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유희태 ( Hee Tae Yu ),하유정 ( You Jung Ha ),정상윤 ( Sang Youn Jung ),이광훈 ( Kwang Hoon Lee ),김현민 ( Hyun Min Kim ),이수곤 ( Soo Kon Lee ),박용범 ( Yong Beom Park ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.2
Septic arthritis of the sternoclavicular joint is a rare condition. The predisposing risk factors include intravenous drug abuse, subclavian vein catheter placement, diabetes mellitus and trauma. Delayed or inadequate management can lead to irreversible joint damage with subsequent disability, even death. We report a 48-year-old female patient who presented with right sternoclavicular joint swelling and right shoulder pain. Magnetic resonance imaging of the sternum showed swelling of the right sternoclavicular joint with gadolinium enhancement. Synovial fluid and bone tissue culture revealed Escherichia coli (E.coli), and confirmed the diagnosis of sternoclavicular septic arthritis. She was successfully treated with surgical debridement and ciprofloxacin without recurrence. This is the first case report of E.coli sternoclavicular septic arthritis in Korea.
2021 대한부정맥학회 심방세동 환자의 특수 임상 상황 환자군에서 ABC Pathway 치료 지침
황유미 ( You Mi Hwang ),임홍의 ( Hong Euy Lim ),이대인 ( Dae In Lee ),유희태 ( Hee Tae Yu ),박예민 ( Yae Min Park ),정보영 ( Boyoung Joung ) 대한내과학회 2021 대한내과학회지 Vol.96 No.4
Optimized management of atrial fibrillation requires patient-oriented decision making with a multidisciplinary approach. This report incorporates recent authoritative studies to provide detailed recommendations for managing atrial fibrillation in specific clinical settings. The principles of the Atrial fibrillation Better Care (ABC) pathway apply in these clinical settings. In addition, specific considerations are discussed for each of these conditions and populations. (Korean J Med 2021;96:264-295)
증례 : 순환기 ; 관상동맥 CT 혈관조영술상 정상이었으나 심혈관계 사건이 발생한 2예
최동훈 ( Dong Hoon Choi ),김광준 ( Kwang Joon Kim ),장지용 ( Ji Yong Jang ),이찬주 ( Chan Joo Lee ),장혁재 ( Hyuk Jae Chang ),오창명 ( Chang Myung Oh ),유희태 ( Hee Tae Yu ) 대한내과학회 2010 대한내과학회지 Vol.79 No.5
저자들은 관상동맥 CT 혈관조영술상 정상소견이었으나 단기 추적 중 심혈관계 사건이 발생한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Multi-detector row coronary computed tomography (CT) angiography is an emerging noninvasive diagnostic tool for coronary artery disease. Because of the high negative predictive value of the test, coronary CT angiography is useful for ruling out significant coronary artery stenosis in patients with chest pain. Between 2003 and 2009, 2,148 (50%) of 4,337 patients who underwent coronary CT angiography had a normal coronary artery. Of the 2,148 patients, only two (0.09%) experienced cardiovascular events within three months of their index visit. One patient underwent invasive coronary angiography based on a positive exercise test result, while the second underwent invasive coronary angiography due to an episode of chest pain. Coronary angiographic examination of these two patients revealed significant luminal narrowing of the proximal left anterior descending artery; both patients underwent revascularization at the discretion of their physician. (Korean J Med 79:553-558, 2010)