Tsuneaki Kenzaka

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BACKGROUND The aim of this study was to evaluate the clinical usefulness of a semiquantitative procalcitonin kit for assessing severity of sepsis and early determination of mortality in affected patients. METHODS This was a prospective, observational study including 206 septic patients enrolled between June 2008 and August 2009. Disseminated intravascular(More)
Introduction. The diagnosis of infective endo-carditis is typically based on clinical presentation, positive blood cultures, and echocardiography findings. In particular, echocardiography is central to the diagnosis and management of patients with infective endocarditis. 1 If adequate echocardiographic findings cannot be observed secondary to artifacts, an(More)
BACKGROUND Infection by Enterococcus durans (E. durans) is very rare; reported cases are often preceded by therapy or an immunosuppressed state, including infective endocarditis, urinary tract infection, or wound infection. A few reported cases of infective endocarditis exist, with no reports describing involvement of blood access infection. CASE(More)
INTRODUCTION Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease that was first reported in China in 2011. However, it is now endemic in Japan, and the SFTS viruses in Japan and China have evolved independently. Its fatality rate is 26.5 % in Japan, and the viral load is related to morbidity. CASE DESCRIPTION We(More)
INTRODUCTION Kawasaki disease (KD) most commonly develops in infants, although its specific cause is still unclear. We report here a rare case of adult-onset KD which revealed to be concurrently infected by Coxsackievirus A4. CASE PRESENTATION The patient was a 37-year-old Japanese man who presented with fever, exanthema, changes in the peripheral(More)
BACKGROUND Anasarca in patients with lymphoma is a rare symptom. We report a patient with DLBCL associated with pituitary gland infiltration that was diagnosed based on significant anasarca. CASE PRESENTATION A 72-year-old woman with a 10-year history of hypertension visited a local hospital presenting with anasarca and 15-kg weight gain in the past 3(More)
BACKGROUND Pyomyositis is typically caused by Staphylococcus aureus, and is rare in temperate climates, although its prevalence has been recently increasing. This infection often involves the thigh, and is associated with immunodeficiency. CASE PRESENTATION We report the case of a healthy 20-year-old Japanese woman who experienced a fever and continuous(More)
PURPOSE To assess the factors involved in oral intake discontinuation in elderly patients with recurrent aspiration pneumonia. PATIENTS AND METHODS This study included patients with pneumonia who were treated at Jichi Medical University Hospital between 2007 and 2013, at Toyooka Public Hospital between 2011 and 2013 and at Yuzawa Community Medical Center(More)
INTRODUCTION Various causes of intractable hiccups have been reported; however, to the best of our knowledge, there are no previous reports of either intractable hiccups due to esophageal candidiasis in an immunocompetent adult or improvement following antifungal therapy. CASE PRESENTATION An 87-year-old man presented with intractable hiccups. Although(More)
BACKGROUND In patients with ST-elevation myocardial infarction (STEMI), urinary tract infection is the most common infection-related complication. Prostatic abscess in a patient with STEMI is very rare. CASE PRESENTATION We report the case of a 49-year-old Japanese man who developed fever and shaking chills during hospitalization for STEMI. We initially(More)