<i>Campylobacter fetus</i> Bacteremia with Purulent Pleurisy in a Young Adult with Primary Hypogammaglobulinemia
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- Yamagami Keiko
- Department of Internal Medicine, Osaka City General Hospital, Japan
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- Miyashita Tomoko
- Department of Internal Medicine, Osaka City General Hospital, Japan
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- Nakamura Tomoyuki
- Department of Internal Medicine, Osaka City General Hospital, Japan
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- Shirano Michinori
- Department of Infectious Disease, Osaka City General Hospital, Japan
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- Nakamura Tadahiro
- Department of Infectious Disease, Osaka City General Hospital, Japan
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- Kameda Kazuaki
- Department of Infectious Disease, Osaka City General Hospital, Japan
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- Nishijima Masayoshi
- Department of Pulmonary Disease, Osaka City General Hospital, Japan
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- Imanishi Masahiro
- Department of Internal Medicine, Osaka City General Hospital, Japan
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- Yang Xi
- Department of Pediatrics, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Japan
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- Kanegane Hirokazu
- Department of Pediatrics, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Japan
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抄録
A 24-year-old man presented with fever and pleural effusion predominantly containing lymphocytes. Cultures of the pleural effusion and blood revealed Campylobacter fetus, and laboratory studies showed a low serum level of immunoglobulin. The patient was diagnosed with C. fetus pleuritis, bacteremia and primary hypogammaglobulinemia, and subsequent treatment with meropenem and immunoglobulin improved his condition. Although the underlying cause of the primary hypogammaglobulinemia remains unclear, the patient's status improved under immunoglobulin replacement therapy. C. fetus pleuritis is a rare infectious disease usually observed in immunocompromised hosts. We herein describe the first report of C. fetus pleuritis in a young adult with primary hypogammaglobulinemia.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 53 (11), 1221-1225, 2014
一般社団法人 日本内科学会