Publications by authors named "Kohei Kamegai"

Introduction: Ruminococcus gnavus is a microbiota-forming, gram-positive coccus reportedly associated with several diseases, such as Crohn's disease. The number of in vitro studies on it is increasing. However, its clinical information is lacking in the literature, with only a few case reports published to date.

View Article and Find Full Text PDF

We estimated the seroprevalence of anti-SARS-COV-2 IgG in different island groups in Okinawa. A cross-sectional sero-survey was repeated in three periods between July 2020 and February 2021. A total of 2683 serum samples were collected from six referral medical centers, each covering a separate region in Okinawa.

View Article and Find Full Text PDF
Article Synopsis
  • Cefmetazole (CMZ) is being studied as an alternative treatment for infections caused by ESBL-producing bacteria, with this pilot study comparing its effects to meropenem (MP) and a control group with no treatment.
  • The study involved collecting feces and saliva samples from patients at different time points to analyze changes in their microbiome due to the antimicrobial treatments.
  • Results indicated that meropenem had a more significant negative impact on the fecal microbiome compared to CMZ, especially in the later stages of treatment among Japanese patients.
View Article and Find Full Text PDF
Article Synopsis
  • Immunocompromised COVID-19 patients experience longer viral shedding compared to those with normal immunity, but there's no universal guideline for safely ending their isolation as of August 2023.
  • Comprehensive evaluations considering factors like mutant strains and patient immunity are crucial, and consulting infectious disease specialists is advised for better management.
  • The study developed new isolation criteria based on patient classifications and clinical symptoms, highlighting the need for continuous updates using real-world data to improve these guidelines for non-specialists.
View Article and Find Full Text PDF

Background: Post-artemisinin delayed hemolysis (PADH) is a serious complication in patients who recover from severe malaria after receiving artemisinin-based combined therapy (ACT), including artemether-lumefantrine. In Japan, among the antimalarial drugs recommended by the World Health Organization (WHO) guideline for severe malaria, intravenous quinine gluconate is available only in 29 designated hospitals, and intravenous artesunate is unavailable. Therefore, oral artemether-lumefantrine is occasionally administered as an alternative, even though it may be a suboptimal treatment.

View Article and Find Full Text PDF
Article Synopsis
  • * The first patient was a white man who contracted the virus in Spain, showing symptoms like fever and rash, while the second was a Japanese man who presented with fatigue and other symptoms without a rash after traveling from New York.
  • * Both patients were treated with tecovirimat, leading to a quick decline in viral load and discharge from the hospital, indicating the effectiveness of early diagnosis and treatment in preventing broader outbreaks in Japan.
View Article and Find Full Text PDF

Japan has faced seven waves of the COVID-19 pandemic since 2020. Due to the less severe Omicron variant and the high rate of vaccination nationwide, the death rate has declined compared to that due to previous variants. In early 2022, current Prime Minister Fumio Kishida devised a new concept entitled "Living with COVID-19", encouraging a new lifestyle of living with SARS-CoV-2.

View Article and Find Full Text PDF

Rationale: Diagnosing multifactorial, multidimensional symptoms unexplained by presumptive diagnosis is often challenging for infectious disease specialists.

Patient Concerns: We report a rare case of a 30-year-old Japanese bisexual man with a history of virally suppressed human immunodeficiency virus and syphilis infections who developed chest pain and an erosive lesion under the lower midline jaw.

Diagnosis: Imaging examinations revealed erosive lesions on the sternum and left the ninth rib.

View Article and Find Full Text PDF
Article Synopsis
  • The study explored the effectiveness of anterior nasal (AN) sampling compared to nasopharyngeal (NP) sampling for diagnosing coronavirus disease using rapid antigen tests.
  • Three rapid antigen tests (ESP, LUMI, and LUMI-P) were analyzed for their sensitivity and specificity using samples from 128 symptomatic patients.
  • Results indicated that AN sampling had comparable diagnostic accuracy to NP sampling, with no significant factors affecting the agreement between the two methods.
View Article and Find Full Text PDF

Numerous difficulties unique to remote island regions exist in the fight against coronavirus disease 2019 (COVID-19). For example, in the Yaeyama Medical Region (Okinawa, Japan), there are only clinics without beds on constituent islands. As medical resources are limited on remote islands, a single outbreak can put the entire medical system at risk.

View Article and Find Full Text PDF

Although messenger ribonucleic acid vaccines are substantially effective toward SARS-CoV-2 infection, patients with hematologic malignancies are still prone to the virus. Herein, we report a fatal case of breakthrough SARS-CoV-2 Delta variant infection in a patient with mucosa-associated lymphoid tissue lymphoma with remission by bendamustine-rituximab (BR) therapy completed a year ago. The serologic study revealed impaired responsiveness toward vaccines and prolonged high viral load after infection.

View Article and Find Full Text PDF

The subtypes of zona pellucida (zp), primarily expressed in female gonads, are considered novel molecular markers for testis-ova (or intersex), a type of gonadal abnormality caused by environmental estrogens (EEs) in Japanese medaka (Oryzias latipes). However, the association between testis-ova and the expression of gonadal zp subtypes is unclear in other teleost species, particularly in species studied in field surveys. In this study, 17α-ethinylestradiol (EE2) was orally administrated at 4-4000 ng/g body weight (BW)/day for 28 days to gray mullets (Mugil cephalus), and gonadal abnormalities were studied using histological analysis.

View Article and Find Full Text PDF