{"id":15596,"date":"2026-03-02T09:00:11","date_gmt":"2026-03-02T00:00:11","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=15596"},"modified":"2026-02-27T08:53:32","modified_gmt":"2026-02-26T23:53:32","slug":"menu_84","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_84\/","title":{"rendered":"Menu 84: \u6eb6\u9023\u83cc\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"<style>\r\n\/* indent *\/\r\n.list-indent {\r\n    padding-bottom: 2rem;\r\n    padding-top: 0;\r\n    margin-top: 0;\r\n    margin-bottom: 0;\r\n    letter-spacing: 0.05em;\r\n    line-height: 1.8em;\r\n    font-size: 1em;\r\n}\r\n.list-h_indent,\r\n.list-indent li {\r\n    padding-left: 1em;\r\n    text-indent: -1.5em;\r\n    margin-bottom: 0!important;\r\n}\r\n\r\n.ul_p-l {\r\n    padding-left: 1.5em;\r\n}\r\n\r\n.sp {\r\n    display: none;\r\n}\r\n\r\n@media screen and (max-width: 425px){\r\n.sp {\r\n    display: block;\r\n}\r\n}\r\n<\/style>\r\n\r\n<img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/10\/eigocafe.jpg\" alt=\"\" width=\"1100\" height=\"275\" \/>\r\n<p><span style=\"font-size: large;\">\u3053\u3093\u306b\u3061\u306f\u3002\u300c<span style=\"color: #8b4513;\"><strong>\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u9802\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c<span style=\"color: #1e90ff;\"><strong>\u6eb6\u9023\u83cc\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3067\u3059\u3002<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u5fae\u751f\u7269\u5b66<\/strong>\u300d<strong>microbiology<\/strong> \u3084\u300c<strong>\u611f\u67d3\u75c7\u5b66<\/strong>\u300d<strong>infectious diseases<\/strong> \u3067\u304a\u99b4\u67d3\u307f\u306e\u300c<span style=\"color: #fe3d45;\"><strong>\u6eb6\u9023\u83cc<\/strong><\/span>\u300d\u3067\u3059\u304c\u3001\u3053\u308c\u306f\u82f1\u8a9e\u3067\u4f55\u3068\u8a00\u3046\u306e\u3067\u3057\u3087\u3046\uff1f\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u300c<span style=\"color: #fe3d45;\"><strong>\u6eb6\u9023\u83cc<\/strong><\/span>\u300d\u306f\u3001\u72b6\u6cc1\u306b\u3088\u3063\u3066\u306f\u300c<span style=\"color: #fe3d45;\"><strong>\u5287\u75c7\u578b\u6eb6\u9023\u83cc<\/strong><\/span>\u300d\u3084\u300c<span style=\"color: #fe3d45;\"><strong>\u4eba\u98df\u3044\u30d0\u30af\u30c6\u30ea\u30a2<\/strong><\/span>\u300d\u3068\u3082\u547c\u3070\u308c\u307e\u3059\u304c\u3001\u3053\u308c\u3089\u306f\u82f1\u8a9e\u570f\u3067\u306f\u4f55\u3068\u547c\u3070\u308c\u3066\u3044\u308b\u306e\u3067\u3057\u3087\u3046\uff1f\u305d\u3057\u3066\u3053\u306e\u7d30\u83cc\u306f\u300c<span style=\"color: #fe3d45;\"><strong>\u7329\u7d05\u71b1<\/strong><\/span>\u300d\u3084\u300c<span style=\"color: #fe3d45;\"><strong>\u6025\u6027\u30ea\u30a6\u30de\u30c1\u71b1<\/strong><\/span>\u300d\u306a\u3069\u3082\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u304c\u3001\u305d\u308c\u3089\u306e\u6a5f\u5e8f\u3084\u82f1\u8a9e\u8868\u73fe\u306f\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u306a\u306e\u3067\u3057\u3087\u3046\uff1f<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u6eb6\u9023\u83cc<\/strong>\u300d\u306f\u8eab\u8fd1\u306a\u7d30\u83cc\u3067\u3042\u308b\u3068\u540c\u6642\u306b\u3001\u95a2\u9023\u3059\u308b\u75be\u60a3\u3082\u91cd\u8981\u306a\u3082\u306e\u3070\u304b\u308a\u3067\u3059\u3002\u3057\u304b\u3057\u65e5\u672c\u306e\u533b\u7642\u8005\u3067\u3001\u6eb6\u9023\u83cc\u3068\u305d\u306e\u95a2\u9023\u75be\u60a3\u306b\u95a2\u3059\u308b\u81ea\u7136\u306a\u82f1\u8a9e\u8868\u73fe\u3092\u6b63\u3057\u304f\u7406\u89e3\u3057\u3066\u3044\u308b\u4eba\u306f\u6c7a\u3057\u3066\u591a\u304f\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u305d\u3053\u3067\u4eca\u6708\u306f\u300c<strong>\u6eb6\u9023\u83cc\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u300c\u6eb6\u9023\u83cc\u300d\u3063\u3066\u82f1\u8a9e\u3067\u4f55\u3068\u8a00\u3046\uff1f<\/strong><\/span><br>\r\n\u4e00\u822c\u306e\u65b9\u3082\u30cb\u30e5\u30fc\u30b9\u306a\u3069\u3067\u8033\u306b\u3059\u308b\u300c<strong>\u6eb6\u9023\u83cc<\/strong>\u300d\u3067\u3059\u304c\u3001\u305d\u3082\u305d\u3082\u3053\u308c\u306f\u4f55\u306a\u306e\u3067\u3057\u3087\u3046\uff1f\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u7d30\u83cc<\/strong>\u300d<strong>bacteria<\/strong> \u306f\u3001\u305d\u306e\u5f62\u72b6\u304b\u3089\u300c<strong>\u7403\u83cc<\/strong>\u300d<strong>coccus<\/strong>\uff08\u8907\u6570\u5f62\u306f <strong>cocci<\/strong> \uff09\u3084\u300c<strong>\u687f\u83cc<\/strong>\u300d<strong>bacillus<\/strong>\uff08\u8907\u6570\u5f62\u306f <strong>bacilli<\/strong> \uff09\u306a\u3069\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3046\u3061\u7403\u83cc\u306f\u5206\u88c2\u5f8c\u306e\u914d\u5217\u306e\u4ed5\u65b9\u306b\u3088\u3063\u3066\u3001\u3055\u3089\u306b\u3044\u304f\u3064\u304b\u306e\u30bf\u30a4\u30d7\u306b\u5206\u3051\u3066\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">2\u3064\u306e\u7403\u83cc\u304c\u5bfe\u306b\u306a\u3063\u305f\u3082\u306e\u306f\u300c<strong>\u53cc\u7403\u83cc<\/strong>\u300d<strong>diplococcus<\/strong> \/ <strong>diplococci<\/strong> \u3068\u3001\u30d6\u30c9\u30a6\u306e\u623f\u306e\u3088\u3046\u306b\u96c6\u307e\u3063\u3066\u3044\u308b\u3082\u306e\u306f\u300c<strong>\u30d6\u30c9\u30a6\u7403\u83cc<\/strong>\u300d<strong>staphylococcus<\/strong> \/ <strong>staphylococci<\/strong> \u3068\u3001\u305d\u3057\u3066\u9396\u72b6\u306b\u9023\u306a\u3063\u3066\u3044\u308b\u3082\u306e\u306f\u300c<strong>\u30ec\u30f3\u30b5\u7403\u83cc<\/strong>\u300d<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>streptococcus<\/strong><\/span> \/ <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>streptococci<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3055\u3089\u306b\u3053\u306e <span style=\"color: #fe3d45;\"><strong>streptococcus<\/strong><\/span> \u306f\u3001\u300c<strong>\u8840\u6db2\u5bd2\u5929\u57f9\u5730<\/strong>\u300d<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>blood