http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Aerococcus urinae에 의한 합병된 요로감염 패혈증
허창민 ( Chang Min Heo ),조경민 ( Kyeong Min Jo ),장지훈 ( Ji Hoon Jang ),이유진 ( Yoo Jin Lee ),박봉수 ( Bong Soo Park ),김양욱 ( Yang Wook Kim ),박시형 ( Sihyung Park ) 대한내과학회 2016 대한내과학회지 Vol.91 No.2
요양 시설에서 지내던 83세 여성이 요로감염으로 입원하였으며 혈액 배양의 염기서열 분석에서 Aerococcus urinae가 동정되었다. 항생제 감수성 결과에 따라 ceftriaxone을 총 3주간 투여하였고 요로결석은 자연적으로 배출되어 환자는 합병증 없이 완치되었다. 오염균으로 오인될 수 있는 A. urinae는 요로감염, 심내막염을 비롯한 심각한 감염 등을 일으킬수 있는 원인 균임을 인지해야 한다. Aerococcus urinae is a gram-positive coccus that produces alpha-hemolysis on blood agar and is negative for catalase. A. urinae can often be misidentified as a streptococcus, staphylococcus, or enterococcus by most commercial identification systems. Although A. urinae is a rarely reported human pathogen, it can be fatal in some cases. Here we report on a case of urosepsis caused by A. urinae, identified by 16S rRNA gene sequencing in a patient with ureter stones and hydronephrosis, for the first time in Korea. It is important for physicians to consider A. urinae as a potential pathogen and to prescribe the most suitable antibiotics to ensure the best outcome. (Korean J Med 2016;91:229-232)
에탐부톨에 의한 호산구증가증과 전신성 증상증후군 및 이소니아지드에 의한 자가면역간염의 동시발생
최준혁 ( Joon Hyuk Choi ),허내윤 ( Nae Yun Heo ),박승하 ( Seung Ha Park ),박찬선 ( Chan Sun Park ),조경민 ( Kyeong Min Jo ),김우경 ( Woo Gyeong Kim ),남경한 ( Kyung Han Nam ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.5
Anti-tuberculosis drugs can produce levels of hepatotoxicity ranging from mild elevation of aminotransferase to severe acute hepatitis. A few cases of drug-induced autoimmune hepatitis or the drug reaction with eosinophilia and systemic symptom (DRESS) syndrome by anti-tuberculosis medications have been reported. However, concomitant occurrence of these two disorders has not been reported. Here, we present a case of severe acute hepatitis with DRESS syndrome and autoimmune hepatitis resulting from primary standard anti-tuberculosis drugs. Both conditions were successfully treated with a systemic steroid regimen. (Korean J Gastroenterol 2016;67:267-271)