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서찬희,장병일,이상재,성한동,전수진,김영묵,이준상 대한감염학회 2003 감염과 화학요법 Vol.35 No.4
저자들은 임상적으로 간낭종 감염이 의심이 가는 환자에서 경피적 배액술로 간낭종이 Salmonella paratyphi A에 의해 감염되었음을 증명하였고 항생제와 경피적 배액술로 성공적으로 치료한 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Salmonellae cause a number of characteristic clinical infections in humans, including gastroenteritis, enteric fever, bacteremia, focal metastatic infection and an asymptomatic chronic carrier state. We report a case of large hepatic cyst infected with Salmonella paratyphi A. A 47-year-old woman was admitted, because of abdominal complains (fullness and pain) and fever. On physical examination, a mass was palpated on right upper quadrant of the abdomen. The computerized tomography of the abdomen showed a large hepatic cyst, but not cystic infection. Aspiration and percutaneous drainage of the hepatic cyst were perfomed for the therapeutic decompression under fluoroscopic guidance. Cultures of the cyst fluid revealed growth of Salmonella paratyphi A. Radiologic contrast media after draining of the cyst fluid revealed no communication between the cyst and bile ducts. Infected hepatic cyst appeared to result from hematogenic seeding. One month later, the patient improved and was discharged without any complication.
VIP를 분비하며 신경절신경종의 분화를 가지는 갈색 세포종 1예
나민아,김상수,김동욱,최재훈,이태근,공옥녀,안준협,김지연,성한동,정철호,손석만,김인주,김용기 대한내분비학회 2003 Endocrinology and metabolism Vol.18 No.2
갈색 세포종은 신경내분비종양의 하나로 VIP를 포함한 다양한 신경내분비 펩타이드를 분비할 수 있다. 저자들은 만성 설사와 체중 감소를 주소로 내원한 환자에서 좌측 부신에 VIP를 생성하는 갈색 세포종을 진단하여 성공적으로 제거한 후 증상이 모두 호전된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Vasoactive intestinal peptide (VIP) is a 28-amino acid peptide, which may cause secretory diarrhea by stimulating the production of adenylate cyclase. Neuroendocrine tumors, secreting vasoactive intestinal peptide (VIP), are almost always of a pancreatic in origin. However, a pheochromocytoma may produce several neuropeptides, containing VIP, as they are considered to be neuroendocrine tumors. A 57-year-old woman, who presented with chronic watery diarrhea, hypokalemia, weight loss and a left adrenal mass, is described. Histologically, the tumor was diagnosed as a pheoch-romocytoma, with ganglioneuronal differentiation, and was histochemically confirmed to produce a vasoactive intestinal polypeptide. A left adrenal VIP-producing pheochromocytoma was successfully resected. After surgery, her diarrhea subsided and the electrolytes, affected neuroendocrine hormone levels, blood pressure and blood sugar level were normalized (J Kor SOC Endocrinol 18:227-231, 2003).
AMBU(Air Mask Bag Unit) 환기로 복강기종과 종격동기흉이 합병된 중증 천식
조훈 ( Jo Hun ),최병문 ( Choe Byeong Mun ),정호경 ( Jeong Ho Gyeong ),박자영 ( Park Ja Yeong ),장병일 ( Jang Byeong Il ),선우미옥 ( Seonu Mi Og ),서찬희 ( Seo Chan Hui ),성한동 ( Seong Han Dong ),신미정 ( Sin Mi Jeong ),황순철 ( H 대한결핵 및 호흡기학회 2001 Tuberculosis and Respiratory Diseases Vol.51 No.6