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원현상(Hyun Sang Won),안우석(U Seouk Ahn),이규춘(Ku Chun Lee),이원욱(Weon Uk Lee),김기중(Ki Jung Kim),성낙천(Nak Cheon Seong),김구엽(Koo Yup Kim),서환조(Hwan Jo Suh) 대한내과학회 1997 대한내과학회지 Vol.52 No.3
N/A Objectives: Aeromonas species is a gram-negative, facultative anaerobe of the family Vibrionaceae. The organism has been recognized as a pathogen associated with illness in human, such as acute gastroenteritis, cellulitis, septicemia, and other rare diseases. Methods: To evaluate the clinical significance of Aeromonas bacteremia in Korea and it's susceptibility of antibiotics, we evaluated the 17patients with Aeromonas bacteremia. Identification was done by use of API 20E system and antibiotic susceptibility was tested with disk diffusion method. Results: Male to female ratio was 11:6, and mean age was 54.1years(8-85years) old. Liver cirrhosis was the most common underlying disease(10cases of 17patients, 58.8%a). Other underlying diseases were as follows: gallstone in 2cases, cholangiocarcinoma in 2cases, and aplastic anemia in 1case, cerebral infarction in 1case. But one had no underlying disease. So Aeromonas bacteremia were occurred in 14immunocompromised patients(82.3%), and in 10patients with hepatobiliary diseases, A. hydrophila was most commonly isolated(13cases, 764%), and the A sobria(4cases, 23.5%) was infrequently isolated. The overall fatality was 47%, and there had no significant difference in fatality between A. hydrophila and A sobria All Aeromonas species had resistance to ampicillin and carbenicillin. Conclusion: Because Aeromonas bacteremia may occur through water-borne route, especially in immunocompromised host. We should pay attention to immunocompromised patients, espacially having hepatobiliary disease.
요관결석환자에서 발생된 Salmonella typhi 에 의한 Acute Focal Bacterial Nephritis
홍성표,김명재,이태원,김병준,김기중,안우석,이상억,원현상,현용준,성낙천,임천규 대한내과학회 1996 대한내과학회지 Vol.51 No.6
Acute focal bacterial nephritis(AFBN; Acute lobar nephronia) represents a acute, localized, non necrotizing suppurative inflammation of an entire lobule of kidney analogue to segmental involvement of the lung in lobar pneumonia. Renal Abscess, renalcyst and renal cell cancer, which also may appear as a mass, is distinguished radiologically from AFBN by abdominal ultrasonogram, abdominal CT scan, kidney MRI and renal scan. We have experienced a case of a 50-years-old male with acute focal bacterial nephritis by Salmonella typhi with ureteral stone. The patient was treated with chloramphenicol for 3 weeks and discharged, After 5 weeks later, the sonographic examination revealed reduced size of mass at affected kidney. We report this case with review of literatures.