Fukushima Journal of Medical Science最新文献_第3页

Serum low density lipoprotein cholesterol / high density lipoprotein cholesterol ratio predicts lower urinary tract dysfunction related dyslipidemia. 血清低密度脂蛋白胆固醇/高密度脂蛋白胆固醇比值预测下尿路功能障碍相关的血脂异常。

IF 0.9

Fukushima Journal of Medical Science Pub Date : 2025-07-03 Epub Date: 2025-03-26 DOI: 10.5387/fms.24-00056

Yuki Harigane, Hidenori Akaihata, Kei Yaginuma, Hitomi Imai, Satoru Meguro, Ruriko Takinami, Kanako Matsuoka, Junya Hata, Yuichi Sato, Soichiro Ogawa, Yoshiyuki Kojima

{"title":"Serum low density lipoprotein cholesterol / high density lipoprotein cholesterol ratio predicts lower urinary tract dysfunction related dyslipidemia.","authors":"Yuki Harigane, Hidenori Akaihata, Kei Yaginuma, Hitomi Imai, Satoru Meguro, Ruriko Takinami, Kanako Matsuoka, Junya Hata, Yuichi Sato, Soichiro Ogawa, Yoshiyuki Kojima","doi":"10.5387/fms.24-00056","DOIUrl":"10.5387/fms.24-00056","url":null,"abstract":"Objectives: To investigate the effect of dyslipidemia on the lower urinary tract function by examining the LDL-C/HDL-C ratio in patients without bladder outlet obstruction (BOO).Methods: Patients who underwent urodynamic study before robot-assisted radical prostatectomy were included.　Exclusion criteria were diabetes mellitus (HbA1c > 6.2%) and BOO (Schäfer nomogram obstruction III - V).　The association between the preoperative LDL-C/HDL-C ratio and urodynamic findings were analyzed.　Patients were divided into two groups based on Schäfer nomogram: weak contraction group (W-, W+, N-) and strong contraction group (N+, ST) to assess the relationship between the LDL-C/HDL-C ratio and bladder contraction.Results: A total of 52 patients entered the study.　The LDL-C/HDL-C ratio was 2.4 ± 0.8.　The preoperative international prostate symptom score was mild (6.7 ± 5.6).　Voided volume was significantly positively associated with the LDL-C/HDL-C ratio (P=0.041).　The LDL-C/HDL-C ratio was significantly less in the strong contraction group than in the weak contraction group (P=0.047).　Receiver operating characteristic (ROC) analysis showed a cut-off value of 2.15 for the LDL-C/HDL-C ratio in predicting weak bladder contraction.Conclusions: Dyslipidemia-induced lower urinary tract dysfunction (LUTD) showed less bladder contractility with larger voided volume.　The LDL-C/HDL-C ratio ≥ 2.15 may be a useful marker of dyslipidemia-induced LUTD.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"163-168"},"PeriodicalIF":0.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Molecular mechanisms leading to gamete fusion. 导致配子融合的分子机制。

IF 0.9

Fukushima Journal of Medical Science Pub Date : 2025-07-03 Epub Date: 2025-03-06 DOI: 10.5387/fms.24-00046

Naokazu Inoue

引用次数: 0

Differences in perceptions and intentions to engage in various disasters by curriculum and social roles of belonging: A cross-sectional study of japanese medical students. 课程设置和归属社会角色对参与各种灾难的感知和意图的差异：对日本医科学生的横断面研究。

IF 0.9

Fukushima Journal of Medical Science Pub Date : 2025-07-03 Epub Date: 2025-04-01 DOI: 10.5387/fms.24-00049

