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원언식,선우경식,김춘추,김진수,정희영 대한감염학회 1973 감염 Vol.5 No.1
Chloramphenicol resistant Salmonella typhi have been reported by several authors since 1950 and there was a large epidemic in Maxico last year. Last summer we have experienced a small epidemic of typhoid fevor in an institution. In 8 clinically uncontrollable cases of typhoid fever with chloramphenicol, 3 strains of Salmonella typhi were isolated and their MIC to chloramphenicol were 5~10㎍/ml. The resistance to chloramphenicol in the isolated in the isolated strains were transferred to Escherichia coli in vitro. This factor was multi-resistant.
원언식,전종휘 대한감염학회 1973 감염 Vol.5 No.1
Since 1950 the causes of death in Korean Hemorrhagic Fever were changed becouse of the improvement of patient treatment based on its pathophysiology. From Jan. 1971 to Dec. 1972 we experienced 50 fetal cases and the mortality rate was about 7%. In previous report aproximately 2/3 of death occured at oliguric phase and remainging 1/3 at hypotensive phase. The major causes of death were pulmonary edema & bleeding, acute renal failure and shock. Our data revealed systemic infection (28%), C.N.S. problem (possibly cerebral hemorrhage)(22%), pulmonary edema & bleeding (16%), and shock(14%) as major causes of death. The deaths of each phase were as the following. Hypotensive‥‥‥7(14%). Oliguric‥‥‥31(62%). Diuretic‥‥‥11(22%). Convalescent‥‥‥1(2 The major problems in managing patients that was experienced by authors were shock and pulmonary edema, systemic infection, severe hyperkalemia and cerebral complication, possibly cerebral hemorrhage.
민병석,구완서,차봉연,방병기,원언식 대한신장학회 1982 Kidney Research and Clinical Practice Vol.1 No.1
For the differential diagnosis cf oliguria after For the differential diagnosis cf oliguria after renal transplantation, renograms obtained with 131- -ortho-iodohippurate were analyzed in 28 cases. I. The findings of renograms were correfated'' well with functions of posttransplant kidneys. 2. In acute rejection, renograms demonstrated four patterns: 1) reduced excretion with normal transit time 2) reduced excretion with prolonged transit time 3) no build-up pattern 4) obstructive pattern The cases with renograms demonstrating threa phases (1 & 2) responded better to corticosteroid than those with obstructive pattern. 3. Some cases with acute rejection or acute tu-- bular necrosis demonstrated obstructive patterns. This limitation must be taken into account in interpretating renograms in posttransplant kidneys.