{"id":617,"date":"2025-11-06T18:24:27","date_gmt":"2025-11-06T09:24:27","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=617"},"modified":"2025-12-22T05:27:53","modified_gmt":"2025-12-21T20:27:53","slug":"post-617","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-617\/","title":{"rendered":"\u5ddd\u3067\u611f\u67d3\u3057\u305f\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u75c7\u4f8b\uff1a\u767a\u71b1\u30fb\u4e0b\u75e2\u30fb\u7d50\u819c\u4e0b\u51fa\u8840\u30fb\u3052\u3063\u6b6f\u985e\u306e\u5c3f\u306b\u3088\u308b\u6c5a\u67d3\u306e\u53ef\u80fd\u6027\u306e\u3042\u308b\u6c34\u3078\u306e\u66b4\u9732\u30fb\u9ec4\u67d3\u30fb\u814e\u4e0d\u5168\u306a\u3069\u8907\u5408\u8981\u56e0\u304b\u3089\u7591\u3044\u307e\u3059\u3002"},"content":{"rendered":"\n

18\u6b73\u7537\u6027\u3002\u7279\u8a18\u3059\u3079\u304d\u65e2\u5f80\u306a\u3057\u3002<\/p>\n\n\n\n

2\u65e5\u524d\u304b\u3089\u767a\u71b1\u30fb\u5614\u5410\u30fb\u4e0b\u75e2\u304c\u51fa\u73fe\u3057\u6551\u6025\u5916\u6765\u53d7\u8a3a\u3002<\/p>\n\n\n\n

\u6765\u96623\u9031\u9593\u524d\u306b\u5ddd\u306b\u843d\u3061\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u6765\u9662\u6642\u73fe\u75c7\u3068\u3057\u3066\u3001BT 38.4\u3001HR 110<\/p>\n\n\n\n

\u8eab\u4f53\u6240\u898b\u3068\u3057\u3066\u306f\u773c\u77bc\u7d50\u819c\u8efd\u5ea6\u9ec4\u67d3\u306a\u3089\u3073\u306b\u7d50\u819c\u4e0b\u51fa\u8840\u3092\u8a8d\u3081\u305f\u3002\u307e\u305f\u809d\u813e\u816b\u306f\u4f34\u308f\u306a\u3044\u8efd\u5ea6\u8179\u90e8\u5727\u75db\u304c\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u63a1\u8840\u6240\u898b\u3067\u306f\u814e\u6a5f\u80fd\u60aa\u5316\u3068\u809d\u6a5f\u80fd\u969c\u5bb3\u3001Bil\u4e0a\u6607\u3092\u4f34\u3063\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

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\u306e\u3061\u306e\u3061\u3001\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u7a2e\u306b\u5bfe\u3059\u308bIgM\u6297\u4f53\u304c\u5230\u7740\u3057\u3001320\u500d\u3067\u3042\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\uff08\u57fa\u6e96\u5024\uff1a\u9670\u6027\uff09\u3002<\/p>\n\n\n\n

PCR\u691c\u67fb\u3067\u306f\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u7a2e\u304c\u967d\u6027\u3068\u306a\u308a\u3001\u305d\u306e\u5f8c\u3001\u83cc\u7a2e\u306f\u30a4\u30af\u30c6\u30ed\u30d8\u30e2\u30eb\u30cf\u30b8\u30a2\uff08Icterohaemorrhagiae\uff09\u3067\u3042\u308b\u3053\u3068\u304c\u540c\u5b9a\u3055\u308c\u305f\u3002<\/p>\n\n\n\n

\u30001\u9031\u9593\u306e\u6297\u751f\u5264\u52a0\u7642\u306b\u3088\u308a\u8efd\u5feb\u3057\u9000\u9662\u30023\u9031\u9593\u5f8c\u306e\u30d5\u30a9\u30ed\u30fc\u3067\u306f\u7d50\u819c\u4e0b\u51fa\u8840\u30fb\u809d\u6a5f\u80fd\u30fb\u814e\u6a5f\u80fd\u306f\u3044\u305a\u308c\u3082\u6b63\u5e38\u5316\u3057\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u203b\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7<\/p>\n\n\n\n

