微生物・遺伝子染色体研究班 ... - saringi.jp

1 64 5/2 3 7 5/5 37 C 5/9 5/10 100mmHg 14 BP 80 16 BP 50 BT C PR 87/min RR 19/min BP 55/39mmHg SpO2 85 96 15L coarse crackle 30 ope 40 51 55 WBC 7900 / l PT Hb g/dl PT-sec sec Ht PT- PLT 29000 / l APTT Neutro APTT-sec sec Lympho APTT- Mono Fib mg/dl Eosino FDP g/ml Baso DD g/ml O2 L pH TP g/dl pCO2 mmHg ALB g/dl pO2 mmHg UN mg/dl HCO3 mmol/l Cre mg/dl tCO2 mmol/l T-Bil mg/dl ABE mmol/l Glu 111 mg/dl SBE mmol/l AST 46 IU/l SBC mmol/l ALT 34 IU/l LD 227 IU/l Na 121 mEq/l K mEq/l Cl 92 mEq/l CRP mg/dl

2 DIC X CT Neutro 2 4/4 M&J P3 Geckler 5 A B ng/ml 40-50% LP 1 Streptococcus pneumon 2 4 8 10 30 (PRSP) ( )

3 Streptococcus pneumoniae 33 - 2009 6 8 10 37 C 10/8 12 / 1000mg 10/9 10/15 A VRCZ 2 10/19 10/15 2 2/4 BT C PR 86/min RR 27/min BP 120/80mmHg SpO2 96 2 3L fine crackle 27

4 WBC 2400 / l PT TP g/dl Hb g/dl PT-sec sec ALB g/dl Ht PT- UN mg/dl PLT 194000 / l APTT Cre mg/dl Neutro APTT-sec sec T-Bil mg/dl Lympho APTT- Glu 268 mg/dl Mono Fib mg/dl AST 50 IU/l Eosino FDP g/ml ALT 61 IU/l Baso DD g/ml LD 319 IU/l K mEq/l CMV pp65 RPR Cl 104 mEq/l 3/35000 TPHA 3400 CRP mg/dl HIV 705 S/CO IgG 3 HIV-WB QFT-2G T -D pg/ml CD4 65/ l CD8 RPR THPA -D CMV HIV X CT 10/8 10/19 1000 400 10/15 2/4 r/o (-) (-)

5 512 M&J M2 Geckler GPC3+ GNR1+ 4+ (-) (-) (-) - -D -D Cryptococcus neoformans 35 C 48 35 C 48 Cryptococcus neoformans 30cm H2O 48mg/dl 61mg/dl 109 / Cryptococcus

6 Neoformans 33 C AMPH 5-FC / l cm H2O ( Clinical Practice Guidelines for the management of Cryptococcal Disease:2010 Update by the IDSA)