Kazuki Sugaya, Takeyasu Kakamu, Ken Iseki, Arifumi Hasegawa

{"title":"Differences in perceptions and intentions to engage in various disasters by curriculum and social roles of belonging: A cross-sectional study of japanese medical students.","authors":"Kazuki Sugaya, Takeyasu Kakamu, Ken Iseki, Arifumi Hasegawa","doi":"10.5387/fms.24-00049","DOIUrl":"10.5387/fms.24-00049","url":null,"abstract":"Disasters are becoming more common, and their types are more varied.　This study investigated the extent to which medical students would like to be engaged in different types of disasters to help recruit personnel for future disaster medicine based on a web-based survey.　The study was conducted using existing data.　The results revealed that students' intention to engage in chemical, biological, radiological, nuclear, and explosive (CBRNE) disasters was lower than that for natural and human-made disasters.　Further, differences in the intention to engage and perceptions of disasters were observed.　We hypothesized that the low intention to engage in CBRNE disasters was due, in part, to the fear of unknown hazards and the belief that disaster response was not part of the university's mission.　Thus, each university should train healthcare professionals to imagine the social needs of risk and educate students about their intention to engage.　This can be done by showing them how to respond to disasters in the social context of societal demands in case of future crises.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"177-185"},"PeriodicalIF":0.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of COVID-19 pandemic on unresectable pancreatic cancer: a regional cohort study in Japan. COVID-19大流行对不可切除胰腺癌的影响：日本的一项区域队列研究

IF 0.9

Fukushima Journal of Medical Science Pub Date : 2025-07-03 Epub Date: 2025-03-06 DOI: 10.5387/fms.24-00011

Rei Suzuki, Hiroyuki Asama, Naoki Konno, Ko Watanabe, Hiromichi Imaizumi, Yuichi Waragai, Mitsuru Sugimoto, Yuki Sato, Hiroki Irie, Hiroshi Shimizu, Kentaro Sato, Tadayuki Takagi, Hiromasa Ohira

{"title":"Impact of COVID-19 pandemic on unresectable pancreatic cancer: a regional cohort study in Japan.","authors":"Rei Suzuki, Hiroyuki Asama, Naoki Konno, Ko Watanabe, Hiromichi Imaizumi, Yuichi Waragai, Mitsuru Sugimoto, Yuki Sato, Hiroki Irie, Hiroshi Shimizu, Kentaro Sato, Tadayuki Takagi, Hiromasa Ohira","doi":"10.5387/fms.24-00011","DOIUrl":"10.5387/fms.24-00011","url":null,"abstract":"Background: The COVID-19 pandemic has had a significant impact on healthcare, including cancer management.　This study aimed to investigate the prognostic impact of the COVID-19 pandemic, throughout its duration, on patient care for pancreatic ductal adenocarcinoma (PDAC).Methods: We collected clinical data of patients with unresectable PDAC who underwent palliative chemotherapy at five medical facilities in Fukushima, Japan.　The patients were divided into two groups: group A (nonpandemic cohort) and group B (pandemic cohort).　Survival analysis was performed for progression-free survival (PFS) and overall survival (OS) via the Kaplan‒Meier method with the log-rank test.Results: In total, 249 patients were selected for the analysis.　Patients in Group B had significantly greater serum CA19-9 levels and proportions of patients selected for combination therapy; however, we did not find significant differences between the two groups in PFS (Group A vs. Group B: 5.6 months vs. 4.4 months, HR = 0.82 (95% CI, 0.6-1.1), p = 0.17) or OS (14.8 months vs. 12.3 months, HR = 0.81 (95% CI, 0.7-1.3), p = 0.81) in the survival analysis.Conclusions: We did not observe a negative impact on the prognosis of patients with unresectable PDAC throughout the COVID-19 pandemic.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"147-153"},"PeriodicalIF":0.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the occurrence and clinical implications of accessory renal arteries: A descriptive study in South Indian cadavers. 探讨副肾动脉的发生和临床意义：在南印度尸体的描述性研究。

IF 0.9

Fukushima Journal of Medical Science Pub Date : 2025-07-03 Epub Date: 2025-03-26 DOI: 10.5387/fms.24-00021

