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Streptococcus Constellatus에 의한 농흉
류용석 ( Yong Suc Ryu ),이재형 ( Jae Hyung Lee ),이병훈 ( Byung Hoon Lee ),김상훈 ( Sang Hoon Kim ),양동진 ( Dong Jin Yang ),류상렬 ( Sang Ryol Ryu ),유연화 ( Yun Hwa Yu ),정미연 ( Mi Youn Cheong ),재정돈 ( Jeong Don Chae ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.66 No.6
Streptococcus constellatus (S. constellatus) is a commensal microorganism belonging to the Streptococcus milleri group, but may cause infections in different locations in immunocompromised patients. The infection of S. constellatus has high mortality and morbidity due to its tendency to cause abscesses in infected patients, which require immediate surgical drainage for effective treatment. We report on a 72-year-old woman with end stage renal disease, who suffered from dyspnea and general weakness that had developed over 7 days. Chest CT showed loculated pleural effusion. S. constellatus was cultured from exudative pleural effusions and confirmed by an analysis of 16S rRNA sequence. The patient was treated with drainage of pleural effusion and piperacillin/tazobactam for 5 weeks.
류상열 ( Sang Ryol Ryu ),박지영 ( Ji Young Park ),류용석 ( Yong Suc Ryu ),유연화 ( Yeon Hwa Yu ),양동진 ( Dong Jin Yang ),이병훈 ( Byoung Hoon Lee ),김상훈 ( Sang Hoon Kim ),이재형 ( Jae Hyung Lee ),우정주 ( Jeong Joo Woo ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.67 No.2
Lipomas are common soft tissue tumors that are located in the body tissues containing adipose tissues. However, lipomas arising from the walls of a vein are very rare. Intravascular lipomas have been described most commonly in association with the inferior vena cava. Intravascualar lipomas involving the subclavian vein are rare. We are reporting a case of an asymptomatic lipoma of the right subclavian vein, growing into the right brachiocephalic vein.
증례 : 순환기 ; 1형 당뇨 환자에서 발생한 Haemophilus parainfluenzae에 의한 삼첨판막 심내막염 1예
양동진 ( Dong Jin Yang ),류용석 ( Yong Suc Ryu ),정미연 ( Mi Yeon Chung ),박은경 ( Eun Kyoung Park ),박지영 ( Ji Young Park ),조용범 ( Yong Bum Cho ),최재웅 ( Jae Woong Choi ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
저자들은 내원 2~3주 전부터 시작된 발열, 기침과 하지 부종을 주소로 내원한 29세 남자 환자에서 비위생적인 인슐린 피하 주사와 관련된 H. parainfluenzae 삼첨판 심내막염 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Right-sided infective endocarditis occurs in approximately 5~10% of all infective endocarditis cases. It is associated with intravenous drug abuse, indwelling intravenous catheters, congenital heart disease, alcoholism, and skin infection; however, infective endocarditis involving the tricuspid valve caused by Haemophilus species is uncommon. Here we report a case of tricuspid valve endocarditis caused by H. parainfluenzae in a 29-year-old male patient with insulin-dependent diabetes mellitus who injected himself repeatedly with insulin under unsanitary conditions. (Korean J Med 77:S1170-S1173, 2009)