agar<\/strong><\/span>\uff08\u300c<strong>\u30a8<\/strong>\u30a3\u30ac\u30fc\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u4e0a\u3067\u57f9\u990a\u3057\u305f\u969b\u306b\u3001\u5468\u56f2\u306e\u8d64\u8840\u7403\u3092\u3069\u306e\u7a0b\u5ea6\u300c<strong>\u6eb6\u8840<\/strong>\u300d<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>hemolysis<\/strong><\/span> \u3055\u305b\u308b\u304b\u306b\u3088\u3063\u30663\u3064\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u8d64\u8840\u7403\u3092\u90e8\u5206\u7684\u306b\u6eb6\u304b\u3057\u3001\u57f9\u5730\u304c\u300c<strong>\u7dd1\u8272<\/strong>\u300d\u306b\u898b\u3048\u308b\u3082\u306e\u306f <span style=\"color: #fe3d45;\"><strong>\u03b1-hemolytic<\/strong><\/span>\u300c<strong>\u03b1\u6eb6\u8840\u6027<\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002\u53e3\u8154\u5185\u5e38\u5728\u83cc\u3068\u3057\u3066\u77e5\u3089\u308c\u308b\u300c<strong>\u7dd1\u8272\u30ec\u30f3\u30b5\u7403\u83cc<\/strong>\u300d<span style=\"color: #fe3d45;\"><strong>viridans streptococci<\/strong><\/span> \u306e <strong>viridans<\/strong> \u3068\u3044\u3046\u540d\u79f0\u306f\u3001blood agar \u4e0a\u3067\u306e\u3053\u306e\u300c<strong>\u7dd1\u8272<\/strong>\u300d\u306b\u7531\u6765\u3057\u3066\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u8d64\u8840\u7403\u3092\u5168\u304f\u6eb6\u304b\u3055\u306a\u3044\u3082\u306e\u306f <strong>\u03b3-hemolytic<\/strong>\u300c<strong>\u03b3\u6eb6\u8840\u6027<\/strong>\u300d\u3068\u8868\u73fe\u3055\u308c\u3001\u8d64\u8840\u7403\u3092\u5b8c\u5168\u306b\u6eb6\u304b\u3057\u3066\u3057\u307e\u3046\u3082\u306e\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>\u03b2-hemolytic<\/strong><\/span>\u300c<strong>\u03b2\u6eb6\u8840\u6027<\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3088\u304f\u300c\u6eb6\u9023\u83cc\u306f\u6eb6\u8840\u6027\u30ec\u30f3\u30b5\u7403\u83cc\u306e\u3053\u3068\u3060\u304b\u3089\u3001\u4f53\u306e\u4e2d\u3067\u6eb6\u8840\u304c\u8d77\u3053\u308b\u300d\u3068\u8aa4\u89e3\u3057\u3066\u3044\u308b\u65b9\u3082\u3044\u307e\u3059\u304c\u3001\u3053\u306e\u6eb6\u8840\u3068\u306f blood agar \u4e0a\u3067\u89b3\u5bdf\u3055\u308c\u308b\u73fe\u8c61\u3067\u3042\u308a\u3001<span style=\"background-color: #ffff33;\"><strong>\u4f53\u5185\u3067\u8d64\u8840\u7403\u304c\u7834\u58ca\u3055\u308c\u308b\u3053\u3068\u3092\u610f\u5473\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/strong><\/span>\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u300c<strong>\u03b2 \u6eb6\u8840\u6027<\/strong>\u300d\u306e\u3082\u306e\u306f\u300c<strong>\u03b2 \u6eb6\u8840\u6027\u30ec\u30f3\u30b5\u7403\u83cc<\/strong>\u300d\u3068\u547c\u3070\u308c\u3001\u83cc\u4f53\u8868\u9762\u306e\u6297\u539f\u6027\u306e\u9055\u3044\u306b\u57fa\u3065\u3044\u3066\u3055\u3089\u306b\u7d30\u304b\u304f\u5206\u985e\u3055\u308c\u307e\u3059\u3002\u3053\u306e\u5206\u985e\u6cd5\u306f <strong>Lancefield \u5206\u985e<\/strong>\u3068\u547c\u3070\u308c\u3001A \u7fa4\u3001B \u7fa4\u3001C \u7fa4\u3001G \u7fa4\u306a\u3069\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u65e5\u672c\u8a9e\u3067\u4e00\u822c\u306b\u300c<strong>\u6eb6\u9023\u83cc<\/strong>\u300d\u3068\u547c\u3070\u308c\u3066\u3044\u308b\u3082\u306e\u306f\u3001\u3053\u306e\u300c<strong>\u03b2 \u6eb6\u8840\u6027\u30ec\u30f3\u30b5\u7403\u83cc<\/strong>\u300d\u306e\u3046\u3061\u3001\u7279\u306b\u300c<strong>A \u7fa4<\/strong>\u300d\u306b\u5c5e\u3059\u308b\u3082\u306e\u3001\u3059\u306a\u308f\u3061 \u300c<strong>A \u7fa4\u30ec\u30f3\u30b5\u7403\u83cc<\/strong>\u300d\u3092\u6307\u3057\u3066\u4f7f\u308f\u308c\u308b\u3053\u3068\u304c\u307b\u3068\u3093\u3069\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u306e\u305f\u3081\u300c<strong>\u6eb6\u9023\u83cc<\/strong>\u300d\u3092\u5358\u306b\u300c<strong>\u6eb6\u8840\u6027\u30ec\u30f3\u30b5\u7403\u83cc<\/strong>\u300d\u3068\u89e3\u91c8\u3057\u3001\u305d\u308c\u3092\u305d\u306e\u307e\u307e\u82f1\u8a9e\u306b\u76f4\u8a33\u3057\u3066 <strong>hemolytic streptococcus<\/strong> \u3068\u8868\u73fe\u3057\u3066\u3082\u3001\u305d\u308c\u306f\u300c<strong>\u6eb6\u9023\u83cc<\/strong>\u300d\u3092\u6b63\u78ba\u306b\u8868\u3057\u305f\u82f1\u8a9e\u8868\u73fe\u306b\u306f\u306a\u308a\u307e\u305b\u3093\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u65e5\u672c\u8a9e\u306e\u300c<strong>\u6eb6\u9023\u83cc<\/strong>\u300d\u3092\u82f1\u8a9e\u3067\u3069\u306e\u3088\u3046\u306b\u8868\u73fe\u3059\u308b\u304b\u3068\u3044\u3046\u3068\u3001\u300c<span style=\"color: #fe3d45;\"><strong>A\u7fa4\u30ec\u30f3\u30b5\u7403\u83cc<\/strong><\/span>\u300d\u306b\u76f8\u5f53\u3059\u308b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Group A streptococcus<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Group A strep<\/strong><\/span> \u3068\u3044\u3063\u305f\u8868\u73fe\u304c\u4e00\u822c\u7684\u306b\u7528\u3044\u3089\u308c\u307e\u3059\u3002\u307e\u305f\u3053\u306e\u5834\u5408\u306e <span style=\"color: #fe3d45;\"><strong>Group<\/strong><\/span> \u306f\u3001Lancefield \u5206\u985e\u306e <strong>Group<\/strong>\u300c<strong>\u7fa4<\/strong>\u300d\u3067\u3059\u306e\u3067\u56fa\u6709\u540d\u8a5e\u6271\u3044\u3068\u306a\u308a\u3001<span style=\"background-color: #ffff33;\"><strong>G \u306f\u5e38\u306b\u5927\u6587\u5b57\u306b\u306a\u308b<\/strong><\/span>\u3068\u3044\u3046\u3053\u3068\u306b\u3082\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e <span style=\"color: #fe3d45;\"><strong>Group A streptococcus<\/strong><\/span> \u306e\u7565\u8a9e\u3068\u3057\u3066 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>GAS<\/strong><\/span> \u3068\u3044\u3046\u8868\u8a18\u3082\u66f8\u304d\u8a00\u8449\u3067\u306f\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u3053\u308c\u3092\u300c\u30ae\u30e3\u30b9\u300d\u306e\u3088\u3046\u306b\u8aad\u3080\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u53e3\u982d\u3067\u306f\u300c<span style=\"color: #fe3d45;\"><strong>\u30b8\u30fc\u30fb\u30a8\u30fc\u30fb\u30a8\u30b9<\/strong><\/span>\u300d\u3068\u8aad\u3080\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u5b9f\u969b\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u7701\u7565\u305b\u305a\u306b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Group A strep<\/strong><\/span> \u3068\u8aad\u3080\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u306a\u304a Group A strep \u306e\u6b63\u5f0f\u306a\u83cc\u540d\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Streptococcus pyogenes<\/strong><\/span>\u300c<strong>\u5316\u81bf\u30ec\u30f3\u30b5\u7403\u83cc<\/strong>\u300d\u3067\u3059\u3002\uff08\u3053\u306e <span style=\"color: #fe3d45;\"><strong>pyogenes<\/strong><\/span> \u306f\u300c\u30d1\u30a4<strong>\u30aa<\/strong>\u30b8\u30a7\u30cb\u30fc\u30ba\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3057\u307e\u3059\u3002\uff09\u305f\u3060\u3057\u3053\u306e\u83cc\u540d\u306f\u533b\u5b66\u7684\u306a\u6587\u8108\u3067\u7528\u3044\u3089\u308c\u308b\u305f\u3081\u3001\u300c<strong>\u6eb6\u9023\u83cc<\/strong>\u300d\u3084\u300c<strong>\u6eb6\u9023\u83cc\u306b\u3088\u308b\u611f\u67d3\u75c7<\/strong>\u300d\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3059\u308b\u969b\u306b\u306f\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Group A strep<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Group A streptococcal infection<\/strong><\/span> \u3068\u3044\u3063\u305f\u8868\u73fe\u3092\u7528\u3044\u308b\u306e\u304c\u9069\u5207\u3068\u8a00\u3048\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u201cstrep throat\u201d \u3063\u3066\u4f55\u306e\u3053\u3068\uff1f<\/strong><\/span><br>\r\n\u3053\u306e <span style=\"color: #fe3d45;\"><strong>Group A strep<\/strong><\/span> \u304c\u306a\u305c\u81e8\u5e8a\u7684\u306b\u91cd\u8981\u306a\u306e\u304b\u3068\u8a00\u3046\u3068\u3001<span style=\"color: #fe3d45;\"><strong>carriage rate<\/strong><\/span>\u300c<strong>\u4fdd\u56e0\u7387<\/strong>\u300d\u304c\u9ad8\u3044\u5272\u306b\u3001\u4e0b\u8a18\u306e<strong>3\u3064\u306e\u6a5f\u5e8f<\/strong>\u3067\u69d8\u3005\u306a\u75be\u60a3\u3092\u5f15\u304d\u8d77\u3053\u3059\u304b\u3089\u306a\u306e\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Pyogenic<\/strong><\/span>\u300c<strong>\u5316\u81bf\u6027<\/strong>\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Toxigenic<\/strong><\/span>\u300c<strong>\u6bd2\u7d20\u7523\u751f\u6027<\/strong>\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Immunologic<\/strong><\/span>\u300c<strong>\u514d\u75ab\u7684<\/strong>\u300d<\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\">\u307e\u305a\u306f\u6700\u521d\u306e <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>pyogenic<\/strong><\/span>\u300c<strong>\u5316\u81bf\u6027<\/strong>\u300d\u306e\u554f\u984c\u304b\u3089\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>pyogenic<\/strong><\/span> \u3068\u306f\u3001\u7d30\u83cc\u304c\u7d44\u7e54\u306b\u4fb5\u5165\u3057\u3001\u5316\u81bf\u6027\u306e\u708e\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u75c5\u614b\u3092\u6307\u3057\u307e\u3059\u3002<br>\r\n\u6eb6\u9023\u83cc\u306b\u3088\u308b pyogenic \u306a\u611f\u67d3\u90e8\u4f4d\u3068\u3057\u3066\u306f\u3001\u307e\u305a <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>throat<\/strong><\/span> \u3068 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>skin<\/strong><\/span> \u3092\u62bc\u3055\u3048\u3066\u304a\u304f\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u82f1\u8a9e\u570f\u3067\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>strep throat<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u300c<strong>\u6eb6\u9023\u83cc\u306b\u3088\u308b\u54bd\u982d\u708e<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>streptococcal pharyngitis<\/strong><\/span> \u306e\u4e00\u822c\u7684\u306a\u82f1\u8a9e\u8868\u73fe\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e <span style=\"color: #fe3d45;\"><strong>strep throat<\/strong><\/span> \u306f 5\u301c15\u6b73 \u306b\u591a\u304f\u307f\u3089\u308c\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>sore throat without coughing<\/strong><\/span> \u3068\u3044\u3046 <strong>semantic qualifiers<\/strong>\u300c<strong>\u81e8\u5e8a\u7684\u306a\u610f\u7fa9\u3092\u4e0e\u3048\u308b\u533b\u5b66\u82f1\u8a9e<\/strong>\u300d\u304c\u91cd\u8981\u306a\u624b\u304c\u304b\u308a\u3068\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e strep throat \u81ea\u4f53\u306f\u3001\u901a\u5e38\u306f\u91cd\u7be4\u306a\u75be\u60a3\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u653e\u7f6e\u3059\u308b\u3068\u5f8c\u8ff0\u3059\u308b toxigenic \u3084 immunologic \u306a\u75be\u60a3\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u5916\u6765\u8a3a\u7642\u3067\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>rapid strep test<\/strong><\/span> \u3068\u547c\u3070\u308c\u308b\u8fc5\u901f\u691c\u67fb\u304c\u884c\u308f\u308c\u307e\u3059\u3002\u3053\u306e\u691c\u67fb\u306f\u6b63\u5f0f\u306b\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>rapid antigen detection test (RADT)<\/strong><\/span> \u3068\u547c\u3070\u308c\u3001\u54bd\u982d\u306c\u3050\u3044\u6db2\u304b\u3089 Group A strep \u306e\u6297\u539f\u3092\u8fc5\u901f\u306b\u691c\u51fa\u3057\u307e\u3059\u3002\u7d50\u679c\u304c\u6570\u5206\u3067\u5f97\u3089\u308c\u308b\u305f\u3081\u3001\u305d\u306e\u5834\u3067\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3067\u304d\u308b\u70b9\u304c\u5927\u304d\u306a\u5229\u70b9\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305f\u3060\u3057\u3053\u306e rapid strep test \u306f\u7279\u7570\u5ea6\u304c\u9ad8\u3044\u3082\u306e\u306e\u611f\u5ea6\u304c\u5341\u5206\u3067\u306f\u306a\u3044\u305f\u3081\u3001\u7279\u306b\u5c0f\u5150\u3067\u306f\u3001rapid strep test \u304c\u9670\u6027\u3067\u3042\u3063\u3066\u3082 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>throat culture<\/strong><\/span>\u300c<strong>\u54bd\u982d\u57f9\u990a<\/strong>\u300d\u304c\u8ffd\u52a0\u3067\u884c\u308f\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u307e\u305f strep throat \u306f\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>tonsillitis<\/strong><\/span>\u300c<strong>\u6241\u6843\u708e<\/strong>\u300d\u3084 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>peritonsillar abscess<\/strong><\/span>\u300c<strong>\u6241\u6843\u5468\u56f2\u81bf\u760d<\/strong>\u300d\u306b\u9032\u5c55\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u7279\u306b <span style=\"color: #fe3d45;\"><strong>peritonsillar abscess<\/strong><\/span> \u3067\u306f\u58f0\u304c\u3053\u3082\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u305d\u306e\u6240\u898b\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>muffled voice<\/strong><\/span>\u300c<strong>\u3053\u3082\u3063\u305f\u58f0<\/strong>\u300d\u3084\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>hot