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Empyema Necessitatis in a Patient on Peritoneal Dialysis
모인호,이영기,김희준,정현연,박재현,안혜경,노정우 대한결핵및호흡기학회 2014 Tuberculosis and Respiratory Diseases Vol.77 No.2
Empyema necessitatis is a rare complication of an empyema. Although the incidence is thought to be decreased in the post-antibiotic era, immunocompromised patients such as patients with chronic kidney disease on dialysis are still at a higher risk. A 56-year-old woman on peritoneal dialysis presented with an enlarging mass on the right anterior chest wall. The chest computed tomography scan revealed an empyema necessitatis and the histopathologic findings revealed a granulomatous inflammation with caseation necrosis. The patient was treated with anti-tuberculous medication.
증례 : 신장 ; 리튬 복용으로 발생한 신성 요붕증과 횡문근융해증 1예
모인호 ( In Ho Moh ),이영기 ( Young Ki Lee ),손승연 ( Seung Yeon Son ),신윤호 ( Yun Ho Sin ),이승민 ( Seung Min Lee ),이동훈 ( Dong Hun Lee ),노정우 ( Jung Woo Noh ) 대한내과학회 2012 대한내과학회지 Vol.82 No.3
A 59-year-old woman was admitted to our hospital with polydipsia and general weakness. She had a 30-year history of bipolar disorder and was being treated with risperidone (4 mg/day) and lithium carbonate (1,200 mg/day). During her time in hospital, her urine output and serum osmolality increased, and her urine osmolality decreased. She was found to have myoglobulinuria, an elevated creatine kinase level, and abnormal renal function. Based on these findings, the patient was diagnosed with diabetes insipidus and rhabdomyolysis secondary to lithium therapy. After fluid therapy and the withdrawal of lithium, her clinical symptoms improved significantly. Her urine volume decreased gradually after treatment with amiloride. The effects of lithium on the muscle system are unknown. Hyperosmolarity caused by lithium-induced diabetes insipidus is considered a contributing factor in rhabdomyolysis. (Korean J Med 2012;82:367-370)
복강 내 발생한 Immunoglobulin G4 연관 염증성 가성종양
모인호 ( In Ho Moh ),김진배 ( Jin Bae Kim ),신수린 ( Su Rin Shin ),정성원 ( Sung Won Jung ),박상훈 ( Sang Hoon Park ),김정원 ( Jeong Won Kim ),신미경 ( Mi Kyung Shin ),이명석 ( Myung Seok Lee ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.4
The term inflammatory pseudotumor (IPT) has been used to describe inflammatory and fibrosing tumoral processes of an undetermined cause that may involve a variety of organ system. IgG4-related disease is a newly recognized fibroinflammatory condition characterized by IgG4-producing plasma cell expansion in affected organs and, often but not always, elevated serum IgG4 concentrations. IgG4-related IPTs, a subtype of IPT, are characterized by dense infiltration of IgG4-positive plasma cells and stromal fibrosis. The association between inflammatory pseudotumor and IgG4 was first reported with a regard to sclerosing pancreatitis. Despite there are many reports on intraperitoneal IPTs including both cellular and lymphoplasmacytic type, only a few cases have been confirmed to be IgG4-related. We experienced a case of intraperitoneal IgG4-related inflammatory pseudotumor in an 83-year-old woman presenting with epigastric pain and malaise. Surgical specimens revealed an IgG4-related inflammatory pseudotumor.
급성뇌경색 치료중 진단된 만성콩팥병과 낭성 혈관근지방종이 동반된 결절성경화증 1 예
김희준,모인호,정다혜,이영기,우지영,이열,노정우 고신대학교(의대) 고신대학교 의과대학 학술지 2013 고신대학교 의과대학 학술지 Vol.28 No.2
Symptoms of tuberous scelrosis (TS) are mainly related with brain and kidneys. Seizure, mental retardation, other behavioral problems are dominant. A spectrum of renal tumors from benign angiomyolipoma (AML) to polycystic kidney disease, and rarely malignant renal cell carcinoma have been observed. Cystic AML is a rare phenotype of AML. No case of TS with renal cystic AML has been reported in Korea yet. And chronic kidney disease (CKD) in TS has been seldom reported. We experienced a TS case accompanied by renal cystic AML and CKD diagnosed in a 48-year-old female patient who was hospitalized for left side weakness and seizure under the diagnosis of acute cerebral infarction.
유하나,정창수,정성웅,모인호,송원근,이재갑 대한감염학회 2012 Infection and Chemotherapy Vol.44 No.3
Recently, the incidence of candida infection has increased. Candida species often show hematogenous spread to the kidney, brain, heart, and eyes. And delayed onset of hematogenous spread is relatively rare. A 53-year-old female patient was admitted with left anterior chest pain with swelling and mild fever. She had been treated successfully with fluconazole for candidemia caused by C. albicans eight month ago. On admission chest CT scan revealed multiple subcutaneous abscesses involving the anterior chest. Percutaneous drainage of the abscess was performed. C. albicans was isolated from drained pus. Treatment with fluconazole did not to improve the abscess; therefore, micafungin and voriconazole were administered as a replacement. The patient recovered after 10-week administration.
신이식 후 Cyclosporine 복용 중 발생한 제 1형 신세뇨관산증 1예
손승연 ( Seung Yeon Son ),이영기 ( Young Ki Lee ),유하나 ( Ha Na Yoo ),정다혜 ( Da Hye Jung ),모인호 ( In Ho Moh ),김희준 ( Hee Jun Kim ),정성웅 ( Sung Woong Jung ),나동길 ( Dong Kil Na ),정창수 ( Su Chung Chang ),이승민 ( Seung M 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.2
Cyclosporine is an immunosuppressive agent that plays an important therapeutic role for organ transplantation. However, complications due to type 1 renal tubular acidosis, albeit rare, have been reported. We experienced a case of severe metabolic acidosis associated with cyclosporine administration after renal transplantation. A 54-year old man was hospitalized for seizure, confusion and weakness. He demonstrated severe metabolic acidosis and hypokalemia. Continuous renal replacement therapy was started and sodium bicarbonate was administered to correct the acidosis and the dosage of cyclosporine was reduced. Thereafter, the cyclosporine level in whole blood decreased gradually, and the metabolic acidosis improved.