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증례 : 순환기 ; 가성동맥류를 동반한 Haemophilus parainfluenzae 인공판막 심내막염
정지현 ( Ji Hyun Jung ),김학령 ( Hack Lyoung Kim ),김혜미 ( Hyue Mee Kim ),이학승 ( Hak Seung Lee ),김지혜 ( Chee Hae Kim ),최홍미 ( Hong Mi Choi ),조주희 ( Joo Hee Zo ) 대한내과학회 2014 대한내과학회지 Vol.87 No.5
Prosthetic valve endocarditis (PVE) caused by Haemophilus parainfluenzae (H. parainfluenzae) is very rare. Here, we report a case of H. parainfluenzae PVE that developed following the Bentall procedure complicated by a pseudoaneurysm and cerebral emboli. A diagnosis was delayed in this case because of the slow-growing nature of the organism and the unusual clinical presentation. (Korean J Med 2014;87:589-592)
증례 : 순환기 ; 중간정도 협착을 보이는 관상 동맥에서 발생한 급성심근경색
황도연 ( Doyeon Hwang ),김학령 ( Hack Lyoung Kim ),박찬순 ( Chan Soon Park ),이현정 ( Hyun Jung Lee ),진광남 ( Kwang Nam Jin ),조주희 ( Joo Hee Zo ) 대한내과학회 2015 대한내과학회지 Vol.89 No.4
Acute myocardial infarction often evolves from a mild coronary lesion. Therefore, the evaluation and management of intermediate coronary stenosis are important to prevent cardiac events. However, the decision on how to treat these lesions is challenging. Here, we report acute myocardial infarction occurring at a preexisting intermediate coronary stenosis based on invasive coronary angiography performed 10 days before the event. (Korean J Med 2015;89:448-451)
증례 : 순환기 ; 고관절치환술 중 발생한 우심방 내 이행성 혈전에 의한 급성 폐동맥색전증
임문순 ( Moon Sun Im ),김윤기 ( Yun Gi Kim ),최원석 ( Won Suk Choi ),김학령 ( Hack Lyoung Kim ),김상현 ( Sang Hyun Kim ),조주희 ( Joo Hee Zo ),김명아 ( Myung A Kim ) 대한내과학회 2013 대한내과학회지 Vol.85 No.1
저자들은 수술 전 정맥혈전 예방을 하지 않은 고령의 대퇴골 경부 골절 환자에서 수술 중 발생한 심인성 쇼크로 발현된 우심방 혈전을 심초음파로 진단하였던 1예를 경험하였다. 우심방 혈전에 의한 폐색전증은 치명적이나 예방 가능한 질환으로 본 증례를 통하여 폐색전증 예방의 중요성을 강조하는 바이다. Venous thromboembolism is a relatively common condition in inhospital patients, but it may also manifest as a lethal disease. However, the diagnosis is not suspected clinically in the vast majority of cases. Most hospitalized patients are at risk of venous thromboembolism, but the risk can be reduced significantly by appropriate prophylaxis. We herein report a case of a huge right atrial thrombus that presented as sudden cardiogenic shock during bipolar endoprosthesis of the hip due to a femoral neck fracture. Although the patient was elderly and immobile for 3 days before hip surgery, she did not receive prophylaxis for venous thromboembolism. More attention should be paid to venous thromboembolism prophylaxis in high-risk patients. (Korean J Med 2013;85:83-86)
급성 A형 간염 환자에서 발생한 간질성 신염과 IgA 신병증의 병발에 의한 급성 신부전 : 1예 보고
한승석 ( Seung Seok Han ),김민경 ( Min Kyung Kim ),최병용 ( Byoung Yong Choi ),민희석 ( Hee Suk Min ),김학령 ( Hack Lyoung Kim ),정용진 ( Chun Soo Lim ),임춘수 ( Chun Soo Lim ),이현주 ( Hyun Ju Lee ),문경철 ( Kyung Chul Moon ) 대한신장학회 2007 Kidney Research and Clinical Practice Vol.26 No.6
대유행 인플루엔자(H1N1 2009) 환자 가족에서 인플루엔자 (H1N1 2009) 검사 양성률
김학령,전한호,김민,강철환,박경화 대한감염학회 2010 감염과 화학요법 Vol.42 No.2
Background: Influenza transmission in households a subject of renewed interest especially in pandemic situation. We performed this study to investigate the laboratory-confirmatory rate in household contacts with index cases of pandemic influenza (H1N1 2009). Materials and Methods: For three months from 1 September and 29 November 2009, people who had a history of close contact with confirmed cases of pandemic influenza (index case) were recruited. The information on the study participants was collected using a standardized questionnaire. Presence of the pandemic influenza (H1N1 2009) infection was confirmed by real-time reversetranscription polymerase chain reaction (RT-PCR). Results: A total of 113 index cases and 141 household contacts were investigated. One hundred and four index cases (92.0%) were younger than 20 years. The median age of household contacts was 40 years. Twenty eight household contacts (19.8%) had acute respiratory illness (ARI). Overall, 10.6% of enrolled household contacts were positive in RT-PCR for pandemic influenza (H1N1 2009). The positive rate of household contacts with ARI was 25.0% and it was 7.1% in household contacts without ARI. The positive rate was significantly higher in children and young adults under 30 years (28.3%) compared with that in household contacts older than 30 years (8.3%). Conclusions: This results showed a significant role of mild symptomatic or asymptomatic pandemic influenza (H1N1 2009) patients as a virus carriers in households.