potato voice<\/strong><\/span>\u300c<strong>\u53e3\u306e\u4e2d\u306b\u71b1\u3044\u30b8\u30e3\u30ac\u30a4\u30e2\u3092\u542b\u3093\u3060\u3088\u3046\u306a\u58f0<\/strong>\u300d\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u300c\u3068\u3073\u3072\u300d\u3084\u300c\u4e39\u6bd2\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f\uff1f<\/strong><\/span><br>\r\n\u6b21\u306b <span style=\"color: #fe3d45;\"><strong>skin<\/strong><\/span> \u3067\u306e <span style=\"color: #fe3d45;\"><strong>pyogenic<\/strong><\/span>\u300c<strong>\u5316\u81bf\u6027<\/strong>\u300d\u306e\u554f\u984c\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u76ae\u819a\u3067\u306f\u3001\u611f\u67d3\u306e\u6df1\u3055\u306b\u3088\u3063\u3066\u3001\u4e3b\u306b\u6b21\u306e 3 \u3064\u306e\u75be\u60a3\u304c\u8d77\u3053\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Impetigo<\/strong><\/span>\u300c<strong>\u4f1d\u67d3\u6027\u81bf\u75c2\u75b9\uff08\u306e\u3046\u304b\u3057\u3093\uff09<\/strong>\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Erysipelas<\/strong><\/span>\u300c<strong>\u4e39\u6bd2\uff08\u305f\u3093\u3069\u304f\uff09<\/strong>\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Cellulitis<\/strong><\/span>\u300c<strong>\u8702\u7aa9\u7e54\u708e\uff08\u307b\u3046\u304b\u3057\u304d\u3048\u3093\uff09<\/strong>\u300d<\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\">Group A strep \u304c <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>superficial epidermal infection<\/strong><\/span>\u300c<strong>\u8868\u76ae\u8868\u9762\u3078\u306e\u611f\u67d3<\/strong>\u300d\u3092\u8d77\u3053\u3059\u3068\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>impetigo<\/strong><\/span>\u300c<strong>\u4f1d\u67d3\u6027\u81bf\u75c2\u75b9<\/strong>\u300d\u304c\u751f\u3058\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e <span style=\"color: #fe3d45;\"><strong>impetigo<\/strong><\/span>\uff08\u300c\u30a4\u30f3\u30d4<strong>\u30bf\u30a1<\/strong>\u30a4\u30b4\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f\u3001\u30e9\u30c6\u30f3\u8a9e\u306e impetere\u300c\u6025\u6fc0\u306b\u5e83\u304c\u308b\u300d\u306b\u7531\u6765\u3057\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c<strong>\u3068\u3073\u3072<\/strong>\u300d\u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002<strong>Staphylococcus aureus<\/strong>\u300c<strong>\u9ec4\u8272\u30d6\u30c9\u30a6\u7403\u83cc<\/strong>\u300d\u306b\u3088\u308b <span style=\"color: #fe3d45;\"><strong>bullous impetigo<\/strong><\/span>\u300c<strong>\u6c34\u75b1\u6027\u81bf\u75c2\u75b9<\/strong>\u300d\u3068\u533a\u5225\u3059\u308b\u305f\u3081\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>non-bullous impetigo<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>honey-crusted lesions<\/strong><\/span>\u300c<strong>\u8702\u871c\u8272\u306e\u75c2\u76ae\u3092\u4f34\u3046\u76ae\u75b9<\/strong>\u300d\u3092\u5448\u3059\u308b\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">Group A strep \u304c <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>superficial dermal infection<\/strong><\/span>\u300c<strong>\u771f\u76ae\u8868\u5c64\u3078\u306e\u611f\u67d3<\/strong>\u300d\u3092\u8d77\u3053\u3059\u3068\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>erysipelas<\/strong><\/span>\u300c<strong>\u4e39\u6bd2<\/strong>\u300d\u304c\u751f\u3058\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e <span style=\"color: #fe3d45;\"><strong>erysipelas<\/strong><\/span>\uff08\u300c\u30a8\u30ea<strong>\u30b7<\/strong>\u30da\u30e9\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f\u3001\u30ae\u30ea\u30b7\u30e3\u8a9e\u306e erythro-\uff08\u8d64\u3044\uff09\u3068 pella\uff08\u76ae\u819a\uff09\u306b\u7531\u6765\u3057\u3001\u65e5\u672c\u8a9e\u306e\u300c<strong>\u4e39\u6bd2<\/strong> = <strong>\u8d64\u3044\u6bd2<\/strong>\u300d\u3068\u3044\u3046\u540d\u79f0\u306b\u3082\u5bfe\u5fdc\u3057\u3066\u3044\u307e\u3059\u3002\u76ae\u819a\u8868\u9762\u304b\u3089\u898b\u3066\u6bd4\u8f03\u7684\u6d45\u3044\u5c64\u3067\u306e\u611f\u67d3\u3067\u3042\u308b\u305f\u3081\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>sharply demarcated erythema<\/strong><\/span>\u300c<strong>\u8fba\u7e01\u304c\u660e\u77ad\u306a\u7d05\u6591<\/strong>\u300d\u3092\u5448\u3059\u308b\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">Group A strep \u304c <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>deep dermal and subcutaneous infection<\/strong><\/span>\u300c<strong>\u771f\u76ae\u6df1\u5c64\u304a\u3088\u3073\u76ae\u4e0b\u7d44\u7e54\u3078\u306e\u611f\u67d3<\/strong>\u300d\u3092\u8d77\u3053\u3059\u3068\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>cellulitis<\/strong><\/span>\u300c<strong>\u8702\u7aa9\u7e54\u708e<\/strong>\u300d\u304c\u751f\u3058\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e <span style=\"color: #fe3d45;\"><strong>cellulitis<\/strong><\/span>\uff08\u300c\u30bb\u30eb\u30e6<strong>\u30e9<\/strong>\u30a4\u30c6\u30a3\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f\u3001\u30e9\u30c6\u30f3\u8a9e\u306e cellula\uff08\u5c0f\u3055\u306a\u7d30\u80de\uff09\u306b\u7531\u6765\u3057\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c<strong>\u8702\u306e\u5de3\u306e\u3088\u3046\u306a\u69cb\u9020\u3092\u3082\u3064\u7d44\u7e54\u306e\u708e\u75c7<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u304b\u3089\u300c<strong>\u8702\u7aa9\u7e54\u708e<\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002\u76ae\u819a\u8868\u9762\u304b\u3089\u898b\u3066\u6df1\u90e8\u3067\u9032\u884c\u3059\u308b\u611f\u67d3\u3067\u3042\u308b\u305f\u3081\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>poorly demarcated erythema<\/strong><\/span>\u300c<strong>\u8fba\u7e01\u304c\u4e0d\u660e\u77ad\u306a\u7d05\u6591<\/strong>\u300d\u3068\u306a\u308b\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u300c\u5287\u75c7\u578b\u6eb6\u9023\u83cc\u300d\u3084\u300c\u4eba\u98df\u3044\u30d0\u30af\u30c6\u30ea\u30a2\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f\uff1f<\/strong><\/span><br>\r\n\u6b21\u306b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>toxigenic<\/strong><\/span>\u300c<strong>\u6bd2\u7d20\u7523\u751f\u6027<\/strong>\u300d\u306e\u554f\u984c\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">Group