Tsuneaki Kenzaka

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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 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)
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)
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)
BACKGROUND Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a mild encephalopathy caused by various pathological processes, but encephalopathy due to bacteria is rare. CASE PRESENTATION We report the case of a 45-year-old Japanese woman who on receiving chemotherapy for advanced breast cancer developed an altered(More)
BACKGROUND We present an extremely rare case of tubo-ovarian abscesses involving Corynebacterium striatum (C. striatum) as causative agent in a 53-year-old woman. CASE PRESENTATION The patient presented with stomach pain, chills, and nausea. Her medical history included poorly controlled psoriasis vulgaris and diabetes. Laboratory and imaging findings led(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 Limb occlusion after endovascular aneurysm repair (EVAR) is a well-known complication. However, extensive ischemic ulcers due to limb occlusion are extremely rare. CASE DESCRIPTION We report a rare case of extensive ischemic ulcers that developed seven months after EVAR in an 85-year-old Japanese man. He had been taking appropriate(More)
BACKGROUND Epidemic myalgia is a disease that presents with fever and extreme myalgia of the trunk due to an acute enterovirus infection. The trunk pain is mainly in the chest or in the epigastrium. We aimed to highlight a case of epidemic myalgia where initial diagnosis needed differentiation from acute purulent spondylitis and discitis. CASE(More)
An 80-year-old woman who had undergone aortic valve replacement for aortic valve stenosis was hospitalized for congestive heart failure and parox-ysmal atrial fibrillation 4 years prior to the current presentation. At that time, she started receiving oral amiodarone, and she took amiodarone for 4 years. She visited our hospital because de-mentia had(More)