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Your search keyword '"Yoshida, Akihito"' showing total 302 results
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302 results on '"Yoshida, Akihito"'

1. A case of cytomegalovirus colitis initially misdiagnosed as colonic ischemia in an immunocompetent Japanese woman

Author

Hamano, Atsuro, Harada, Shunsuke, Kobayashi, Takaaki, Moody, Sandra, and Yoshida, Akihito

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, bloody diarrhea, CMV, colitis, cytomegalovirus, immunocompetent, Agricultural, veterinary and food sciences, Biomedical and clinical sciences, Health sciences
Abstract

Cytomegalovirus colitis should be considered in a patient presenting with bloody stool even among immunocompetent patients.

Published
2024

2. A case of prosthetic valve endocarditis and aortic abscess due to Bacillus cereus.

Author

Fukushima, Akina, Kobayashi, Takaaki, Otsuka, Yoshihito, Hosokawa, Naoto, Takagi, Miyu, Yoshida, Akihito, and Moody Levin, Sandra

Subjects
Bacillus cereus, Prosthetic valve endocarditis
Abstract

Bacillus cereus (B. cereus) is commonly found in the environment and is often considered a blood culture contaminant. However, in patients with specific risk factors such as intravenous drug use, central venous access catheters, immunosuppression, or prosthetic valves, B. cereus can cause severe infections. Herein, we present a case of prosthetic valve endocarditis (PVE) caused by B. cereus in an 84-year-old woman with a history of aortic valve replacement for aortic stenosis five years earlier. She presented with anorexia, and her physical examination revealed tenderness in the left upper quadrant of the abdomen. Blood culture grew B. cereus, and a CT scan showed splenic infarction, raising suspicion of PVE. Transesophageal echocardiogram (TEE) revealed an abscess around the left coronary cusp of the aortic valve and a 15 mm vegetation. Due to the patients high risk for post-operative complications and her unwillingness to undergo surgery, the surgery was deferred. Instead, she was successfully treated with six weeks of intravenous vancomycin and discharged home. Follow-up TEE demonstrated resolution of the vegetation and valvular abscess. At her six-month post-discharge evaluation, no signs of active infection were noted including fever or worsening heart failure. Although surgery is typically recommended for most cases of PVE, conservative treatment can be considered as an alternative option for selected patients.

Published
2024

3. A case of left leg necrotizing fasciitis caused by streptococcus pyogenes in a healthy Japanese man

Author

Takagi, Miyu, Kobayashi, Takaaki, Fukushima, Akina, Moody, Sandra, and Yoshida, Akihito

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Emerging Infectious Diseases, Pain Research, Foodborne Illness, Clinical Research, Rare Diseases, Necrotizing fasciitis, streptococcus pyogenes, Clinical sciences
Abstract

•We experienced a case of necrotizing fasciitis (NF) due to Group A streptococcus in a healthy Japanese man.•Cutaneous manifestations with NF can be initially minimal.•It is important to recognize that one of the characteristic symptoms of NF is severe pain out of proportion.•When NF is suspect, emergent surgical exploration and debridement are required.

Published
2023

12. A systematic review assessing the effectiveness of hand therapy programmes in adults with burns using the International Classification of Functioning, Disability and Health framework

Author

Yoshida, Akihito, Yamamoto, Michiro, Li-Tsang, Cecilia W. P., Iwatsuki, Katsuyuki, and Hirata, Hitoshi

Subjects
burns, systematic review, hand therapy, upper extremity, rehabilitation
Abstract

This systematic review aimed to confirm the effectiveness of hand therapy programmes using the International Classification of Functioning, Disability and Health framework for each of the three phases of the wound healing process in adults with burns. A systematic review was conducted to determine the efficacy of different hand therapy programmes in the management of burnt hands. Two independent reviewers conducted a literature search using the PubMed and Cumulative Index to Nursing and Allied Health Literature databases for original articles reporting effectiveness of hand therapy programmes for adults with burns. Only randomized and non-randomized controlled trials were selected using the Mixed Methods Appraisal Tool. Demographic and clinical data including medical history, burn depth, and hand therapy programme were extracted. Outcome measures were reviewed based on the International Classification of Functioning, Disability and Health framework for acute, convalescence, and chronic phases of rehabilitation. Sixteen articles and 15 hand therapy programmes were identified, which included studies showing improvements in different parameters in the framework. In the acute and convalescence phases, improvements were found in health condition, body functions and structures, activities, and participation. In the chronic phase, improvements were shown only in body functions and structures. Environmental factors in the framework were not reported for all the phases. This review demonstrated the efficacy of hand therapy programmes in adults with burns in terms of the health condition, body function, activities, and participation during acute and convalescence phases but only the body function in the chronic phase.

Published
2022

26. Paget–Schroetter syndrome occurring in the nondominant hand.

Author

Fukushima, Akina, Kobayashi, Takaaki, Kuno, Hayato, Hiroki, Jiro, and Yoshida, Akihito

Subjects
THORACIC outlet syndrome, SYNDROMES, VENOUS thrombosis
Abstract

Key Clinical Message: Paget‐Schroetter syndrome is the primary thrombotic event associated with venous thoracic outlet syndrome. It needs to be suspected when encountering localized brachial swelling and a dilated vein in patients with a history of upper limb exercise. [ABSTRACT FROM AUTHOR]

Published
2023
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