A strep \u304c\u7523\u751f\u3059\u308b\u6bd2\u7d20\u306b\u3088\u3063\u3066\u3001\u4e3b\u306b\u4e0b\u8a18\u306e3\u3064\u306e\u75be\u60a3\u304c\u8d77\u3053\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Scarlet fever<\/strong><\/span>\u300c<strong>\u7329\u7d05\uff08\u3057\u3087\u3046\u3053\u3046\uff09\u71b1<\/strong>\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Streptococcal toxic shock syndrome (STSS)<\/strong><\/span>\u300c<strong>\u5287\u75c7\u578b\u6eb6\u8840\u6027\u30ec\u30f3\u30b5\u7403\u83cc\u611f\u67d3\u75c7<\/strong>\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Necrotizing fasciitis<\/strong><\/span>\u300c<strong>\u58ca\u6b7b\u6027\u7b4b\u819c\u708e<\/strong>\u300d<\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\">\u5c0f\u5150\u304c strep throat \u3092\u767a\u75c7\u3057\u305f\u5f8c\u3001Group A strep \u304c\u7523\u751f\u3059\u308b\u6bd2\u7d20\u304c\u5168\u8eab\u306b\u4f5c\u7528\u3059\u308b\u3068\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>fever<\/strong><\/span>\u300c<strong>\u767a\u71b1<\/strong>\u300d\u306b\u52a0\u3048\u3066\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>strawberry tongue<\/strong><\/span>\u300c<strong>\u30a4\u30c1\u30b4\u820c<\/strong>\u300d\u3084 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>sandpaper-like rash<\/strong><\/span>\u300c<strong>\u7d19\u3084\u3059\u308a\u306e\u3088\u3046\u306a\u624b\u89e6\u308a\u306e\u767a\u75b9<\/strong>\u300d\u3092\u5448\u3059\u308b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>scarlet fever<\/strong><\/span> \u306b\u9032\u5c55\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e<span style=\"color: #fe3d45;\"><strong>scarlet fever<\/strong><\/span>\u3067\u306f\u3001\u54bd\u982d\u611f\u67d3\u305d\u306e\u3082\u306e\u306b\u52a0\u3048\u3066 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>streptococcal pyrogenic exotoxin<\/strong><\/span> \u304c\u5168\u8eab\u75c7\u72b6\u306e\u539f\u56e0\u3068\u306a\u308b\u70b9\u304c\u7279\u5fb4\u3067\u3059\u3002\u3053\u3053\u3067\u307f\u3089\u308c\u308b\u7279\u5fb4\u7684\u306a<strong>\u7d05\u8272\u306e\u767a\u75b9<\/strong>\u304c\u3001\u60f3\u50cf\u4e0a\u306e\u733f\u306e\u3088\u3046\u306a\u52d5\u7269\u3067\u3042\u308b\u300c<strong>\u7329\u3005\uff08\u3057\u3087\u3046\u3058\u3087\u3046\uff09<\/strong>\u300d\u306e\u8d64\u3044\u9854\u3092\u60f3\u8d77\u3055\u305b\u308b\u3053\u3068\u304b\u3089\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c<strong>\u7329\u7d05\u71b1<\/strong>\u300d\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">scarlet fever \u304c\u6bd4\u8f03\u7684\u4e88\u5f8c\u306e\u3088\u3044 toxigenic \u306a\u75be\u60a3\u3067\u3042\u308b\u4e00\u65b9\u3067\u3001\u3088\u308a\u91cd\u7be4\u306a\u75c5\u614b\u3082\u5b58\u5728\u3057\u307e\u3059\u3002\u305d\u306e\u4ee3\u8868\u4f8b\u304c <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>streptococcal toxic shock syndrome (STSS)<\/strong><\/span> \u3068 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>necrotizing fasciitis<\/strong><\/span> \u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>streptococcal toxic shock syndrome (STSS)<\/strong><\/span>  \u306f\u3001streptococcal pyrogenic exotoxin \u304csuperantigen \u3068\u3057\u3066\u4f5c\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u5168\u8eab\u6027\u306e\u5f37\u3044\u708e\u75c7\u53cd\u5fdc\u304c\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b\u75c5\u614b\u3067\u3059\u3002<strong>\u9ad8\u71b1<\/strong>\u306b\u52a0\u3048\u3001<strong>\u6025\u6fc0\u306a\u8840\u5727\u4f4e\u4e0b<\/strong>\u3084<strong>\u591a\u81d3\u5668\u4e0d\u5168<\/strong>\u3092\u5448\u3057\u3001\u77ed\u6642\u9593\u3067\u91cd\u7be4\u5316\u3059\u308b\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u65e5\u672c\u3067\u306f\u3053\u306e\u75c5\u614b\u306f\u300c<strong>\u5287\u75c7\u578b\u6eb6\u8840\u6027\u30ec\u30f3\u30b5\u7403\u83cc\u611f\u67d3\u75c7<\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u304c\u3001\u3053\u308c\u3092\u305d\u306e\u307e\u307e <strong>fulminant hemolytic streptococcal infection<\/strong> \u306e\u3088\u3046\u306b\u76f4\u8a33\u3057\u3066\u3082\u3001\u82f1\u8a9e\u570f\u3067\u306f\u81ea\u7136\u3067\u3082\u6a19\u6e96\u7684\u3067\u3082\u3042\u308a\u307e\u305b\u3093\u3002\u82f1\u8a9e\u570f\u3067\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>streptococcal toxic shock syndrome (STSS)<\/strong><\/span> \u3068\u3044\u3046\u540d\u79f0\u304c\u305d\u306e\u307e\u307e\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>necrotizing fasciitis<\/strong><\/span>\u300c<strong>\u58ca\u6b7b\u6027\u7b4b\u819c\u708e<\/strong>\u300d\u3068\u306f\u3001\u7b4b\u819c\u306b\u6cbf\u3063\u3066\u611f\u67d3\u304c\u6025\u901f\u306b\u9032\u5c55\u3057\u3001streptococcal pyrogenic exotoxin\u306e\u95a2\u4e0e\u306b\u3088\u3063\u3066\u5e83\u7bc4\u306a\u7d44\u7e54\u58ca\u6b7b\u3092\u5f15\u304d\u8d77\u3053\u3059\u3001\u6975\u3081\u3066\u91cd\u7be4\u306a\u75c5\u614b\u3067\u3059\u3002\u3053\u306e necrotizing fasciitis \u306f STSS \u3092\u5408\u4f75\u3059\u308b\u3053\u3068\u3082\u591a\u304f\u3001\u4e21\u8005\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>invasive Group A streptococcal infections<\/strong><\/span> \u3068\u3044\u3046\u4e00\u9023\u306e\u9023\u7d9a\u3057\u305f\u75c5\u614b\u30b9\u30da\u30af\u30c8\u30e9\u30e0\u3068\u3057\u3066\u7406\u89e3\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n\u65e5\u672c\u3067\u306f\u3053\u3046\u3057\u305f\u300c<strong>\u6025\u901f\u306b\u9032\u884c\u3057\u3001\u81f4\u6b7b\u7387\u306e\u9ad8\u3044 A\u7fa4\u30ec\u30f3\u30b5\u7403\u83cc\u611f\u67d3\u75c7<\/strong>\u300d\u3092\u6307\u3057\u3066\u3001\u300c<strong>\u5287\u75c7\u578b\u6eb6\u9023\u83cc<\/strong>\u300d\u3068\u3044\u3046\u8868\u73fe\u304c\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u306e\u65e5\u672c\u8a9e\u8868\u73fe\u306b\u8fd1\u3044\u82f1\u8a9e\u8868\u73fe\u3068\u3057\u3066\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>invasive Group A streptococcal infection<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>invasive strep