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소화기; 서울 3차 의료기관에서 분리한 헬리코박터 파일로리 항생제 내성률 변화
최원정 ( Won Jung Choi ),도기원 ( Gi Won Do ),이진혁 ( Gin Hyug Lee ) 대한내과학회 2014 대한내과학회지 Vol.86 No.3
Background/Aims: Patient compliance and resistance to antibiotics are main factors determining the success of Helicobacter pylori eradication. This study provides basic data to verify the efficacy of currently implemented eradication therapy and reports changes in H. pylori resistance to all antibiotics used at Asan Medical Center, Seoul, Korea from 2004 to 2010. Methods: We investigated the resistance rates to amoxicillin, clarithromycin, metronidazole, ciprofloxacin, and levofloxacin in 88, 100, and 47 strains isolated from adult patients without H. pylori eradication history in 2004, 2007, and 2010. Results: The resistance rate to amoxicillin increased from 5.0% in 2007 to 10.6% in 2010. The resistance rate to clarithromycin increased from 10.2% in 2004 and 11.0% in 2007 to 14.8% in 2010. However, no difference was observed in the resistance rate to metronidazole, and strains resistant to tetracycline were not detected at all in this study. The resistance rates to quinolone lingered at 15-17% for 3 years. The non-resistant strains to antibiotics accounted for 56% of the total in 2004 and 62% in 2007. In contrast, a decreasing tendency was found for those strains in 2010 (43%). No significant differences were shown in the multi-drug resistance rate or the co-resistance rates of amoxicillin and clarithromycin over the 3 years. Conclusions: We showed increased resistance rates to clarithromycin and amoxicillin over the last 7 years, aligning with the results of previous studies performed domestically. Efforts are needed to inhibit the increase in resistant bacteria to maintain the effectiveness of eradication therapy.
기관지확장증 환자의 객담 균주 분석: 울산지역의 일개 대학병원 보고
서광원 ( Kwang Won Seo ),황세진 ( Se Jin Hwang ),성시정 ( Shi Jung Sung ),김세진 ( Se Jin Kim ),도기원 ( Gi Won Do ),허성재 ( Seong Jae Hur ),임경훈 ( Kyung Hun Lim ),홍순형 ( Soon Hyung Hong ),김동민 ( Dong Min Kim ),전재범 ( Jae 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.67 No.6
Background: Bronchiectasis (BE) remains a rare respiratory disease in Korea. This retrospective study was done to investigate the potential pathogenic microorganisms (PPMs) that cause in patients with BE, through the use of sputum specimens. Methods: One hundred eleven adult patients, who had undergone chest computed tomography (CT), sputum gram stain/culture, and BE detected by chest CT, were included in this study. Sputum adequacy was determined by using Murray-Washington classification. Results: The mean (±SD) age of patients was 60.9 (±14.0). The number of PPMs was 167 (67%) in the total 248 isolated organisms. The most frequent PPMs were P. aeruginosa (23.4%), K. pneumoniae (10.5%), and S. aureus (8.4%). The proportion of adequate sputum (AS) was 25.8% in the total sputum specimens. The patients with AS were 41 (37%) and the patients with inadequate sputum (IS) were 70 (63%). The proportion of P. aeruginosa was higher in AS compared to that of IS (44% vs. 19%, p=0.004). The BE score was also higher in P. aeruginosa (+) patients compared to that of P. aeruginosa (-) patients (10.8vs.7.6, p=0.001). Conclusion: Although the proportion of AS in the total sputum was low, PPMs were isolated in most patients with BE. It is likely that P. aeruginosa was isolated in AS and AS patients had higher BE scores.
김동민 ( Dong Min Kim ),허성재 ( Seong Jae Huh ),임경훈 ( Kyung Hun Lim ),도기원 ( Gi Won Do ),홍순형 ( Soon Hyoung Hong ),원영철 ( Young Cheol Weon ),전재범 ( Jae Bum Jun ) 대한내과학회 2009 대한내과학회지 Vol.77 No.6
Scrub typhus, which is caused by Orientia tsutsugamushi, is an acute febrile illness characterized by fever, rash, and myalgia. Recently, its incidence in Korea has increased. Many cases of scrub typhus with central nervous system involvement have been reported, while cases with hearing loss are rare. We experienced a case of scrub typhus with reversible hearing loss. To our knowledge, this is the first case confirmed by magnetic resonance imaging. (Korean J Med 77:793-796, 2009)
박찬성 ( Chan Sung Park ),이순정 ( Soon Jung Lee ),도기원 ( Gi Won Do ),오쌍용 ( Ssang Yong Oh ),조현 ( Hyun Cho ),김민수 ( Min Su Kim ),홍일기 ( Il Ki Hong ),방성조 ( Sung Jo Bang ),제갈양진 ( Yang Jin Jegal ),안종준 ( Jong Joon 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.2
Cholethorax (bilious pleural effusion) is an extravasation of bile into the thoracic cavity via a pleurobiliary fistula (and also a bronchobiliary fistula). It is an extremely rare complication of thoraco-abdominal injuries. It can be caused by congenital anomaly and also by hepatobiliary trauma, severe infection or iatrogenic procedures. The definitive diagnosis is made with aspiration of bilious fluid from the pleural space during thoracentesis, by finding a fistulous tract during endoscopic retrograde cholangiopancreatography (ERCP) or cholagioscopy, or with finding an abnormal pleural accumulation of radioisotope during hepatobiliary nuclear imaging. Its symptoms include coughing, fever, dyspnea and pleuritc chest pain. Herein we report on a case of cholethorax following performance of percutaneous transhepatic cholangioscopy (PTCS) to remove incidentally discovered common bile duct (CBD) stones. (Tuberc Respir Dis 2008;65:131-136)
김종형 ( Jong Hyung Kim ),오지선 ( Ji Seon Oh ),김동민 ( Dong Min Kim ),허성재 ( Seong Jae Huh ),임경훈 ( Kyung Hun Lim ),도기원 ( Gi Won Do ),홍순형 ( Soon Hyung Hong ),최승원 ( Seung Won Choi ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.1
Periorbital edema is a rare manifestation of systemic lupus erythematosus (SLE). We describe here a patient with bilateral periorbital edema as a presenting symptom of SLE. A 23-year-old woman was admitted for a sudden onset of severe periorbital edema that developed 7 days previously. On the basis of the malar rash, arthritis of the right hand and left wrist, leukopenia, proteinuria and the positive anti-nuclear and anti-dsDNA antibodies, she was diagnosed with SLE. Kidney biopsy revealed lupus nephritis (WHO class IV). After treatment with high dose of steroids, intravenous cyclophosphamide and daily hydroxychloroquine, her symptoms resolved, including the periorbital edema. She was discharged with prescriptions for prednisolone and hydroxychloroquine and she remains well.