Manju Bhashini Manoharan, Raviraj Kuppusamy, Manickam Subramanian

{"title":"Exploring the occurrence and clinical implications of accessory renal arteries: A descriptive study in South Indian cadavers.","authors":"Manju Bhashini Manoharan, Raviraj Kuppusamy, Manickam Subramanian","doi":"10.5387/fms.24-00021","DOIUrl":"10.5387/fms.24-00021","url":null,"abstract":"Introduction: Renal arteries vary in their number and arrangement.　Accessory renal arteries (ARA), termed by various names in the literature, can arise from different arterial sources and may be single, double, or multiple.　Understanding these variations is essential for various medical procedures.Aim: To determine the presence of ARA in the cadavers of South Indian origin and their origin and termination and to discuss its relevant clinical anatomy.Materials and methods: This descriptive study utilized 36 adult cadavers of South Indian origin aged between 50 and 80 years.　The ARA observed were classified according to their origin and termination.　The Chi-square test was used to determine the variation in the distribution of accessory arteries between the sides.Results: Among the 72 kidneys examined, 27.7% had ARA, with a left-sided preponderance.　Most accessory arteries had an aortic origin and hilar or superior polar termination.　Various forms of accessory arteries were observed, including those entering the anterior surface of the kidney, a rare phenomenon.Conclusion: The incidence of accessory arteries supplying the kidney emphasizes the importance of understanding renal vascular anatomy for clinical practice.　Anatomical variations play a crucial role in selecting donors for renal transplantation and during various renal interventional procedures.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"155-161"},"PeriodicalIF":0.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Severe Human Herpesvirus 7 Infection in Healthy Children. 健康儿童严重疱疹病毒7型感染

IF 0.9

Fukushima Journal of Medical Science Pub Date : 2025-07-03 Epub Date: 2025-03-06 DOI: 10.5387/fms.24-00010

Hisao Okabe, Masatoki Sato, Sakurako Norito, Kazufumi Yaginuma, Yasushi Saito, Tetsushi Yoshikawa, Mitsuaki Hosoya

{"title":"Severe Human Herpesvirus 7 Infection in Healthy Children.","authors":"Hisao Okabe, Masatoki Sato, Sakurako Norito, Kazufumi Yaginuma, Yasushi Saito, Tetsushi Yoshikawa, Mitsuaki Hosoya","doi":"10.5387/fms.24-00010","DOIUrl":"10.5387/fms.24-00010","url":null,"abstract":"Human herpesvirus 7 (HHV-7) is ubiquitous and infects most children.　Severe HHV-7 infection was considered to be rare.　In this case series, we report the clinical findings and clinical courses of three immunocompetent children who had severe HHV-7 infection: two fatal cases of encephalopathy and one patient with severe sequelae after myocarditis.　In all three patients, HHV-7 DNA was detected in acute phase specimens, including serum by real-time PCR.　In the myocarditis case, HHV-7 DNA was also detected in myocardial tissue, suggesting that HHV-7 was the cause.　Patient 1 was a 6-year-old Japanese girl with encephalopathy who died one day after onset.　Patient 2 was a 4-year-old Japanese girl with encephalopathy whose absence of brainstem reflexes was confirmed and died 29 days after onset.　Patient 3 was a 22-month-old Japanese girl with myocarditis who managed with extracorporeal membrane oxygenation and survived but was left with severe neurological sequelae.　Because HHV-7 can cause serious outcomes in children, a virological search for HHV-7 in severe infections needs to be aggressive, and cases should be accumulated.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"187-194"},"PeriodicalIF":0.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful treatment of rheumatoid arthritis complicated by anti-Jo-1 antibody-positive myopathy with abatacept: A case report. 阿巴肽成功治疗类风湿关节炎合并抗jo -1抗体阳性肌病1例

IF 0.9

Fukushima Journal of Medical Science Pub Date : 2025-07-03 Epub Date: 2025-03-28 DOI: 10.5387/fms.24-00054

Shuhei Yoshida, Jumpei Temmoku, Kenji Saito, Eiji Suzuki, Takashi Kanno, Yuya Sumichika, Haruki Matsumoto, Yuya Fujita, Naoki Matsuoka, Tomoyuki Asano, Shuzo Sato, Kiyoshi Migita

