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추현광,신언수,오세진,황일순,김주현,박현철,전형식 대한감염학회 1994 감염 Vol.26 No.4
저자들은 장티푸스에 흉수와 복수가 합병된 2예의 환자중 한명의 환자 복수에서 Salmonella typhi가 배양된 경우를 치료한 경험을 하였기에 문헌 고찰과 함께 보고한다. Typhoid fever is an acute systemic febrile disease caused by Salmonella typhi. Salmonella infection involves a variety of multiple organs. But ascites with pleural effusion has rarely been reported to occur as a complication of typhoid fever since the medical use of chloramphenicol in Korea. We report two cases of typhoid fever complicated with ascites and pleural effusion and in one of two cases S. typhi was isolated in ascitic fluid.
추현광,김주현,오세진,박혜영,박현철,전형식 대한감염학회 1995 감염 Vol.27 No.1
저자들은 간세포암 환자에서 간동맥 화학색전술 시행 후 합병된 Enterobacter cloacae 에 의한 간농양 1예를 경험하였기에 문헌고찰과 함께 보고한다. Transcatheter arterial chemoembolizaion(TACE) is a useful alternative to surgery and systemic chemotherapy for inoperable hepatocellular carcinoma. The common adverse reaction observed following TACE is a postembolization syndrome which consists of abdominal pain, fever, nausea, vomiting and leukocytosis. Heapatic abscess and septicemia have been reported to be rare complications. We experienced a case of hepatic abscess following TACE for a huge hepatocellular carcinoma. Enterobacter cloacae was isolated from drainage of the abscess and the patient was recovered with antimicrobial therapy and percutaneous drainage of abscess.
정성채,문정섭,노경아,추현광,권소영,김경수,김준석 대한내과학회 1990 대한내과학회지 Vol.38 No.6
Microangiopathic hemolytic anemia is characterized by erythrocyte fragments (schistocytes) in the peripheral blood smears; in most patients, this is associated with thrombocytopenia. Microangiopathic hemolytic anemia has been described in various diseases, the most common being the hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, malignant hypertension, metastatic carcinoma, preeclampsia and eclampsia. These underlying causes have in common the deposition of fibrin in the small blood vessels, or perhaps an abnormal vascular endothelium. Microangiopathic hemolytic anemia can be improved by heparin, prednisone, aspirin or plasmapheresis. The prognosis depends on the cause. We report a case of microangiopathic hemolytic anemia due to preeclampsia.
십이지장궤양으로 위공장물합술(胃空腸物合術)후 발생한 조기위암 1예
진윤태,현진해,문정섭,유호상,김경수,추현광 대한소화기내시경학회 1990 Clinical Endoscopy Vol.10 No.2
Cancer of the gastric stump, first described by Balfour in 1922, is defined as the cancer detected more than 5 years after surgery for a benign disease. We experienced a case of cancer found at the gastric stump after gastrojejunostomy in a 53 years old male patients, proven pathologically as a early cancer. He visited to our hospital with the chief complaint of epigastric pain and indigestion for 1 Months. On past history, he has been received gastrojejunostomy due to duodenal ulcer obstruction, 23 years ago, Gastrofiberscopy was done, and we could find the early gastric cancer lesions at the anterior wall of gastric angle as type Ilc+III and antrum as type IIa. The microscopic finding of the multiple endoscopic biopsies at the gastic angle and antrum revealed the adenocarcinoma of signet ring cell type infiltrated to the level of submucosa. And so, we could diagnose these lesions as a early gastric cancer in the gastric stump after gastrojejunostomy. He was treated with subtotal gastrectomy and discharged with cured condition. Therefore, we report this case with a literature review.
식도 궤양, 급성 담낭염 및 허혈성 대장염의 소견이 현저한 알레르기성 육아 종증(Churg-Strauss Syndrome) 1 예
김광호,박성혜,이상헌,김주현,박현철,남상민,정숙향,김호연,황일순,전형식,추현광 대한내과학회 1993 대한내과학회지 Vol.45 No.3
Churg-Strauss syndrome is a kind of rare systemic vasculitis characterized by peripheral eosinophilia, bronchial asthma and relatively specific pathological findings such as necrotizing vasculitis, eosinophilic infiltration of tissue and/or extravascular granuloma. Clinically multiple organs/systems can be involved with various manifestations of disease of lung, heart, skin, musculoskeletal system, nervous system and gastrointesinal/hepatobiliary tract. Gastrointestinal symtoms were frequently accompanied, but usually mild and easily controllable so that special study for evaluation of the symptoms hardly seemed to be needed. We experienced a case of Churg-Strauss syndrome presenting as esophageal ulcers, acute acalculous cholecystitis and treatment-resistant ischemic colitis in a 24-year-old male patient with acute upper abdominal pain and watery, often bloody diarrhea. He also showed peripheral eosinophilia, bronchial asthma, mononeuritis multiplex, skin rash and arthritis. The patient received high dose corticosteroid, cyclophosphamide and exchange plasmapheresis with resolution of almost all symptoms. But symptoms of ischemic colitis such as abdominal pain and diarrhea are not completely improved in spite of intensive therapy.