{"title":"Urinary Tract Infection as a Cause of Hyperammonemic Encephalopathy","authors":"R. Miyauchi, Yosuke Matsuda, Y. Tokuda","doi":"10.14442/GENERAL.16.95","DOIUrl":"https://doi.org/10.14442/GENERAL.16.95","url":null,"abstract":"We report on a case of the altered mental status from hyperammonemia due to a urinary tract infection of ureaseproducing (urea-splitting) bacteria. A 98-year-old Japanese woman, who had no history of liver cirrhosis or portal hypertension, presented with altered mental status. The cause of the altered mental status was attributed to an elevation of ammonia in her blood. The urine culture grew Proteus vulgaris. Complete recovery occurred with the use of an antibiotic for the urinary tract infection. Among patients with urinary tract infections, but without liver cirrhosis or portal hypertension, production by urea-splitting bacteria and the subsequent tubular reabsorption of ammonia, may result in hyperammonemic encephalopathy.","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117756709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mikiro Kato, Y. Seyama, T. Kanai, Kazuya Fujiwara, Miyoko Omoto, N. Moriyama, K. Nishiki, Y. Tokuda
{"title":"Clinical Problem Solving: Masked Face of Posterior Illness","authors":"Mikiro Kato, Y. Seyama, T. Kanai, Kazuya Fujiwara, Miyoko Omoto, N. Moriyama, K. Nishiki, Y. Tokuda","doi":"10.14442/GENERAL.13.65","DOIUrl":"https://doi.org/10.14442/GENERAL.13.65","url":null,"abstract":"","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125152308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Naoto Ishimaru, T. Maeno, Masatsune Suzuki, T. Maeno
{"title":"Prevalence of Sleep Apnea Syndrome in Japanese Patients with Persistent Fatigue","authors":"Naoto Ishimaru, T. Maeno, Masatsune Suzuki, T. Maeno","doi":"10.14442/GENERAL.13.103","DOIUrl":"https://doi.org/10.14442/GENERAL.13.103","url":null,"abstract":"","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116598728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Kisa, H. Kawabata, T. Terashita, Toshihito Nakamura, M. Maezawa
{"title":"Medical Reimbursement Receipt Analysis to Determine the Relationship between Disease Type and Patients' Healthcare-seeking Behavior","authors":"K. Kisa, H. Kawabata, T. Terashita, Toshihito Nakamura, M. Maezawa","doi":"10.14442/GENERAL.13.77","DOIUrl":"https://doi.org/10.14442/GENERAL.13.77","url":null,"abstract":"","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123657712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Clinical Database as a Multi-disciplinary Instructional Tool","authors":"Kyoko Murata, T. Morimoto","doi":"10.14442/GENERAL.13.69","DOIUrl":"https://doi.org/10.14442/GENERAL.13.69","url":null,"abstract":"","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128286469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Helicobacter pylori Infection and High-density Lipoprotein Cholesterol in Japanese Women: the JMS Cohort Study","authors":"R. Yamamoto, S. Ishikawa, M. Mizooka, E. Kajii","doi":"10.14442/GENERAL.13.93","DOIUrl":"https://doi.org/10.14442/GENERAL.13.93","url":null,"abstract":"― 93 ― 1) Division of Community and Family Medicine, Center for Community Medicine, Jichi Medical University, Simotsuke, Tochigi, Japan 2) Department of General Medicine, Hiroshima University Hospital, Hiroshima, Japan Reiko Yamamoto, MD Shizukiyo Ishikawa, MD, PhD Masafumi Mizooka, MD, PhD Eiji Kajii, MD, PhD and the Jichi Medical School(JMS)Cohort Study Helicobacter pylori Infection and High-density Lipoprotein Cholesterol in Japanese Women: the JMS Cohort Study Original Article","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130002184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biomedical Model, Utilitarianism and Contemporary Medicine","authors":"Y. Noguchi","doi":"10.14442/GENERAL.13.63","DOIUrl":"https://doi.org/10.14442/GENERAL.13.63","url":null,"abstract":"","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116649483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Minocycline-induced Hyperpigmentation : Under-recognized Side Effect of Minocycline Therapy","authors":"N. Imai, A. Nakano, N. Nakano, K. Kimura","doi":"10.14442/GENERAL.13.119","DOIUrl":"https://doi.org/10.14442/GENERAL.13.119","url":null,"abstract":"","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133015313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Kurai, T. Saraya, M. Ishida, Akira Nakajima, Yukari Ogawa, Yasutaka Tanaka, H. Takizawa, H. Goto
{"title":"Pott's Disease and Cold Abscesses","authors":"D. Kurai, T. Saraya, M. Ishida, Akira Nakajima, Yukari Ogawa, Yasutaka Tanaka, H. Takizawa, H. Goto","doi":"10.14442/GENERAL.13.110","DOIUrl":"https://doi.org/10.14442/GENERAL.13.110","url":null,"abstract":"A 68-year-old-woman was referred to our hospital with persistent back pain and a 7 kg body weight loss over 7 months. She had been undergoing treatment for osteoporosis. She denied productive cough, fever, and night sweats and had no remarkable medical history. Chest radiographs(Figure 1-A and B) showed vertebral collapse and compression fractures from Th8 to Th10, accompanied by a paravertebral mass and tiny nodules in the lungs. Laboratory investigations revealed only mild elevation of ESR; 29 / mm hr. Thoracic computed tomography(CT) (Figure 2-A)demonstrated tiny nodules scattered throughout the lungs. Thereafter, sputum culture was positive for Mycobacterium tuberculosis. Thoracic CT(Figure 2-B)and T2-weighted magnetic resonance imaging(MRI)(Figure 2-C) depicted a 10-cm mass, extending predominantly vertically along the anterior vertebral column(from Th8-Th10). The mass had an enhanced rim, suggesting abscess formation. These images also confirmed the destructive change shown in radiographs at the Th8, Th9, and Th10 levels. We therefore diagnosed tuberculous spondylitis(Pottʼs disease)complicated General Medicine 2012, vol. 13, no. 2, p. 110-112.","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"138 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128781061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Saraya, M. Shimoda, Yasutaka Tanaka, H. Makino, K. Araki, H. Takizawa, H. Goto
{"title":"Morphological Evaluation Using Ziehl-Neelsen Stain Is Useful for Diagnosis of Mycobacterium kansasii","authors":"T. Saraya, M. Shimoda, Yasutaka Tanaka, H. Makino, K. Araki, H. Takizawa, H. Goto","doi":"10.14442/GENERAL.13.117","DOIUrl":"https://doi.org/10.14442/GENERAL.13.117","url":null,"abstract":"","PeriodicalId":137853,"journal":{"name":"The Journal of the Japanese Society of General Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115793163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}