonia is common among the elderly and patients are often treated by temporary discontinuation of meals. However, there few published studies on fasting duration for treatment. Therefore, we conducted present study to assess opinions clinicians regarding treatment with actual medical practice regard oral ingestion in hospitalized pneumonia. We targeted hospitals internal medicine respiratory departments across Japan. A questionnaire was mailed physicians treating at...

Abstract A 93-year-old woman with neurogenic bladder was admitted to our hospital because of impaired consciousness. Her urine culture revealed urease-test-positive Corynebacterium urealyticum. She diagnosed hyperammonemia due an obstructive urinary tract infection that caused by urease-producing bacteria. The patient showed rapid improvement consciousness and after analysis. It is necessary consider as a differential diagnosis hyperammonemia, which commonly occurs in infections owing the...

Purpose: To assess the factors involved in oral intake discontinuation elderly patients with recurrent aspiration pneumonia. Patients and methods: This study included pneumonia who were treated at Jichi Medical University Hospital between 2007 2013, Toyooka Public 2011 2013 Yuzawa Community Center 2010 2012. We consecutively enrolled The primary point was after initiation of during hospitalization cases aspiration. Various parameters recorded admission, intake, hospitalization; these...

PRMT1, a major arginine methyltransferase, plays critical roles in transcription, DNA damage response, and cell proliferation. Although we have previously discovered the crucial of PRMT1 for oligodendrocyte lineage progression central nervous system neural stem cell-specific conditional knockout (PRMT1-CKO) mice, context other glial states that may cause hypomyelination phenotype PRMT1-CKO mice has not been explored so far. Here, performed RNA-seq neonatal cortices to reveal overall gene...

Abstract Background Breast tuberculosis, also known as tuberculous mastitis, is an extremely rare form of tuberculosis. It accounts for <0.1% all breast diseases and <2% cases often misdiagnosed cancer, which can potentially lead to a delayed diagnosis. Case presentation A 69-year-old Japanese woman presented with tumor-mimicking lesion in her right breast, followed by intractable mastitis fistula formation. The time until the correct diagnosis tuberculosis sternal bone was 14 months....

Abstract Objective This study aims to examine changes in patients’ perspectives and outlooks regarding the disease their health after hospitalization for COVID-19 investigate discrimination harassment experiences. prospective observational surveyed discharged patients who had been admitted Hyogo Prefectural Tamba Medical Center Japan COVID-19. Patient characteristics, outlook behaviors discharge, incidents of were examined. The was conducted two waves: March–June 2020 July–September 2020....

Meningitis retention syndrome (MRS) is a rare condition that presents with acute urinary as complication of aseptic meningitis. Cases MRS due to varicella zoster virus (VZV) infection without rash are rare. We report the case patient who had no signs meningitis or VZV infection, including rash.A 58-year-old man presented dysesthesia lower limbs and retention. He fever but was diagnosed have based on detection DNA in cerebrospinal fluid. responded satisfactorily course intravenous acyclovir...

Anasarca in patients with lymphoma is a rare symptom. We report patient DLBCL associated pituitary gland infiltration that was diagnosed based on significant anasarca.A 72-year-old woman 10-year history of hypertension visited local hospital presenting anasarca and 15-kg weight gain the past 3 months. we clinically central hypothyroidism caused by diffuse large B-cell (DLBCL) (clinical stage IV Ann Arbor staging classification). The first course chemotherapy improved remarkably patient's...

Varicella-zoster virus (VZV) generally causes chickenpox at first infection in childhood and then establishes latent the dorsal root ganglia of spinal cord or other nerves. Virus reactivation owing to an impaired immune system inflammation along nerves from affected segment, leading skin manifestations (herpes zoster). Viremia subsequent hematogenous transmission nerve axonal transport may lead meningitis, encephalitis, myelitis. One such case is described this study.A 64-year-old man...

Objective This study investigated the different learning effects achieved through a clinical reasoning lecture that was simultaneously conducted via two formats: one format involved in-person face-to-face instruction, whereas other provided remotely online instruction. The based on case presentation held at participating university in 2015. Methods We compared outcomes between abovementioned formats participants' responses. Data were obtained using questionnaires distributed to eligible...

A 47-year-old Japanese man presented with a history of having been bitten by mosquitoes, several years earlier in the Philippines, this resulted fever and rash which dissipated spontaneously. He had stayed Philippines for 3 weeks, 1 month prior to hospitalisation, was mosquitoes. 6 days systemic 3 days before consultation at our hospital. At …

Corpus cavernosum abscesses are rarely seen in the clinical setting. We report case of an early diagnosis corpus abscess due to a blind-ending urethra 60-year-old man without known risk factors and who was successfully treated by antibiotic therapy alone. In this case, after urinary diversion surgery considered factor formation. If physician notes that patient has fever uncertain cause surgery, he/she should examine penis perineum consideration possibility abscess.

We compared the quality of care for nursing- and healthcare-associated pneumonia (NHCAP) aspiration provided by general physicians pulmonologists.Questionnaires were mailed to 2490 medical facilities across Japan. The questionnaire assessed participants' implementation microbiological investigations NHCAP or pneumonia, as well steps taken prevent recurrence (eg, use discontinuation drugs associated with swallowing administration pneumococcal polysaccharides). Survey results statistically...

Cytomegalovirus (CMV) is reported to have thrombogenic characteristics that activate factor X in vitro and stimulate the production of VIII von Willebrand (vWF). Thrombosis associated with CMV infection prevalent among immunocompromised patients predominantly presents as a solitary large thrombus deep vein, pulmonary artery, splanchnic arteriovenous ducts, or other similar sites. Multiple thrombi, however, are rarely observed such cases. Here, we report about an immunocompetent man multiple...