{"title":"Successful treatment of rheumatoid arthritis complicated by anti-Jo-1 antibody-positive myopathy with abatacept: A case report.","authors":"Shuhei Yoshida, Jumpei Temmoku, Kenji Saito, Eiji Suzuki, Takashi Kanno, Yuya Sumichika, Haruki Matsumoto, Yuya Fujita, Naoki Matsuoka, Tomoyuki Asano, Shuzo Sato, Kiyoshi Migita","doi":"10.5387/fms.24-00054","DOIUrl":"10.5387/fms.24-00054","url":null,"abstract":"Abatacept (ABT) is effective in the treatment of rheumatoid arthritis (RA).　However, there is no consensus regarding the treatment of patients with RA and idiopathic inflammatory myopathy (IIM).　Here, we describe the case of a 55-year-old Japanese female with a 5-year history of RA who developed anti-Jo1 antibody-positive IIM.　She developed myalgia and dyspnea while receiving a combination therapy of methotrexate and a Janus kinase inhibitor for RA.　Chest computed tomography imaging revealed bilateral middle-to-lower lung frosted shadows.　Magnetic resonance imaging of the lower limbs showed a high short tau inversion recovery signal in the bilateral thigh muscle groups.　Needle electromyography revealed myogenic changes in the proximal muscles of both the upper and lower extremities.　Symmetric proximal muscle weakness, elevated serum muscle enzymes, and the presence of anti-Jo1 antibodies were noted.　The diagnosis of IIM was made according to the European Alliance of Associations for Rheumatology diagnostic criteria.　The myositis symptoms stabilized with glucocorticoids; however, RA worsened during steroid tapering.　After ABT initiation, RA clinical symptoms and functional outcomes improved and myositis remained in remission.　In conclusion, ABT may be an effective treatment option for patients with RA and IIM.　.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"195-201"},"PeriodicalIF":0.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of American Association for the Surgery of Trauma (AAST) and Japanese Association for the Surgery of Trauma (JAST) classification systems for predicting mortality in surgically managed liver trauma: A single-center experience. 美国创伤外科协会（AAST）和日本创伤外科协会（JAST）分类系统预测手术处理肝损伤死亡率的比较：单中心经验

IF 0.7

Fukushima Journal of Medical Science Pub Date : 2025-07-02 DOI: 10.5387/fms.25-00014

Hiroto Chiba, Atsushi Ozeki, Ryota Sugawara, Satoshi Ueno, Takayasu Azuma, Shigeyuki Tsukida, Makoto Muto, Naoya Sato, Yasuhide Kofunato, Teruhide Ishigame, Takashi Kimura, Akira Kenjo, Shigeru Marubashi

{"title":"Comparison of American Association for the Surgery of Trauma (AAST) and Japanese Association for the Surgery of Trauma (JAST) classification systems for predicting mortality in surgically managed liver trauma: A single-center experience.","authors":"Hiroto Chiba, Atsushi Ozeki, Ryota Sugawara, Satoshi Ueno, Takayasu Azuma, Shigeyuki Tsukida, Makoto Muto, Naoya Sato, Yasuhide Kofunato, Teruhide Ishigame, Takashi Kimura, Akira Kenjo, Shigeru Marubashi","doi":"10.5387/fms.25-00014","DOIUrl":"https://doi.org/10.5387/fms.25-00014","url":null,"abstract":"Background: Advances in treatment strategies and interventional radiology have led to the widespread adoption of nonoperative management for liver trauma;however, severe cases still require surgery, and are associated with high mortality. While the widely used American Association for the Surgery of Trauma (AAST) Liver Injury Scale is regularly updated and includes computed tomography (CT) findings, the Japanese Association for the Surgery of Trauma (JAST) Liver Injury Classification is also utilized in Japan but may have limitations in predicting prognosis based solely on imaging. Few studies have compared the prognostic utility of the two systems.Methods: This retrospective study analyzed patients who underwent laparotomy for liver injury at Fukushima Medical University Hospital (2013-2023). Liver injury-related mortality cases were compared with survivors to assess the predictive accuracy of the AAST and JAST classifications.Results: Among 23 patients, the overall mortality rate was 34.8%, with 5 liver injury-related deaths. AAST grades IV-V yielded 100% sensitivity and 80% specificity for predicting mortality (p=0.001), whereas JAST had lower sensitivity (60.0%) and specificity (86.7%, p=0.073).Conclusion: AAST grading may be more effective than the JAST classification for predicting liver injury-related mortality. Future JAST revisions should integrate imaging findings and treatment strategies to enhance its prognostic accuracy.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555280","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}

