{"created":"2023-06-20T15:46:16.928211+00:00","id":872,"links":{},"metadata":{"_buckets":{"deposit":"66ced9db-080c-4144-8b31-3d8b6ec95eb2"},"_deposit":{"created_by":4,"id":"872","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"872"},"status":"published"},"_oai":{"id":"oai:uoeh-u.repo.nii.ac.jp:00000872","sets":["13:21:46"]},"author_link":["3843","3852","3842","3840","3846","3845","3848","3849","3851","3855","3856","3841","3857","3853","3854","3847","3839","3850","3844","3838"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"216","bibliographicPageStart":"209","bibliographicVolumeNumber":"42","bibliographic_titles":[{"bibliographic_title":"産業医科大学雑誌"},{"bibliographic_title":"Journl of UOEH","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Ventriculoperitoneal (VP) shunt placement is commonly performed for the treatment of hydrocephalus, and several complications of this procedure are well known. Radiating shoulder tip pain after VP shunt placement has been reported as an unusual complication in a few cases, associated with dislocation of the peritoneal catheter. We described the case of a 9-year-old girl who presented with recurrent radiating shoulder tip pain after VP shunt placement. The pain recurred after peritoneal catheter repositioning because of peritoneal inflammation and adhesion due to peritonitis with Propionibacterium acnes (P. acnes). This bacterium was isolated using 16S ribosomal RNA gene polymerase chain reaction (16S rRNA gene PCR), and anaerobic and prolonged culture tests. After antibacterial treatment, ventriculoarterial (VA) shunt placement was successfully performed. Hemidiaphragm irritation by the peritoneal catheter leads to radiating shoulder tip pain, and peritoneal inflammation and adhesion caused by infectious peritonitis may cause recurrence of this despite catheter repositioning. Clinicians should be aware of shoulder pain as a complication of VP shunt placement, and should consider VA shunt placement as an alternative treatment if this symptom recurs after catheter repositioning. Furthermore, 16S rRNA gene PCR and anaerobic and prolonged culture tests should be considered to detect P. acnes infection.","subitem_description_type":"Abstract"},{"subitem_description":"脳室腹腔（VP）シャント術は水頭症に対して一般的に行われ，手術に伴ういくつかの合併症についてもよく知られている．一方，VPシャント後に迷入した腹側カテーテルによる横隔膜の刺激に伴う肩への放散痛は稀な合併症として数例の報告があるのみである．今回，Propionibacterium acnes（P. acnes）関連腹膜炎による腹膜の炎症と癒着のため，VPシャント再建術後にも繰り返し肩への放散痛を呈した9歳女児の症例を経験した．P. acnes は一般培養検査で検出されず，16SリボソームRNA遺伝子ポリメラーゼ連鎖反応（16SrRNA遺伝子PCR）および嫌気性培養，増菌培養で検出され，十分な抗生剤治療の後，脳室心房（VA）シャント術を施行し，その後肩への放散痛は再燃なく経過している．腹側カテーテルによる横隔膜への器械的な刺激は肩への放散痛を引き起こし，カテーテルの入れ替えによって改善するとされるが，感染性腹膜炎による腹膜の炎症や癒着はカテーテルの入れ替え後も症状を再燃させる因子になる可能性がある．稀ながら腹側カテーテルによる肩への放散痛はVPシャントの合併症として認識する必要がある．また，カテーテル交換後も症状再燃を繰り返す際には，弱毒菌による感染症の除外のためPCRや嫌気・増菌培養を行い，VAシャントへの切り替えを検討する必要がある．","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"産業医科大学（産業医科大学学会）"}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"Journal of UOEH"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.uoeh-u.ac.jp/kouza/journal/intro_e.html","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"産業医科大学雑誌"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.uoeh-u.ac.jp/kouza/journal/intro_j.html","subitem_relation_type_select":"URI"}}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"ISSN  0387-821X(PRINT), ISSN  2187-2864(ONLINE)","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"鈴木, 恒平"},{"creatorName":"スズキ, コウヘイ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3838","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"齋藤, 健"},{"creatorName":"サイトウ, タケシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3839","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"酒井, 恭平"},{"creatorName":"サカイ, キョウヘイ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3840","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"宮川, 正"},{"creatorName":"ミヤガワ, タダシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3841","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"本田, 裕子"},{"creatorName":"ホンダ, ユウコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3842","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"保科, 隆之"},{"creatorName":"ホシナ, タカユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3843","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小川, 将人"},{"creatorName":"オガワ, マサト","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3844","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"浅井, 完"},{"creatorName":"アサイ, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3845","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山内, 健"},{"creatorName":"ヤマノウチ, タケシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3846","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 淳考"},{"creatorName":"ヤマモト, ジュンコウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3847","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Suzuki , Kohei","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3848","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Saito, Takeshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3849","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sakai, Kyohei","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3850","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Miyagawa, Tadashi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3851","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Honda, Yuko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3852","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Hoshina, Takayuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3853","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ogawa, Masato","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3854","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Asai, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3855","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yamanouchi, Takeshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3856","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yamamoto , Junkoh","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3857","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-06-30"}],"displaytype":"detail","filename":"07-鈴木恒平.pdf","filesize":[{"value":"1.6 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"S00042207","url":"https://uoeh-u.repo.nii.ac.jp/record/872/files/07-鈴木恒平.pdf"},"version_id":"054fd08a-aff1-4541-9853-d5f61a838ec9"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"肩放散痛","subitem_subject_scheme":"Other"},{"subitem_subject":"VPシャント","subitem_subject_scheme":"Other"},{"subitem_subject":"VAシャント","subitem_subject_scheme":"Other"},{"subitem_subject":"Propionibacterium acnes","subitem_subject_scheme":"Other"},{"subitem_subject":"小児脳神経外科","subitem_subject_scheme":"Other"},{"subitem_subject":"shoulder pain","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ventriculoperitoneal shunt","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ventriculoarterial shunt","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"propionibacterium acnes","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pediatric neurosurgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Propionibacterium acnes関連腹膜炎によりVPシャント後に繰り返し肩への放散痛を呈した一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Propionibacterium acnes関連腹膜炎によりVPシャント後に繰り返し肩への放散痛を呈した一例"},{"subitem_title":"Recurrent Shoulder Tip Pain After Ventriculoperitoneal Shunt Placement Associated with Infectious Peritonitis with Propionibacterium acnes; A Case Report and Review of the Literature","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"4","path":["46"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-06-30"},"publish_date":"2020-06-30","publish_status":"0","recid":"872","relation_version_is_last":true,"title":["Propionibacterium acnes関連腹膜炎によりVPシャント後に繰り返し肩への放散痛を呈した一例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-06-20T15:54:41.644190+00:00"}