{"id":3956,"date":"2026-03-26T09:50:35","date_gmt":"2026-03-26T00:50:35","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3956"},"modified":"2026-03-26T09:57:36","modified_gmt":"2026-03-26T00:57:36","slug":"case-records-of-the-massachusetts-general-hospital%e3%82%88%e3%82%8a-13","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3956","title":{"rendered":"Case Records of the Massachusetts General Hospital\u3088\u308a"},"content":{"rendered":"\n<p><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMcpc2513324\">Case 1-2026: A 50-Year-Old Woman with Fever and Abdominal Pain<\/a><\/p>\n\n\n\n<p>\uff08\u672c\u8a18\u4e8b\u306f\u5143\u6587\u732e\u3092\u898b\u306a\u304c\u3089\u8074\u3044\u3066\u3044\u305f\u3060\u304f\u524d\u63d0\u3067\u3059\u306e\u3067\u3001\u8a73\u7d30\u306a\u75c5\u6b74\u3001\u753b\u50cf\u3084\u81e8\u5e8a\u691c\u67fb\u6240\u898b\u7b49\u306f\u5143\u6587\u732e\u3092\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\u3000AI\u3092\u4f7f\u7528\u3057\u3066\u3044\u307e\u3059\u306e\u3067\u30cf\u30eb\u30b7\u30cd\u30fc\u30b7\u30e7\u30f3\u304c\u3042\u308b\u307b\u304b\u3001\u6f22\u5b57\u306e\u8aad\u307f\u66f8\u304d\u306e\u9593\u9055\u3044\u7b49\u304c\u3054\u3056\u3044\u307e\u3059\uff09\u3000\u3059\u3044\u3061\u3085\u3046\u3057\u3057\u3087\u3046\u2192\u4f4f\u8840\u5438\u866b\u75c7<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"391\" src=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-3-700x391.png\" alt=\"\" class=\"wp-image-3957\" srcset=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-3-700x391.png 700w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-3-300x167.png 300w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-3-150x84.png 150w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-3-768x429.png 768w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-3-1536x857.png 1536w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-3-2048x1143.png 2048w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-3-800x447.png 800w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/figure>\n\n\n\n<p>\u3053\u306e\u8cc7\u6599\u306f\u3001\u30d6\u30e9\u30b8\u30eb\u304b\u3089\u5e30\u56fd\u76f4\u5f8c\u306b\u6025\u6fc0\u306a\u5bb9\u4f53\u60aa\u5316\u3092\u9042\u3052\u305f50\u4ee3\u5973\u6027\u306e\u75c7\u4f8b\u5831\u544a\u3067\u3059\u3002\u60a3\u8005\u306f\u767a\u71b1\u3084\u8179\u75db\u3001\u4f4e\u8840\u5727\u3092\u4f34\u3046\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u3092\u767a\u75c7\u3057\u3001\u30de\u30b5\u30c1\u30e5\u30fc\u30bb\u30c3\u30c4\u7dcf\u5408\u75c5\u9662\u306e\u5c02\u9580\u533b\u3089\u304c\u6e21\u822a\u6b74\u3084\u65e2\u5f80\u6b74\u306b\u57fa\u3065\u304d\u8a73\u7d30\u306a\u9451\u5225\u8a3a\u65ad\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u8840\u6db2\u57f9\u990a\u306e\u7d50\u679c\u3001\u5f53\u521d\u306e\u8aa4\u8a8d\u3092\u7d4c\u3066\u6700\u7d42\u7684\u306b\u9ac4\u819c\u708e\u83cc\uff08Neisseria meningitidis\uff09\u306b\u3088\u308b\u611f\u67d3\u304c\u5224\u660e\u3057\u307e\u3057\u305f\u3002\u96c6\u4e2d\u6cbb\u7642\u306b\u3088\u308b\u61f8\u547d\u306a\u6551\u547d\u63aa\u7f6e\u3082\u865a\u3057\u304f\u3001\u60a3\u8005\u306f\u5165\u9662\u304b\u3089\u308f\u305a\u304b\u534a\u65e5\u3067\u4ea1\u304f\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u5f8c\u306e\u75c5\u7406\u89e3\u5256\u3067\u306f\u3001\u64ad\u7a2e\u6027\u8840\u7ba1\u5185\u51dd\u56fa\u75c7\u5019\u7fa4\u306b\u52a0\u3048\u3001\u7a00\u306a\u5408\u4f75\u75c7\u3067\u3042\u308b\u8702\u7aa9\u7e54\u708e\u6027\u80c3\u708e\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002\u6700\u7d42\u7684\u306b\u3053\u306e\u6587\u66f8\u306f\u3001\u8a3a\u65ad\u306e\u96e3\u3057\u3055\u3068\u516c\u8846\u885b\u751f\u4e0a\u306e\u91cd\u8981\u6027\u3092\u6d6e\u304d\u5f6b\u308a\u306b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/c6483919061763ec24528856e1a29630.mp3\"><\/audio><\/figure>\n<div class=\"powerpress_player\" id=\"powerpress_player_4182\"><audio class=\"wp-audio-shortcode\" id=\"audio-3956-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/c6483919061763ec24528856e1a29630.mp3?_=1\" \/><a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/c6483919061763ec24528856e1a29630.mp3\">https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/c6483919061763ec24528856e1a29630.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/c6483919061763ec24528856e1a29630.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/plaza.umin.ac.jp\/~OIO\/?powerpress_pinw=3956-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/c6483919061763ec24528856e1a29630.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"c6483919061763ec24528856e1a29630.mp3\">Download<\/a><\/p><!--powerpress_player-->","protected":false},"excerpt":{"rendered":"<p>Case 1-2026: A 50-Year-Old Woman with Fever and Abdominal Pain \uff08\u672c\u8a18\u4e8b\u306f\u5143\u6587\u732e\u3092\u898b\u306a\u304c\u3089\u8074\u3044\u3066\u3044\u305f\u3060\u304f\u524d\u63d0\u3067\u3059\u306e\u3067\u3001\u8a73\u7d30\u306a\u75c5\u6b74\u3001\u753b\u50cf\u3084\u81e8\u5e8a\u691c\u67fb\u6240\u898b\u7b49\u306f\u5143\u6587\u732e&#8230;<\/p>\n","protected":false},"author":5,"featured_media":3848,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20],"tags":[],"class_list":["post-3956","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-podcast"],"jetpack_featured_media_url":"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/07\/A-bright-and-cheerful-illustration-in-the-same-style-as-a-medical-education-website-showing-a-resea.png","jetpack_shortlink":"https:\/\/wp.me\/p9b6zl-11O","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/3956","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3956"}],"version-history":[{"count":3,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/3956\/revisions"}],"predecessor-version":[{"id":3963,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/3956\/revisions\/3963"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/media\/3848"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3956"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3956"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3956"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}