Publications by authors named "Noritaka Sekiya"

Article Synopsis
  • - A 63-year-old man with adult T-cell leukemia-lymphoma received a bone marrow transplant from an unrelated donor and was later diagnosed with invasive pulmonary aspergillosis (IPA) 17 days post-transplant.
  • - He initially improved with treatment using liposomal amphotericin B, but was switched to voriconazole due to worsening kidney function, and later experienced neurological issues.
  • - The patient passed away on day 62, with an autopsy revealing fungal infection in the lungs and a ruptured cerebral aneurysm, emphasizing the need for careful monitoring of transplant patients for fungal-related complications.
View Article and Find Full Text PDF

There is no clear consensus regarding the optimal isolation duration for immunocompromised patients with coronavirus disease 2019 (COVID-19). Therefore, we conducted a questionnaire survey at eight Japanese cancer centers to investigate the practices of infectious disease specialists regarding the duration of isolation for COVID-19 inpatients with cancer. For asymptomatic to severely ill COVID-19 inpatients without severe immunodeficiency, four centers reported at least 10 days of isolation without testing, and two reported at least 20 days.

View Article and Find Full Text PDF

Objectives: Influenza virus infection (IVI) occasionally causes lower respiratory tract infection (LRTI) in allogeneic hematopoietic stem cell transplantation (allo-HSCT) recipients. Although the progression to LRTI entails a high mortality, the role of early antiviral therapy for its prevention has not been fully elucidated.

Methods: This was a multicenter retrospective study using an additional questionnaire.

View Article and Find Full Text PDF

Objective: Although antipseudomonal agents are administered in high-risk patients, no reports have focused on the risk of carbapenem-resistant (CR) Pseudomonas aeruginosa bacteraemia in allogeneic hematopoietic stem cell transplantation (allo-HSCT) recipients.

Methods: We retrospectively studied a cohort of adult allo-HSCT recipients with P. aeruginosa bacteraemia, focusing on a comparison between carbapenem-sensitive (CS) and CR P.

View Article and Find Full Text PDF

is a slow-growing, nontuberculous mycobacterium widely found in the environment and is known to cause tenosynovitis and osteomyelitis, mainly in the hands and wrists. We present the first case of vertebral osteomyelitis caused by in a 78-year-old man with renal cell carcinoma. The patient had a history of tuberculous pleuritis in childhood.

View Article and Find Full Text PDF
Article Synopsis
  • Researchers studied antibody response to mRNA vaccines in 128 adult allogeneic stem cell transplant recipients, finding that 87.6% had a positive antibody response after two doses.
  • Factors like recent transplantation (<1 year), significant CMV infection, and high corticosteroid use were linked to poorer antibody response and persistence.
  • Antibody levels decreased significantly six months post-vaccination, highlighting the need for tailored vaccination strategies in this patient group.
View Article and Find Full Text PDF
Article Synopsis
  • A 60-year-old woman with a blood disorder got a bone marrow transplant from a matched male donor.
  • After some time, she had issues with her blood cells and got sick from a type of bacteria called Stenotrophomonas maltophilia.
  • She eventually received another transplant from her son, which helped her recover and allowed her to go home after her illness was treated.
View Article and Find Full Text PDF
Article Synopsis
  • The study focused on COVID-19 infection rates in individuals evacuated from Wuhan, China to Japan, finding 12 out of 14 returnees tested positive for the virus.
  • Interestingly, most returnees adhered to IPC measures like wearing masks and practicing hand hygiene, but asymptomatic cases were present among them.
  • The research suggests that stricter IPC protocols and enforced social distancing during the evacuation might have helped lower infection rates in later flights compared to earlier ones.
View Article and Find Full Text PDF

Rationale: Ecthyma gangrenosum (EG) is a potentially life-threatening, systemic infection generally caused by Pseudomonas aeruginosa. Data on EG caused by Staphylococcus aureus in patients with hematological malignancies are scarce. The present case report aimed to describe the clinical features of EG caused by S.

View Article and Find Full Text PDF

Invasive mucormycosis is a refractory fungal infection. Central nervous system (CNS) mucormycosis is a rare complication caused by infiltration from the paranasal sinuses or hematogenous dissemination. Here, we present a case of a brain abscess, due to mucormycosis, diagnosed using burr craniotomy.

View Article and Find Full Text PDF

Introduction: While Streptococcus gallolyticus subsp. gallolyticus has a well-known association with colorectal cancer, an epidemiological association between S. gallolyticus subsp.