引用次数: 0

Intervention with conviction-confidence model for non-obese high school students to prevent unhealthy dieting: a cluster randomized control trial. 信念-信心模型干预非肥胖高中生预防不健康饮食：聚类随机对照试验。

IF 0.7

Fukushima Journal of Medical Science Pub Date : 2025-06-20 DOI: 10.5387/fms.24-00018

Naomi Takasawa, Satoshi Kanke, Sugihiro Hamaguchi

{"title":"Intervention with conviction-confidence model for non-obese high school students to prevent unhealthy dieting: a cluster randomized control trial.","authors":"Naomi Takasawa, Satoshi Kanke, Sugihiro Hamaguchi","doi":"10.5387/fms.24-00018","DOIUrl":"10.5387/fms.24-00018","url":null,"abstract":"Background: Unhealthy dieting behaviors to lose weight in adolescents can cause future health issues such as mineral, hormonal, or bone complications, highlighting the importance of preventive interventions.Methods: Six classes consisting of 236 first-year high school students were randomly allocated to an intervention group, which participated in interactive healthy eating and dieting programs, or to a control group, which attended a smoking prevention workshop. Data from non-obese students were analyzed, comparing the dieting behaviors of both groups at a two-month follow-up. Self-reported questionnaires assessed conviction and confidence levels about healthy eating and dieting after the intervention.Results: The two groups did not differ in the proportion of students engaging in dieting behavior after the intervention (intervention:14.9% vs. control:22.7%, p=0.18). The intervention increased the conviction level regarding healthy eating (90.4% vs. 74.7%, p<0.01) but not the confidence level (50.0% vs. 36.0%, p=0.06);it did not significantly impact conviction and confidence levels regarding healthy dieting (62.8% vs. 61.4%, p=0.84;45.7% vs. 37.5%, p=0.26).Conclusions: The classroom-based intervention failed to prevent unhealthy dieting behavior among non-obese students. Interventions boosting conviction and confidence, thereby preventing unhealthy dieting among all students, regardless of risk factors such as eating disorder tendencies, require further research.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369358","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}

引用次数: 0

A case of peritonsillar abscess: a diagnostic challenge aided by point-of-care ultrasound. 一例腹膜周围脓肿：一个诊断挑战辅助点护理超声。

IF 0.7

Fukushima Journal of Medical Science Pub Date : 2025-06-20 DOI: 10.5387/fms.24-00063

Daiki Tabata, Tomoyuki Watanabe, Shuhei Honda

{"title":"A case of peritonsillar abscess: a diagnostic challenge aided by point-of-care ultrasound.","authors":"Daiki Tabata, Tomoyuki Watanabe, Shuhei Honda","doi":"10.5387/fms.24-00063","DOIUrl":"10.5387/fms.24-00063","url":null,"abstract":"AbstractA 27-year-old man with no medical history developed a fever and sore throat 5 days before visiting a primary care doctor. He was admitted to our hospital due to worsening symptoms, with a fever of 38.3ºC, redness of the pharynx, left tonsillar hypertrophy, uvular deviation to the right, and left submandibular lymph node enlargement with tenderness. Plain computed tomography (CT) revealed an enlarged left tonsil and lymph node. As it was difficult to differentiate between peritonsillar abscess (PTA) and peritonsillar cellulitis by plain CT, bedside cervical ultrasonography as point-of-care ultrasound (POCUS) was performed. A low echogenic area was observed in the center of the image. The mass with a low signal area on contrast-enhanced CT (CECT) was diagnosed as PTA. The patient was transferred to the otolaryngology department for pus drainage and was discharged 5 days later.Complications of PTA are rare but potentially fatal, warranting early diagnosis and prompt, appropriate management. CECT is useful for the diagnosis of PTA, but given the risk of complications by contrast agents and radiation, appropriate patient selection is important when performing CECT. POCUS was useful in diagnosing PTA that could not be diagnosed by plain CT.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369355","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}

引用次数: 0