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131I-MIBG Scintigraphy 로 진단된 재발성 갈색 세포종
정동성,이귀래,한창완,조영삼,박운식,정윤형,주홍돈,박성기,김성환,김정례 ( Dong Sung Jung,Gwi Lae Lee,Chang Wan Han,Young Sam Cho,Woon Sik Park,Yoon Hyung Jung,Hong Don Joo,Sung Ki Park,Sung Hwan Kim,Jung Lyeu Kim,Dae Hyuk Moon ) 대한핵의학회 1994 핵의학 분자영상 Vol.28 No.3
Pheochromocytomas are catecholamine producing tumors of neuroect,odermal origin, and may arise wherever chromaffin cells are located. They are rare but potentially lethal and amenable to surgical cure. Once a clinical diagnosis has been established, localization becomes of importance to direct surgical approach. MIBG scintigraphy is the initial localizing procedure of choicc, due to its ability tn screen the entire body, especially in the detection of ex(raadrenal and recurrent pheochromocytoma. A case of recurrent extraadrenal pheochromocytoma diagnosed by I-MIBG scintigraphy is presented wit,h review of the literature.
고령의 호흡기 질환 환자에서 상부 위장관 내시경 검사시 폐기능 장애 정도에 따른 산소 포화도의 변화
정윤형(Yun Hung Jung),이진석(Jin Suk Lee),한종학(Jong Hak Han),김재홍(Jae Hong Kim),정동성(Dong Sung Jung),이귀래(Gwi Lae Lee),한창완(Chang Wan Han),박운식(Woon Sik Park),조영삼(Young Sam Cho),주홍돈(Hong Don Joo),두창준(Chang Joon D 대한내과학회 1995 대한내과학회지 Vol.49 No.2
N/A Objectives : We performed following experiment in order to find the relationship between impairment of pulmonary function test (PFT) and oxygen desaturation during upper gastrointestinal endoscopy examination among the elderly patients. Methods : Pulmonary function test and ABGA (arterial blood gas analysis) were performed before endoscopy. Arterial oxygen saturation and pulse rate were monitored with pulse oximeter before endoscopy until 5minutes its completion. We classified the population by control group and patients group by pulmonary function test. we classified patients group by mild group, moderate group and severe group (Table 2). Results : 1) Oxygen saturation was decreased significantly among all of groups, the most decreased within 1 minutes after insertion endoscopy and recovered soon before endoscopic completion. 2) The duration of worst SaO2 did not correlated with the pulmonary function test impairment. 3) The time of endoscopy did not correlated with decrease in SaO2 during endoscopy 4) There is decreased oxygen saturation in mild group, but no significant change from control group. 6) Pulse rate did not correlated with pulonary function test impairment. Conclualon : Oxygen saturation was decreased all groups in elderly populaton during upper gastro-intestinal endoscopy especially moderate or severe groups, therefore, incidence of cardio-pulmonary disease is increased. To prevent cardio-pulmonary complication, we should detect oxygen desaturation early by using pulse oximeter during upper gastrointestinal endoscopic procedure in moderate or severe group. If needed, termination of the procedure, oxygen supplement or assisted ventilation minimize cardiopulmonary complication.
전신성 홍반성 루푸스 환자에서 발생한 거대세포바이러스 폐렴과 망막염
한승호 ( Seung Ho Han ),손유정 ( You Jeong Sohn ),박민아 ( Min A Park ),이상 ( Sang Lee ),유승훈 ( Seung Hoon Ryu ),임태형 ( Tae Hyung Lim ),정동성 ( Dong Sung Jung ),손영기 ( Young Ki Son ),노미숙 ( Mee Sook Roh ),박미경 ( Mi Ky 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.4
Cytomegalovirus (CMV) is the member of the herpesviridae of virus, which are large DNA viruses that share the biologic properties of latency and reactivation. In patients with advanced acquired immune deficiency syndrome (AIDS) and those immunocompomised due to bone marrow transplantation or solid organ transplantation, CMV infection is the major cause of morbidity and mortality. CMV pneumonia is the most severe complication of these CMV disease. There have been reported a few cases of CMV interstitial pneumonitis occurring in a patient with SLE after intensive immunosuppressive therapy with prednisolone and cyclophosphamide, and there has been reported a case in Korea. Then we report a case of CMV pneumonia and retinitis occurring in a patient with SLE who was being treated with high dose steroid for 1 month, and was treated with ganciclovir and immunoglobulin.
간경변증 환자에서 Non-01 Vibrio Cholerae에 의한 패혈증 1예
두창준,이명희,한종학,김재홍,변종훈,김준현,노용호,이진석,정동성 대한감염학회 1995 감염 Vol.27 No.1
저자들은 간경병증으로 입원 중인 47세 남자 환자에서 해산물을 생식한 후 발열, 설사, 복통이 발생하고 혈액 배양에서 non -O1 V. cholerae가 분리되었고 조기의 적절한 항생제 투여로 회복되었던 환자 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Non-O1 Vibrio cholerae(V. cholerae) stains represent a diverse group of organisms which are morphologically and biochemically identical to V. cholerae, but do not agglutinate in V. cholerae O-group 1 antiserum. These strains cause a wider range of infections than the other typical cholera vibrio, including watery diarrhea, dysentery, would infection, ear infection, and septicemia. These strains have been isolated from several extraintestinal sites, including bile, gallbladder, blood, wound, ear drainage, sputum, and cerebrospinal fluid. Frequently, patients infected at these sites are afflicted wlth an underlying disease, such as liver cirrhosis, malignancy, diabetes, or any condition resulting in achlorhydria. Since the non-O1 V. cholerae gastroenteritis is self-limited, antibiotics are not recommended. However, septicemia, wound infection, and deep organ infection should be treated with appropriate antibiotics. These strains were susceptible to cephalothin, tetracycline, amikacin, gentamicin, kanamycin, and tobramycin. We report a case of non-O1 V. cholerae septicemia in a patient with liver cirrhosis. A 47-year-old male with liver cirrhosis complained of fever, diarrhea, abdominal pain upon admission. The day before the onset of symptoms, he had Sushi. Two blood cultures yieled non-O1 V. cholerae. He recovered by antibiotics, cefazolin and gentamicin.