\u3000\u75c5\u539f\u6027\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u3092\u4fdd\u6709\u3057\u3066\u3044\u308b\u30cd\u30ba\u30df\u30fb\u30a4\u30cc\u30fb\u30a6\u30b7\u30fb\u30a6\u30de\u30fb\u30d6\u30bf\u306a\u3069\u306e\u5c3f\u3067\u6c5a\u67d3\u3055\u308c\u305f\u4e0b\u6c34\u3084\u6cb3\u5ddd\u3001\u6ce5\u306a\u3069\u306b\u3088\u308a\u7d4c\u76ae\u7684\u306b\u3001\u6642\u306b\u306f\u6c5a\u67d3\u3055\u308c\u305f\u98f2\u98df\u7269\u306e\u6442\u53d6\u306b\u3088\u308a\u30d2\u30c8\u306b\u611f\u67d3\u3059\u308b\u3002<\/p>\n\n\n\n

\u3000\u9ec4\u75b8\u3001\u51fa\u8840\u3001\u814e\u969c\u5bb3\uff08\u5c3f\u86cb\u767d\u3092\u542b\u3080\uff09\u306a\u3069\u306e\u75c7\u72b6\u304c\u307f\u3089\u308c\u308b\u3002<\/p>\n\n\n\n

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\u3000\u4e0a\u8a18\u7d4c\u904e\u304b\u3089\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u3092\u7591\u3063\u305f\u5834\u5408\u306f\u3001\u8840\u6db2\u3084\u5c3f\u3084\u9ac4\u6db2\u304b\u3089PCR\u306b\u3088\u308a\u75c5\u539f\u4f53\u306e\u907a\u4f1d\u5b50\u3092\u691c\u51fa\u3001\u8840\u6e05\u304b\u3089\u6297\u4f53\u691c\u51fa\u306b\u3088\u308a\u8a3a\u65ad\u3059\u308b\u3002<\/p>\n\n\n\n

\u3000\u8efd\u75c7\uff5e\u4e2d\u7b49\u5ea6\u306e\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u306e\u5834\u5408\u306f\u30c9\u30ad\u30b7\u30b5\u30a4\u30af\u30ea\u30f3\u306e\u5185\u670d\u3067OK\u3002<\/p>\n\n\n\n

\u3000\u30da\u30cb\u30b7\u30ea\u30f3\u7cfb\u3092\u7528\u3044\u305f\u5834\u5408\u306fJarisch-Herxheimer \u53cd\u5fdc\uff08\u6297\u83cc\u85ac\u6295\u4e0e\u5f8c\u306b\u8d77\u3053\u308b\u3001\u7834\u58ca\u3055\u308c\u305f\u83cc\u4f53\u6210\u5206\u306b\u3088\u308b\u3068\u307f\u3089\u308c\u308b\u767a\u71b1\u3001\u4f4e\u8840\u5727\u3092\u4e3b\u75c7\u72b6\u3068\u3059\u308b\u30b7\u30e7\u30c3\u30af\uff09\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308b\u306e\u3067\u3001\u3082\u3057\u8d77\u304d\u305f\u3089\u9006\u306b\u7591\u3046\u6839\u62e0\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

\u3000\u65e5\u672c\u3067\u306f\u5c4a\u3051\u51fa\u304c\u5fc5\u8981\u306a\u4eba\u7363\u5171\u901a\u611f\u67d3\u75c7\uff084\u985e\u611f\u67d3\u75c7\uff09\u3002<\/p>\n\n\n\n

\n

N Engl J Med 2022; 387:e71<\/p>\n\n\n\n

DOI: 10.1056\/NEJMicm2202675<\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"

18\u6b73\u7537\u6027\u3002\u7279\u8a18\u3059\u3079\u304d\u65e2\u5f80\u306a\u3057\u3002 2\u65e5\u524d\u304b\u3089\u767a\u71b1\u30fb\u5614\u5410\u30fb\u4e0b\u75e2\u304c\u51fa\u73fe\u3057\u6551\u6025\u5916\u6765\u53d7\u8a3a\u3002 \u6765\u96623\u9031\u9593\u524d\u306b\u5ddd\u306b\u843d\u3061\u3066\u3044\u308b\u3002 \u6765\u9662\u6642\u73fe\u75c7\u3068\u3057\u3066\u3001BT 38.4\u3001HR 11…<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19,4,24],"class_list":["post-617","post","type-post","status-publish","format-standard","hentry","category-19","category-4","category-24"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/617","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/comments?post=617"}],"version-history":[{"count":1,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/617\/revisions"}],"predecessor-version":[{"id":619,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/posts\/617\/revisions\/619"}],"wp:attachment":[{"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/media?parent=617"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-json\/wp\/v2\/categories?post=617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}