View Article and Find Full Text PDF
Article Synopsis
  • Many SARS-CoV-2 variants have developed mutations that impact how the virus infects and evades the immune system.
  • Recent research shows that specific mutations (L452R and Y453F) in the virus's spike protein help it escape detection by a certain type of immune response known as HLA-A24-restricted cellular immunity.
  • These mutations not only enhance the virus's ability to infect cells but also increase its stability and replication, highlighting a potential ongoing threat from the virus's evolution.
View Article and Find Full Text PDF

Purpose: To characterize and categorize the CT findings of pulmonary leukemic infiltration (PLI) in patients with acute myeloid leukemia (AML).

Materials And Methods: Among 435 patients with AML, 20 patients with PLI were retrospectively selected, and clinical characteristics and CT findings were analyzed. PLI was categorized into four patterns according to CT findings: type A, multiple nodules and/or masses; type B, bilateral perihilar airspace opacities (GGA or consolidation) without any nodules or masses; type C, mixture of type A and B; and type D, PLI without visible abnormal lung opacity.

View Article and Find Full Text PDF

The incidence of tuberculosis (TB) in allogeneic hematopoietic stem cell transplantation (allo-HSCT) recipients is 10-40 times higher than that in the general population, which ranges from 0.1% to 5.5%.

View Article and Find Full Text PDF

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) recipients are at high risk of developing invasive pneumococcal disease (IPD) with substantial morbidity and mortality. Pneumococcal polysaccharide vaccine (PPSV23) and pneumococcal conjugate vaccine (PCV13) are the primary prevention strategy. The difference between the Japanese and international guidelines is limited except when to start PCV13.

View Article and Find Full Text PDF

Purpose: To investigate CT patterns of COVID-19 pneumonia associated with respiratory failure (RF) focused on the distribution of lesions.

Materials And Methods: Eighty-five patients with COVID-19 pneumonia were reviewed. CT findings were classified as follows: Type A; patchy ground glass attenuation (GGA) with/without air-space consolidation, Type B; non-segmental GGA with/without air-space consolidation in both the central and peripheral lung portions especially with subpleural spare, and Type C; non-segmental GGA with/without air-space consolidation predominantly distributed in the peripheral lung portion without subpleural spare.

View Article and Find Full Text PDF

Purpose: The first outbreak of invasive meningococcal disease (IMD) in decades occurred in a high school dormitory in 2011. This report aims to describe the results of the IMD outbreak investigation and to discuss current issues of IMD in Japan.

Methods: We conducted an epidemiological and microbiological investigation against the IMD outbreak of serogroup B among students and staff in a high school dormitory.

View Article and Find Full Text PDF

Introduction: One of the most prominent and concerning complications associated with coronavirus disease 2019 (COVID-19) is venous and arterial thromboembolisms. The aim of the present study was to delineate the prevalence of thromboembolic events and the current status of prophylactic anticoagulation therapy in patients with COVID-19 in Japan.

Methods: Between February 1 and August 31, 2020, we performed a dual-center, retrospective cohort study based on data obtained from the medical charts of COVID-19 patients admitted to healthcare facilities in Japan.

View Article and Find Full Text PDF

Coronavirus disease 2019 (COVID-19) emerged in mid-December 2019 and has rapidly spread worldwide. We conducted a retrospective analysis of data from patients with COVID-19 to construct a simple risk prediction score to be implemented in prehospital settings. Patients were classified into critical and non-critical groups based on disease severity during hospitalization.

View Article and Find Full Text PDF

Background: Although severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused an international outbreak of coronavirus disease 2019 (COVID-19), data on the clinical characteristics of COVID-19 patients with cancer are limited. This study aimed to evaluate the clinical characteristics and outcomes including mortality and viral shedding period in COVID-19 patients with cancer in Japan.

Methods: We retrospectively analyzed 32 patients with a history of cancer who were referred to our hospital between January 31, 2020 and May 25, 2020.

View Article and Find Full Text PDF

Background: Severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) was found to be the causative microorganism of coronavirus disease 2019 (COVID-19), which started to spread in Wuhan, China. This study was to evaluate the effectiveness of questionnaire, symptoms-based screening, and polymerase chain reaction (PCR) screening of returnees from COVID-19-endemic areas on a chartered flight, to examine the proportion of infected persons and the proportion of asymptomatic persons among infected persons who returned from Wuhan.

Methods: A retrospective cohort study was done in 7 tertiary medical institutions in Japan.

View Article and Find Full Text PDF