A<\/strong><\/span> \u3068\u3044\u3063\u305f\u3082\u306e\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n\u307e\u305f\u65e5\u672c\u3067\u306f\u58ca\u6b7b\u6027\u7b4b\u819c\u708e\u304c\u300c<strong>\u4eba\u98df\u3044\u30d0\u30af\u30c6\u30ea\u30a2<\/strong>\u300d\u3068\u8868\u73fe\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u3082\u5831\u9053\u306a\u3069\u3067 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>flesh-eating bacteria<\/strong><\/span> \u3068\u3044\u3046\u8a00\u3044\u56de\u3057\u304c\u4f7f\u308f\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"color: #fe3d45;\"><strong>\u899a\u3048\u3066\u304a\u304d\u305f\u3044\u6025\u6027\u30ea\u30a6\u30de\u30c1\u71b1\u306e \u201cJ&#x2764;&#xfe0f;NES\u201d \u3068\u306f\uff1f<\/strong><\/span><br>\r\n\u3067\u306f\u6700\u5f8c\u306b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>immunologic<\/strong><\/span>\u300c<strong>\u514d\u75ab\u7684<\/strong>\u300d\u306a\u554f\u984c\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\nGroup A strep \u304c\u5f15\u304d\u8d77\u3053\u3059\u514d\u75ab\u53cd\u5fdc\u306b\u3088\u3063\u3066\u3001\u4e3b\u306b\u4e0b\u8a18\u306e2\u3064\u306e\u75be\u60a3\u304c\u8d77\u3053\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Acute rheumatic fever<\/strong><\/span>\u300c<strong>\u6025\u6027\u30ea\u30a6\u30de\u30c1\u71b1<\/strong>\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Post-streptococcal glomerulonephritis (PSGN)<\/strong><\/span>\u300c<strong>\u6eb6\u9023\u83cc\u611f\u67d3\u5f8c\u7cf8\u7403\u4f53\u814e\u708e<\/strong>\u300d<\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>acute rheumatic fever<\/strong><\/span>\u300c<strong>\u6025\u6027\u30ea\u30a6\u30de\u30c1\u71b1<\/strong>\u300d\u306f\u3001Group A strep \u611f\u67d3\u5f8c\u306b\u751f\u3058\u308b<span style=\"color: #fe3d45;\"><strong>type II hypersensitivity<\/strong><\/span> \u306b\u3088\u308b\u5408\u4f75\u75c7\u3067\u3059\u3002\u305d\u306e\u7279\u5fb4\u7684\u306a\u75c7\u72b6\u306e <strong>mnemonics<\/strong>\u300c<strong>\u8a18\u61b6\u6cd5<\/strong>\u300d\u3068\u3057\u3066\u3001\u53e4\u304f\u304b\u3089<span style=\"color: #fe3d45;\"><strong>J&#x2764;&#xfe0f;NES<\/strong><\/span>\uff08JONES\u3068\u8aad\u307f\u307e\u3059\uff09\u304c\u6709\u540d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"color: #fe3d45;\"><strong>\r\nJ: Joint (migratory polyarthritis)<br>\r\n&#x2764;&#xfe0f;: Pancarditis (endocarditis + myocarditis + pericarditis)<br>\r\nN: Nodules in skin<br>\r\nE: Erythema marginatum<br>\r\nS: Sydenham chorea\r\n<\/strong><\/span>\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>J = Joint<\/strong><\/span><br>\r\n\u95a2\u7bc0\u708e\u3068\u3057\u3066\u7279\u5fb4\u7684\u306a\u306e\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>migratory polyarthritis<\/strong><\/span>\u300c<strong>\u904a\u8d70\u6027\u591a\u767a\u95a2\u7bc0\u708e<\/strong>\u300d\u3067\u3059\u3002\u3053\u308c\u306f\u3042\u308b\u95a2\u7bc0\u306e\u708e\u75c7\u304c\u6539\u5584\u3059\u308b\u3068\u3001\u5225\u306e\u95a2\u7bc0\u306b\u708e\u75c7\u304c\u79fb\u3063\u3066\u3044\u304f\u3068\u3044\u3046\u95a2\u7bc0\u708e\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>&#x2764;&#xfe0f; = Carditis<\/strong><\/span><br>\r\n\u6025\u6027\u30ea\u30a6\u30de\u30c1\u71b1\u3067\u6700\u3082\u91cd\u8981\u306a\u306e\u304c <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>carditis<\/strong><\/span>\u300c<strong>\u5fc3\u708e<\/strong>\u300d\u3067\u3001<span style=\"color: #fe3d45;\"><strong>endocarditis<\/strong><\/span>\u300c<strong>\u5fc3\u5185\u819c\u708e<\/strong>\u300d+ <span style=\"color: #fe3d45;\"><strong>myocarditis<\/strong><\/span>\u300c<strong>\u5fc3\u7b4b\u708e<\/strong>\u300d+ <span style=\"color: #fe3d45;\"><strong>pericarditis<\/strong><\/span>\u300c<strong>\u5fc3\u5916\u819c\u708e<\/strong>\u300d\u3068\u3001\u5fc3\u81d3\u306e\u5168\u3066\u306e\u5c64\u304c\u4fb5\u3055\u308c\u3046\u308b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>pancarditis<\/strong><\/span>\u300c<strong>\u6c4e\u5fc3\u708e<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>N = Nodules<\/strong><\/span><br>\r\n\u3053\u3053\u3067\u306e nodules \u3068\u306f\u3001\u76ae\u4e0b\u306b\u89e6\u308c\u308b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>subcutaneous nodules<\/strong><\/span>\u300c<strong>\u76ae\u4e0b\u7d50\u7bc0<\/strong>\u300d\u3092\u6307\u3057\u307e\u3059\u3002\u983b\u5ea6\u306f\u9ad8\u304f\u3042\u308a\u307e\u305b\u3093\u304c\u30ea\u30a6\u30de\u30c1\u71b1\u3092\u5f37\u304f\u793a\u5506\u3059\u308b\u6240\u898b\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>E = Erythema marginatum<\/strong><\/span><br>\r\n\u4f53\u5e79\u3092\u4e2d\u5fc3\u306b\u307f\u3089\u308c\u308b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>erythema marginatum<\/strong><\/span>\u300c<strong>\u74b0\u72b6\u7d05\u6591<\/strong>\u300d\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>serpiginous rash<\/strong><\/span>\u300c<strong>\u86c7\u884c\u72b6\u767a\u75b9<\/strong>\u300d\u3068\u5f62\u5bb9\u3055\u308c\u3001<strong>\u75d2\u307f\u3092\u4f34\u308f\u306a\u3044<\/strong>\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002\u300c\u9b3c\u6ec5\u306e\u5203\u300d\u306e\u300c<strong>\u86c7\u306e\u547c\u5438<\/strong>\u300d\u306e\u82f1\u8a9e\u306f <strong>Serpent Breathing<\/strong> \u3067\u3059\u3002\u3053\u306e <strong>serpent<\/strong> \u306f\u300c<strong>\u86c7<\/strong>\u300d\u3084\u300c<strong>\u86c7\u306e<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u304c\u3001<span style=\"color: #fe3d45;\"><strong>serpiginous<\/strong><\/span> \u306f\u300c<strong>\u86c7\u306e\u3088\u3046\u306b\u3046\u306d\u3046\u306d\u3068\u3057\u3066\u3044\u308b<\/strong> = <strong>\u86c7\u884c\u3057\u3066\u3044\u308b<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306e\u8868\u73fe\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>S = Sydenham chorea<\/strong><\/span><br>\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Sydenham chorea<\/strong><\/span>\u300c<strong>\u30b7\u30c7\u30ca\u30e0\u821e\u8e0f\u75c5<\/strong>\u300d\u306f\u3001\u4e2d\u67a2\u795e\u7d4c\u7cfb\u304c\u514d\u75ab\u5b66\u7684\u306b\u969c\u5bb3\u3055\u308c\u308b\u3053\u3068\u3067\u751f\u3058\u308b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>chorea<\/strong><\/span>\u300c<strong>\u821e\u8e0f\u75c7<\/strong>\u300d\u3067\u3001\u611f\u67d3\u304b\u3089\u6570\u9031\u9593\u304b\u3089\u6570\u30f6\u6708\u5f8c\u306b\u51fa\u73fe\u3057\u307e\u3059\u3002\u3053\u306e <span style=\"color: #fe3d45;\"><strong>Sydenham<\/strong><\/span> \u306f\u3001\u82f1\u8a9e\u3067\u306f\u672c\u6765 \u300c<strong>\u30b7<\/strong>\u30c9\u30a5\u30ca\u30e0\u300d \u306e\u3088\u3046\u306b\u767a\u97f3\u3055\u308c\u307e\u3059\u3002\u305f\u3060\u3057\u4eba\u540d\u306b\u7531\u6765\u3059\u308b\u8a9e\u3067\u3042\u308b\u305f\u3081\u3001\u5b9f\u969b\u306e\u82f1\u8a9e\u570f\u306e\u53e3\u8a9e\u3084\u8b1b\u6f14\u3067\u306f \u300c<strong>\u30b7<\/strong>\u30c7\u30ca\u30e0\u300d\u3084\u300c<strong>\u30b5<\/strong>\u30a4\u30c7\u30ca\u30e0\u300d \u306a\u3069\u3001\u3084\u3084\u7570\u306a\u308b\u767a\u97f3\u304c\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u5834\u9762\u306b\u51fa\u4f1a\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n\u4e2d\u4e16\u30e8\u30fc\u30ed\u30c3\u30d1\u3067\u306f\u3001Sydenham chorea \u306e\u3088\u3046\u306a\u3001\u8e0a\u308b\u3088\u3046\u306a\u4e0d\u968f\u610f\u904b\u52d5\u3092\u533b\u5b66\u7684\u306a\u75c5\u6c17\u3068\u3057\u3066\u7406\u89e3\u3067\u304d\u305a\u3001\u5b97\u6559\u7684\u306a\u73fe\u8c61\u3068\u3057\u3066\u6349\u3048\u3066\u3044\u307e\u3057\u305f\u3002\u3053\u3046\u3057\u305f\u5947\u5999\u306a\u52d5\u304d\u306f St. Vitus \u3068\u3044\u3046\u8056\u4eba\u306b\u7948\u308b\u3053\u3068\u3067\u6cbb\u308b\u3068\u4fe1\u3058\u3089\u308c\u305f\u305f\u3081\u3001\u3053\u308c\u3089\u306e\u75c7\u72b6\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>St. Vitus\u2019 dance<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3057\u305f\u3002\u305d\u3057\u3066\u3053\u306e\u540d\u79f0\u306f Sydenham chorea \u306e<strong>\u6b74\u53f2\u7684\u306a\u5225\u540d<\/strong>\u3068\u3057\u3066\u4f7f\u308f\u308c\u308b\u3088\u3046\u306b\u3082\u306a\u3063\u305f\u306e\u3067\u3059\u3002\u307e\u305f\u4e0d\u968f\u610f\u904b\u52d5\u306e chorea \u306e\u539f\u56e0\u3068\u3057\u3066\u306f acute rheumatic fever \u306e\u4ed6\u3001<strong>Huntington disease<\/strong>\u300c<strong>\u30cf\u30f3\u30c1\u30f3\u30c8\u30f3\u821e\u8e0f\u75c5<\/strong>\u300d\u3082\u91cd\u8981\u3067\u3059\u3002\u305d\u3057\u3066 Huntington disease \u306b\u3088\u308b chorea \u306f\u9032\u884c\u6027\u3067\u91cd\u75c7\u306a\u305f\u3081 <strong>chorea major<\/strong> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u308c\u306b\u5bfe\u3057\u3066 Sydenham chorea \u306f\u6bd4\u8f03\u7684\u8efd\u75c7\u306a chorea \u3068\u3044\u3046\u3053\u3068\u3067\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>chorea minor<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>post-streptococcal glomerulonephritis (PSGN)<\/strong><\/span>\u300c<strong>\u6eb6\u9023\u83cc\u611f\u67d3\u5f8c\u7cf8\u7403\u4f53\u814e\u708e<\/strong>\u300d\u306f\u3001\u6eb6\u9023\u83cc\u611f\u67d3\u5f8c\u306b\u5f62\u6210\u3055\u308c\u305f\u514d\u75ab\u8907\u5408\u4f53\u304c\u814e\u7cf8\u7403\u4f53\u306b\u6c88\u7740\u3057\u3066\u8d77\u3053\u308b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>type III hypersensitivity<\/strong><\/span> \u306b\u3088\u308b\u5408\u4f75\u75c7\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n\u3053\u306e PSGN \u3067\u307f\u3089\u308c\u308b\u814e\u969c\u5bb3\u306e\u30d1\u30bf\u30fc\u30f3\u306f\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>nephritic syndrome<\/strong><\/span>\u300c<strong>\u814e\u708e\u75c7\u5019\u7fa4<\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>nephritic syndrome<\/strong><\/span> \u3067\u306f\u3001\u514d\u75ab\u8907\u5408\u4f53\u304c\u7cf8\u7403\u4f53\u57fa\u5e95\u819c\u306e\u5185\u76ae\u5074\u3001\u3059\u306a\u308f\u3061 <span style=\"color: #fe3d45;\"><strong>subendothelial deposits<\/strong><\/span>\u300c<strong>\u5185\u76ae\u4e0b\u6c88\u7740<\/strong>\u300d\u3068\u3057\u3066\u5b58\u5728\u3057\u307e\u3059\u3002\u3053\u306e\u4f4d\u7f6e\u306f\u8840\u6d41\u5074\u306b\u8fd1\u304f\u3001\u88dc\u4f53\u3084\u708e\u75c7\u7d30\u80de\u3068\u76f4\u63a5\u63a5\u89e6\u3057\u3084\u3059\u3044\u305f\u3081\u3001\u88dc\u4f53\u6d3b\u6027\u5316\u3092\u4ecb\u3057\u305f<strong>\u5f37\u3044\u708e\u75c7\u53cd\u5fdc<\/strong>\u304c\u5f15\u304d\u8d77\u3053\u3055\u308c\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3001\u7cf8\u7403\u4f53\u306e\u30d5\u30a3\u30eb\u30bf\u30fc\u69cb\u9020\u306b\u306f\u6570\u306f\u5c11\u306a\u3044\u3082\u306e\u306e\u5927\u304d\u306a\u7834\u7dbb\u304c\u751f\u3058\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>hematuria<\/strong><\/span>\u300c<strong>\u8840\u5c3f<\/strong>\u300d\u3068 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>mild proteinuria<\/strong><\/span>\u300c<strong>\u8efd\u5ea6\u306a\u86cb\u767d\u5c3f<\/strong>\u300d\u3068\u3044\u3046\u75c7\u72b6\u304c\u73fe\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n\u3064\u307e\u308a <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>nephritic syndrome<\/strong><\/span> \u306f\u3001\u300c<span style=\"background-color: #ffff33;\"><strong>\u8d64\u8840\u7403\u304c\u6f0f\u308c\u51fa\u308b\u307b\u3069\u306e\u5927\u304d\u306a\u7834\u7dbb\u304c\u751f\u3058\u308b\u4e00\u65b9\u3067\u3001\u86cb\u767d\u304c\u5927\u91cf\u306b\u6f0f\u308c\u51fa\u308b\u307b\u3069\u3067\u306f\u306a\u3044\u75c5\u614b<\/strong><\/span>\u300d\u3068\u30a4\u30e1\u30fc\u30b8\u3057\u3066\u304a\u304f\u3068\u3088\u3044\u3067\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n\u3053\u308c\u306b\u5bfe\u3057\u3066 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>nephrotic syndrome<\/strong><\/span>\u300c<strong>\u30cd\u30d5\u30ed\u30fc\u30bc\u75c7\u5019\u7fa4<\/strong>\u300d\u3067\u306f\u3001\u514d\u75ab\u8907\u5408\u4f53\u306a\u3069\u306e\u969c\u5bb3\u306f\u7cf8\u7403\u4f53\u57fa\u5e95\u819c\u306e\u5916\u5074\u3001\u3059\u306a\u308f\u3061 <span style=\"color: #fe3d45;\"><strong>subepithelial