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R Tomiyama

Publications and source records attributed to R Tomiyama.

16 recordsLinked to original sources

[Clinical features in six patients with liver abscess caused by Streptococcus milleri].

Among 39 patients with pyogenic liver abscess who were admitted to our institute, six (15%) were infected by Streptococcus milleri (S. milleri). We investigated clinical features of these six patients. There were five males and one female, aged 43-81 years old (mean: 61). Five of the six patients had underlying illness. All patients had fever, and three of them complained of abdominal pain. Three patients had mixed infections; particularly intraoral anaerobes, Fusobacterium, were found in two of the three patients. There were no differences in clinical features between patients with S. milleri liver abscess and those with other bacterial liver abscess. In conclusion, on selecting antibiotics for the treatment of liver abscess, it is necessary to consider the S. milleri and intraoral anaerobes.

Adult↗

[Factors interfering with CRP assay (from the manufacturer's perspective)].

Recently, there have been many highly sensitive methods for CRP assay. However, there are also many factors that interfere with CRP assay. We are taking measures to avoid interference due to factors such as, myeloma protein, rheumatoid factor, lipaemia(a substance similar to detergent in the capillary tube, etc). Currently CRP assay methods which are not influenced by these factors are available. However, other unknown factors that interfere with CRP assay have become apparent. We think that these are peculiar to the immunoassay. We are taking measures to identify these interference factors and resolve the problem. In the following, we will explain some experiments that will protect our re-agent from these interference factors.

C-Reactive Protein↗