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Report of Four Cases of Pulmonary Pseudallescheriasis from Korea
김상재,홍영표,김신옥,윤영자,Kim, Sang-Jae,Hong, Young-Pyo,Kim, Sin-Ok,Yoon, Young-Ja The Korea Society for Microbiology 1983 大韓微生物學會誌 Vol.18 No.1
저자 등은 결핵으로 인해 생긴 공동을 가진 4명의 남자 환자에 있어서 성공적인 결핵화학요법으로 결핵은 치유되어 객담검사에서 결핵균은 더이상 검출되지 않았으나, 계속되는 각혈로 진균검사를 실시한 결과 Pseudallerscheria boydii(불완전세대 Scedosporium apiospermum)에 의한 진균종(眞菌腫)임이 밝혀졌다. 여러 차례의 객담검사로부터 6개월 또는 2년 이상 계속 동일한 균종이 불리 배양되었고 그리고 그들의 혈청은 P. boydii 배양여액 항원과 immunodiffusion test를 실시한 결과 precipitin bands를 형성하였다. 4환자의 흉부 X-선 사진상에는 뚜렷한 진균종음영을 볼 수 없었다. 2명의 환자 객담에서는 P. boydii와 더불어 Candida albicans와 Aspergillus fumigatus가 계속해서 분리 배양되었고 그리고 그들의 혈청에서 그러한 진균들의 항원에 대한 침강항체를 검충할 수 있었다. 3명의 환자는 폐기능이 진균종 제거수술을 허용하지 않았고 1명의 환자는 수술을 거부하였다. Four cases of pulmonary pseudallescheriasis in patients with healed pulmonary tuberculosis are described. All four patients had a long history of antituberculous chemotherapy for pulmonary tuberculosis, but continuous sputum negativity for acid fast bacilli indicated apparent recovery from tuberculosis. They, however, complained continued intermittent hemoptysis and chronic cough. Although their chest roentgenograms did not show a clearcut mycetomal shadows in preformed cavitary lung lesions, Pseudallescheria boydii or Scedosporium apiospermum was repeatedly isolated from serial sputum specimens collected at different days for a period of over half an year or two years and their serial serum specimens produced precipitin bands with home-made antigen from 8-week old culture filtrate of P. boydii. Second fungus was isolated from sputum specimens of two patients and one was Candida albicans and the other was Aspergillus fumigatus. Sera from both patients reacted with antigens of those second fungi. Unfortunately pulmonary function of three patients did not allow surgical excision of the infected area and one patient refused surgery.
Scedosporium apiospermum 에 의한 피부 농양 1 예
이현정(Hyun Jeong Lee),신상부(Sang Boo Shin),문진섭(Jin Sub Moon),하석준(Seog Jun Ha),김신옥(Sin Ok Kim),김상재(Sang Jae Kim),조백기(Baik Kee Cho),김진우(Jin Wou Kim) 대한피부과학회 2001 대한피부과학회지 Vol.39 No.7
Scedosporium apiospermum is the asexual stage of Pseudallescheria boydii that is ubiquitous in nature. The localized cutaneous abscess due to S. apiospermum is rare and it is usually originated from the traumatic inoculation of fungal elements. We report a case of cutaneous abscess caused by S. apiospermum. A 67-year-old woman presented with one-year history of subcutaneous nodules on the left forearm, which had been misdiagnosed as cutaneous tuberculosis. Cultural isolation for definitive diagnosis showed typical S. apiospermum. (Korean J Dermatol 2001;39 (7) 812-915)
수용성 치자 (Gardenia jasminoides 열매) 색소를 첨가한 배지에 배양한 각종 효모균류 균집락의 형태
김상재,김신옥,정숙 한국균학회 1991 韓國菌學會誌 Vol.19 No.2
Colonial morphology of the various yeasts grown on the yeast morphology agar medium containing orange-yellow pigments extracted from the fruits of Gardenia jasminoides (GJPM) was investigated in hopes of the differential identification of yeasts on primary cultures. Colonies of Candida lusitaniae and Ca. guilliermondii on GJPM turned to Prussian blue within three days of incubation and Ca. tropicalis and Ca. viswanathii turned to bluish gray but the latter species turned to deep blue after 7 days. Ca. krusei, Saccharomyces cerevisiae, and Torulopsis glabrata showed neutral gray, grayish green, and baby blue respectively after one or two weeks. However, the colonies of Ca. albicans and parapsilosis remained unchanged even after 20 days. Colonial color of Cryptococcus neoformans showing brown to purple brown was distinguishable not only from buff color of Cr. laurentii after one or two weeks incubation but also from those of Candida spp. Growth of certain species was promoted on GJPM. The findings clearly showed that Ga. jasminoides pigments medium was useful to the morphological differentiation of medically important yeasts which were often encountered in sputum or other clinical specimens.
裵吉漢,金信玉,金尙材,李容旭 대한보건협회 1983 대한보건연구 Vol.9 No.1
This study aimed at finding causal growth inhibitory effects of Lactobacillus casei YIT9018 on Mycobacterium fortuitum in LM broth medium. The results obtained were summarized as follows; 1) Direct growth inhibitory effects of L. casei on M. fortuitum was closely related to lowered pH due to lactic acid produced by lactobacilli. 2) Growth inhibitory effect on mycobacteria by lactic acid was more prominant than by hydrochloric acid even in identical pHs of medium. LM broth media neutralized with HC1 of which pH had been adjusted to 3.80 with lactic acid also showed significant growth inhibition on M. fortuitum. 3) Nondializable metabolites derived from culture filtrate of L. casei or L. casei plus M. foruitum did not show growth inhibitory effect on M. fortuitum even in concentration of 500㎍/㎖.
야생쥐의 피부사상균 및 각질친화성 진균의 보균실태에 관한 연구
홍진경,이준영,조백기,김신옥,김상재,전재복 대한의진균학회 1998 대한의진균학회지 Vol.3 No.2
Background: Animals with zoophilic dermatophytes are important sources of dermatophytoses in man, because zoophilic dermatophytes are frequently transmitted directly or indirectly from domestic and wild animals. Trichophyton(T.) mentagrophytes has a wide range of hosts. Among these, rodents are well-known reservoirs in many other countries. In our country a few sporadic reports of incidence in experimental rats have been reported, but there is no study on the incidence in wild rodents in Korea. Objective: The purpose of this study is to investigate the role of wild rodents as a host of dermatophytes and keratinophilic fungi in Korea. Methods: Forty-nine wild rodents (Apodumus(A.) agrarius; 44, Crocidura spp.; 5) were captured from 6 different regions of Kyungi-do with Sherman fraps. Fungi were isolated by using the MacKenzie's brush technique. Results: 1. Isolation rate of dermatophytes from wild rodents in Korea was 16.3%. 2. T. mentagrophytes was isolated from six A. agrarius (12.2%). Isolation rates from dorsum hairs, ventral hairs and feet were 4.5%, 9.1% and 9.1% respectively. 3. Other dermatophytes and related keratinophilic fungi isolated were Chrysosporium spp. (65.3%), Scopulariopsis spp. (10.2%) and T. terrestre (4.1%). 4. Chrysosporium spp. was the most frequently isolated species from four out of six Kyonggi-do regions ranging 58.3%~83.3%. Scopulariopsis spp. was isolated the most in Kumgwang-myun Ansung-gun, and T. terrestre in Kimpo-gun. Conclusion: These results that wild rodents, especially A. agrarius, may be the important reservoirs of T. mentagrophytes and other keratinophilic fungi in Korea.