Publications by authors named "Masafumi Oba"
Article Synopsis
- Emphysematous pyelonephritis (EPN) is a serious urinary tract infection often seen in diabetic patients, requiring nephrectomy for severe cases (Huang classification ≥3B).
- A 59-year-old male patient diagnosed with EPN (Huang classification 3B) was treated successfully with antimicrobial agents and percutaneous drainage (PCD) instead of surgery.
- The case suggests that for patients with Huang Class 3B EPN and significant risk factors, PCD could be a viable treatment option if the infection's severity is manageable.
Idiopathic multicentric Castleman disease (iMCD) is a subtype of human herpesvirus type 8 (HHV-8)-related Castleman disease that causes multi-organ damage, including kidney damage due to polyclonal lymphoproliferation and interleukin (IL)-6-induced cytokine storm. However, its renal pathological findings are unclear. We report the case of a woman in her 80 s who was diagnosed with iMCD based on renal pathological findings.
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- Early detection of chronic kidney disease (CKD) is essential, and Izumo City has launched a program to improve health consultations and regular checkups since FY 2018.
- The study focused on residents aged 40-74 who underwent health checkups in FY2018 and FY2019, comparing rates of CKD re-examinations and referrals.
- Results showed a significant increase in re-examination implementation and city health guidance referrals, suggesting better awareness of CKD and potential prevention of its worsening in the community.
Article Synopsis
- Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited kidney disorder, and early detection during routine medical checkups may help prevent complications.
- The study examined 34 ADPKD patients diagnosed between 2010 and 2020, comparing those diagnosed incidentally through routine checks with those referred for renal dysfunction.
- Results showed that the incidental detection group had better renal function (higher eGFR and lower total kidney volume) and more patients eligible for a safe treatment compared to those diagnosed due to renal dysfunction, highlighting the benefits of early detection.