- Antifungal resistance and susceptibility
- Fungal Infections and Studies
- Iron Metabolism and Disorders
- Hemoglobinopathies and Related Disorders
- Peptidase Inhibition and Analysis
- Erythropoietin and Anemia Treatment
- Pancreatic function and diabetes
- Respiratory viral infections research
- Parvovirus B19 Infection Studies
- Herpesvirus Infections and Treatments
- Plant Pathogens and Fungal Diseases
- Pneumonia and Respiratory Infections
- Anesthesia and Sedative Agents
- Oral microbiology and periodontitis research
- Diphtheria, Corynebacterium, and Tetanus
- Medical History and Innovations
- Mycobacterium research and diagnosis
- Mosquito-borne diseases and control
- Metabolism, Diabetes, and Cancer
- Viral Infections and Vectors
- Nosocomial Infections in ICU
- Trace Elements in Health
- Diabetes Treatment and Management
- Bacterial Identification and Susceptibility Testing
- Cytomegalovirus and herpesvirus research
Niigata University
2017-2024
Niigata University Medical and Dental Hospital
2019-2024
Background Presepsin is a widely recognized biomarker for sepsis. However, little known about the usefulness of presepsin in invasive fungal infection. The aim this study was to determine plasma levels bloodstream infections and investigate whether it reflects disease severity, similar its utility bacterial infections. Methods We prospectively measured samples from participants with fungemia April 2016 December 2017. associations C-reactive protein, procalcitonin, concentrations severity...
Background Each of the currently available (1→3)-β-D-glucan (BDG) measurement kits follows a different method and cut-off value. Comparisons diagnostic performance for invasive fungal infections (IFIs) are desirable. Additionally, ecological considerations becoming increasingly important in development new kits. Methods The plasma BDG levels clinical samples were measured using following kits: Fungitec G test MKII, ES, Fungitell, β-Glucan Wako, newly developed Wako kit (Wako-Eu). Wako-Eu...
The close relationship between infectious diseases and iron metabolism is well known, but a more detailed understanding based on current knowledge may provide new insights into the diagnosis treatment of diseases, considering growing threat antibiotic-resistant bacteria. This study investigated adult patients with bloodstream infections, temporal changes, relationships blood levels related markers, including hepcidin lipocalin-2 (LCN2). We included 144 samples from 48 (mean age 72 years, 50%...
Mycobacterium avium complex lung disease (MAC-LD) can deteriorate rapidly to become fatal. Reported poor prognostic factors include radiographic findings, undernutrition, anemia and high inflammation test values. However, the association of these with pathophysiology remains unknown. We aimed clarify MAC-LD develop a new biomarker that reflects immune response disease. performed cytokine panel analyses serum from patients compared each level clinically negative (radiographic type, body mass...
Aspergillus-specific antibodies are diagnostic indicators of allergic bronchopulmonary aspergillosis (ABPA) and chronic pulmonary (CPA). Tests for detecting were not used clinically in Japan, the production Aspergillus precipitin test was discontinued. Thus, alternative tests diagnosing urgently needed. We retrospectively evaluated 64 patients with suspected ABPA CPA who underwent antibody testing. Serum IgG levels measured compared using Bordier fumigatus ELISA Platelia (Bio-Rad) kits. Of...
Early intervention is imperative in cases of JSF due to its potentially fatal trajectory if diagnosed belatedly. should be contemplated the differential diagnosis when generalized purpura, accompanied by a pronounced inflammatory response, noted, even absence puncture wound.
[目的]静注用ヒト免疫グロブリン製剤(以下,IVIG 製剤)が,(1→3)-β-D グルカン(以下,β-D-グルカン)の測定結果に及ぼす影響を明らかにする.[方法]国内で使用可能なIVIG製剤7 種に含有されるβ-D-グルカン濃度を,各製剤3 ロットずつ(ファンギテックG テストMKII,以下MKII 法),β-グルカンテストワコー(以下ワコー法)を用い測定した.また,新潟大学医歯学総合病院で2012 年1月から2013 年12 月にかけてIVIG 製剤が使用され,その前後でβ-D-グルカンが測定されている成人例を対象に,β-D-グルカン値の挙動を検討した.[成績]IVIG 製剤ごとにβ-D-グルカン含有量は大きく異っていた(MKII 法:7.3~300 以上pg/mL,ワコー法:3.5 以下-288.8pg/mL)が,ロット間での違いは限定的であり,製造工程での混入が推定された.2 種類の測定キットによるβ-D-グルカン測定結果間の相関係数r は0.90 と一定の相関が見られた.調査の対象となった臨床検体51 例(年齢中央値64...
[目的]国内3種の(1→3)―β―D―グルカン(以下β―D―グルカン)測定試薬における測定結果と患者の臨床背景を比較し,深在性真菌症の診断における有用性および試薬間での測定結果の乖離,偽陽性の要因について評価する.[方法]新潟大学医歯学総合病院において2017年8月から2017年11月にかけてβ―D―グルカン検査が提出された患者を対象とし,測定残余血漿を用いて以下の3試薬について測定した.(1)ファンギテックGテストMKII「ニッスイ」(以下MKII法),(2)ファンギテックGテストES「ニッスイ」(以下ES法),(3)...
IntroductionThis study aimed to examine the factors associated with cytomegalovirus (CMV) antigenemia and time of onset CMV among patients rheumatic diseases.MethodsA single-center, retrospective, observational was conducted in our institution from January 2009 December 2017. This included diseases who had at least one antigen measurement. Multivariate analysis receiver operating characteristic performed.ResultsA total 249 underwent assay, 84 (33.7%) tested positive. When association between...
An outbreak of serotype 19A Streptococcus pneumoniae occurred among the residents a relief facility. Pneumonia developed in 5 99 (attack rate, 5.1%). We obtained pharyngeal specimens from non-onset residents, and S. was isolated 6 individuals (6.4%), whom had 19A.
本邦において破傷風は減少傾向だが,年間100例以上の発生報告があり,死亡率は10〜20%に上る重篤な疾患である.最も症状が強くなるⅢ期は苦痛緩和を目的とした深鎮静が必要となりリハビリテーションが進まないが,回復期といわれるⅣ期まで安静を続けると廃用が進行する.つまり,重症患者管理において重要なリハビリテーションを破傷風患者に行うのが困難なことが臨床上の問題である.今回われわれは人工呼吸管理を要した重症全身性破傷風のⅢ期から,プロポフォールをデクスメデトミジンに変更した鎮痛鎮静管理によって覚醒を維持した状態でリハビリテーションを行うことが可能となり,機能障害なく退院した症例を経験したため報告する.
Hepcidin-25, a central regulator of iron metabolism, can decrease serum levels by inhibiting the transporter ferroportin. Production hepcidin-25 in hepatocytes is tightly regulated various stimulations and promoted inflammation via IL-6 pathway. The role acute infections has not been fully understood; therefore, we investigated hepcidin kinetics during phase systemic infection. We collected clinical samples bloodstream at stages measured plasma using surface enhanced laser...