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1.
Am J Trop Med Hyg ; 97(1): 84-87, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28719293

ABSTRACT

We herein report a case of suspected Borrelia miyamotoi disease in Hokkaido, Japan. The patient complained of lassitude, arthralgia, and high fever after a tick bite. Furthermore, at the time of consultation, the patient exhibited momentary loss of consciousness and low blood pressure. Laboratory tests revealed elevation of liver enzymes, thrombocytopenia, and increased C-reactive protein. Seroconversion to B. miyamotoi glycerophosphoryl diester phosphodiesterase antigen suggested the patient was infected with a relapsing fever group Borrelia species.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Borrelia/isolation & purification , Relapsing Fever/diagnosis , Relapsing Fever/drug therapy , Tick-Borne Diseases/diagnosis , Tick-Borne Diseases/drug therapy , Adult , Animals , Humans , Japan , Male , Treatment Outcome
2.
Breast Cancer ; 10(4): 378-81, 2003.
Article in English | MEDLINE | ID: mdl-14634520

ABSTRACT

A 46-year-old woman presented to our hospital with a rapidly growing lump in her right breast. Fine-needle aspiration (FNA) cytology and core needle biopsy of the mass revealed many epithelioid cells admixed with multinucleated Langhans-type giant cells, neutrophils, lymphocytes, and stromal cells, leading to a diagnosis of granulomatous mastitis. Mammography and ultrasonography provided little information for differentiating between granulomatous mastitis and carcinoma. This patient was successfully treated with low dose and short period of corticosteroid therapy.


Subject(s)
Anti-Inflammatory Agents/therapeutic use , Biopsy, Needle , Granuloma/diagnosis , Granuloma/drug therapy , Mastitis/diagnosis , Mastitis/drug therapy , Prednisolone/therapeutic use , Biopsy, Needle/methods , Female , Humans , Middle Aged , Treatment Outcome , Ultrasonography, Mammary
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