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호지킨병 초기에 주증상으로 발현된 거대세포바이러스 유발 위궤양
황의태 ( Eui Tae Hwang ),이준영 ( Jun Young Lee ),정진수 ( Jin Soo Chung ),이재훈 ( Jae Hoon Lee ),최창수 ( Chang Soo Choi ),김태현 ( Tae Hyeon Kim ),최석채 ( Suck Chei Choi ) 대한소화기학회 2009 대한소화기학회지 Vol.54 No.2
Cytomegalovirus (CMV) is an important cause of opportunistic infection in immunocompromised patients. CMV infection occurs as a result of the cell-mediated immunity change in lymphoma patients. Although CMV can cause ulceration anywhere in the gastrointestinal (GI) tract in immunocompromised patients, only a few case reports about CMV GI infection in malignant lymphoma have been documented in literature. Furthermore, it was rare that CMV gastric ulcer with massive bleeding presented as an initial manifestation in a patient who has been not diagnosed lymphoma. We report a case of CMV induced gastric ulcer as an initial manifestation in patient with Hodgkin`s disease. (Korean J Gastroenterol 2009;54:117-122)
SOS Test Kit 및 HPLC법에 의한 도축돈의 뇨, 신장 및 근육내 설파메타진 잔류량 조사
황인진 ( In Jin Hwang ),박병옥 ( Byong Ok Park ),감창수 ( Chang Soo Kim ),우기방 ( Kee Bang Woo ) 한국가축위생학회 1990 韓國家畜衛生學會誌 Vol.13 No.1
This survey was carried out to determine sulfamethazine residues in urine, kidney and muscle of slaughtered pigs. For this investigation, 20 samples for export and 30 samples for domestic market were collected at slaughterplant in Anyang city from the early of November to the end of December and comparatively were analyzed by SOS test kit and HPLC the results obtained were summarized as follows: 1. Five of 50 samples of swine urine which were inspected by SOS test kit were appeared to sulfamethazine positive. 2. The sulfamethazine residue in one of 50 samples of swine muscle was exceeded 0.lppm 3. The positive samples by SOS test kit were agreed with the results of HPLC quantitative analysis
이재훈 ( Jae Hoon Lee ),황의태 ( Eui Tae Hwang ),김기훈 ( Ki Hoon Kim ),조향정 ( Hyang Jeong Jo ),김태현 ( Tae Hyeon Kim ),최석채 ( Suck Chei Choi ),최창수 ( Chang Soo Choi ) 대한소화기학회 2009 대한소화기학회지 Vol.53 No.4
Actinomycosis is a chronic suppurative and granulomatous disease, characterized by the formation of abscess, draining sinuses, abundant granulation, and dense fibrous tissue. Actinomycosis of the gallbladder is extremely rare. We report a case of an 56-years old man who abruptly presented with right upper quadrant abdominal pain. Abdominal CT showed that the gallbladder had 2 cm sized stone and an edematous thick wall. Our preoperative diagnosis was acute calculous cholecystitis. After the management of acute cholecystitis, laparoscopic cholecystectomy was performed but converted to open surgery due to severe adhesion to liver and greater omentum. Partial cholecystectomy was performed. Histologic section of the gallbladder showed sulfur granule with gram-positive branching bacilli compatible with actinomyces. After cholecystectomy, the patient received intravenous penicillin G for 2 weeks, followed by oral penicillin for 3 months. (Korean J Gastroenterol 2009;53:261-264)
증례 : 소화기 ; 담석에 의한 호산구성 담낭염의 1예
이준영 ( Jun Young Lee ),황의태 ( Eui Tae Hwang ),염동한 ( Dong Han Yeom ),김기훈 ( Ki Hoon Kim ),최창수 ( Chang Soo Choi ),김태현 ( Tae Hyeon Kim ),김학철 ( Haak Cheoul Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.4
현재 호산구성 담낭염은 일반적인 담낭염으로 판단되어 진단하지 못하는 경우가 많으며 스테로이드 치료로 임상적, 조직학적 호전을 보이고 수술을 피할 수 있다. 담낭염의 증상과 호산구가 증가되어 있거나 알레르기 질환, 생식의 기왕력 등이 있으면 호산구성 담낭염을 감별진단으로 의심해 봐야 한다. Eosinophilic cholecystitis is a rare, poorly understood inflammatory condition of the gall bladder. It is characterized by transmural inflammation of the gallbladder wall in which more than 90% of the white cells are eosinophils. The etiology of eosinophilic cholecystitis remains obscure, although suggested causes include allergies, parasites, eosinophilic enteritis, and local reaction to gall stones. We report the case of a 66-year-old man who had eosinophilic cholecystitis associated with gall stones. (Korean J Med 76:467-470, 2009)