deposits<\/strong><\/span>\u300c<strong>\u4e0a\u76ae\u4e0b\u6c88\u7740<\/strong>\u300d\u3068\u3057\u3066\u8d77\u3053\u308a\u307e\u3059\u3002\u3053\u306e\u4f4d\u7f6e\u3067\u306f\u514d\u75ab\u8907\u5408\u4f53\u306f\u8840\u6d41\u304b\u3089\u9694\u3066\u3089\u308c\u3066\u3044\u308b\u305f\u3081\u3001\u88dc\u4f53\u3084\u708e\u75c7\u7d30\u80de\u304c\u76f4\u63a5\u95a2\u4e0e\u3057\u306b\u304f\u304f\u3001<strong>\u708e\u75c7\u53cd\u5fdc\u306f\u6bd4\u8f03\u7684\u5f31\u304f<\/strong>\u6291\u3048\u3089\u308c\u307e\u3059\u3002\u305d\u306e\u4e00\u65b9\u3067\u3001\u7cf8\u7403\u4f53\u306e\u6ffe\u904e\u30d0\u30ea\u30a2\u6a5f\u80fd\u305d\u306e\u3082\u306e\u304c\u5e83\u7bc4\u306b\u969c\u5bb3\u3055\u308c\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3001\u7cf8\u7403\u4f53\u306e\u30d5\u30a3\u30eb\u30bf\u30fc\u306b\u306f\u5c0f\u3055\u306a\u7834\u7dbb\u304c\u591a\u6570\u751f\u3058\u308b\u72b6\u614b\u3068\u306a\u308a\u3001<span style=\"color: #fe3d45;\"><strong>heavy proteinuria<\/strong><\/span>\u300c<strong>\u9ad8\u5ea6\u306a\u86cb\u767d\u5c3f<\/strong>\u300d\u3068\u3044\u3046\u75c7\u72b6\u304c\u73fe\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n\u3064\u307e\u308a <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>nephrotic syndrome<\/strong><\/span> \u306f\u3001\u300c<span style=\"background-color: #ffff33;\"><strong>\u8d64\u8840\u7403\u304c\u6f0f\u308c\u51fa\u308b\u307b\u3069\u306e\u5927\u304d\u306a\u7834\u7dbb\u306f\u8d77\u3053\u308a\u306b\u304f\u3044\u3082\u306e\u306e\u3001\u5c0f\u3055\u306a\u7834\u7dbb\u304c\u591a\u6570\u751f\u3058\u308b\u305f\u3081\u86cb\u767d\u304c\u5927\u91cf\u306b\u6f0f\u308c\u51fa\u308b\u75c5\u614b<\/strong><\/span>\u300d\u3068\u30a4\u30e1\u30fc\u30b8\u3057\u3066\u304a\u304f\u3068\u3088\u3044\u3067\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\r\n\u3053\u306e\u3088\u3046\u306b Group A strep \u306f\u3001<span style=\"color: #fe3d45;\"><strong>pyogenic<\/strong><\/span>, <span style=\"color: #fe3d45;\"><strong>toxigenic<\/strong><\/span>, and <span style=\"color: #fe3d45;\"><strong>immunologic<\/strong><\/span> \u3068\u3044\u30463\u3064\u306e\u6a5f\u5e8f\u3067\u69d8\u3005\u306a\u75be\u60a3\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u81e8\u5e8a\u7684\u306b\u6975\u3081\u3066\u91cd\u8981\u306a\u7d30\u83cc\u306a\u306e\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p style=\"font-size: large;\">\u3055\u3066\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b\u6eb6\u9023\u83cc\u304c\u5f15\u304d\u8d77\u3053\u3059\u4ee3\u8868\u7684\u306a\u75be\u60a3\u3092\u3082\u3046\u4e00\u5ea6\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/p>\r\n\r\n<p style=\"padding-bottom: 0;font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Pyogenic\u300c\u5316\u81bf\u6027\u300d<\/strong><\/span><br>\r\n<span style=\"color: #fe3d45;\"><strong>Throat<\/strong><\/span>\r\n<ul class=\"list-indent\" style=\"font-size: large;padding-bottom: 0px!important;\">\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>Streptococcal pharyngitis: \u201cstrep throat\u201d<\/span><\/li>\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>Tonsillitis<\/span><\/li>\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>Peritonsillar abscess: muffled voice &#038; hot potato voice<\/span><\/li>\r\n<\/ul>\r\n<span style=\"color: #fe3d45;font-size: large;\"><strong>Skin<\/strong><\/span>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>(Non-bullous) impetigo: honey-crusted lesions<\/span><\/li>\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>Erysipelas: sharply demarcated erythema<\/span><\/li>\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>Cellulitis: poorly demarcated erythema<\/span><\/li>\r\n<\/ul>\r\n<\/p>\r\n\r\n<p style=\"padding-bottom: 0;font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Toxigenic\u300c\u6bd2\u7d20\u7523\u751f\u6027\u300d<\/strong><\/span><br><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>Scarlet fever: fever + strawberry tongue + sandpaper-like rash<\/span><\/li>\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>Invasive strep A<\/span><br>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><span style=\"color: #fe3d45;\"><strong>o<em>\u3000<\/em><\/strong>Streptococcal toxic shock syndrome (STSS)<\/span><\/li>\r\n    <li><span style=\"color: #fe3d45;\"><strong>o<em>\u3000<\/em><\/strong>Necrotizing fasciitis<\/span><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n\r\n\r\n<p style=\"padding-bottom: 0;font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Immunologic\u300c\u514d\u75ab\u7684\u300d<\/strong><\/span><br><\/p>\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>Acute rheumatic fever: J&#x2764;&#xfe0f;NES<\/span><\/li>\r\n    <li><span style=\"color: #fe3d45;\"><strong>\u2022<em>\u3000<\/em><\/strong>Post-streptococcal glomerulonephritis (PSGN): hematuria + mild proteinuria<\/span><\/li>\r\n<\/ul>\r\n\r\n\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u3001\u8aad\u8005\u306e\u7686\u3055\u307e\u304c\u3053\u306e\u9023\u8f09\u3067\u53d6\u308a\u4e0a\u3052\u3066\u307b\u3057\u3044\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3057\u3066\u3044\u307e\u3059\u3002<a href=\"https:\/\/55auto.biz\/mec-form\/regires.php?tno=275\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u3088\u308a\u3054\u5e0c\u671b\u306e\u30c8\u30d4\u30c3\u30af\u3092\u81ea\u7531\u306b\u8a18\u8f09\u3057\u3066\u304a\u9001\u308a\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p style=\"text-align: right;\">\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000<br class=\"sp\">\u62bc\u5473 \u8cb4\u4e4b<\/p>","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\u3002 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u9802\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u6eb6\u9023\u83cc\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3067\u3059\u3002 \u300c\u5fae\u751f\u7269\u5b66\u300dmicrobiology ","protected":false},"author":15,"featured_media":15597,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-15596","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/15596","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=15596"}],"version-history":[{"count":1,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/15596\/revisions"}],"predecessor-version":[{"id":15598,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/15596\/revisions\/15598"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/15597"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=15596"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=15596"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=15596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}