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조현정 ( Hyon Joung Cho ),여인구 ( Inku Yo ),류희정 ( Heejung Ryu ),이주형 ( Juuhyoung Lee ),백한주 ( Han Joo Beak ) 대한류마티스학회 2013 대한류마티스학회지 Vol.20 No.2
저자들은 축성 척추관절염 환자에서 돌발성 감각신경난청이 저음역에서 편측성으로 발병한 예를 경험하였다. 본 증례의 난청은 증상 발생 24시간 이내 전신적 및 국소적 스테로이드 치료로 회복되었다. 축성 척추관절염환자에서 돌발성 감각신경난청이 동반될 수 있으며 이 경우 조기 스테로이드 치료를 고려해야 한다. Sudden sensorineural hearing loss (SNHL) is rarely presented in patients with several immune-mediated inflammatory diseases. We report a case of sudden SNHL in a patient with axial spondyloarthritis (aSpA). A 29-year-old male with aSpA was admitted for sudden unilateral hearing loss. His aSpA symptom was stable; however, pure tone audiometry revealed that he had SNHL in the left ear at low frequency. His hearing was fully recovered with systemic and local steroid therapy. This case suggests that sudden SNHL may be an extra-articular manifestation of aSpA and thus need prompt steroid therapy in order to restore hearing.
증례 : 호흡기 ; 샅굴탈장으로 발견된 결핵성 요근 농양 1예
조현정 ( Hyon Joung Cho ),안창혁 ( Chang Hyeok An ),정성환 ( Seong Hwan Jeong ),이운기 ( Woon Gi Lee ),김하나 ( Ha Na Kim ),최수진 ( Su Jin Choi ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
저자들은 폐결핵 발병 후 특별한 치료 없이 지내던 중 림프절을 통해 감염이 전파되어 결핵성 요근 농양이 발생한 것으로 추정되는 환자가 결국 샅굴탈장이 발생되어 발견된 증례 1예를 경험하였다. 척추 결핵의 동반 없이 림프절을 통한 결핵성 요근 농양의 발생은 드문 것으로 알려져 있으며, 더욱이 샅굴탈장으로 결핵성 요근 농양이 발견되는 경우는 국내외적으로 매우 드물어 보고하는 바이다. Tuberculous psoas abscesses are uncommon and are rare without tuberculous spondylitis, but can develop as a result of direct spread via a lymphatic or hematogenous route. The clinical presentation includes pain and weight loss, while a palpable mass is rare. Furthermore, an inguinal hernia is a very rare complication of a tuberculous psoas abscess. We report an unusual case of tuber-culous psoas abscess found in an inguinal hernia that may have spread from pulmonary tuberculosis via the lymphatics. The diagnosis was confirmed by computed tomography (CT) and culture of the abscess for Mycobacterium tuberculosis. The patient was treated with anti-tuberculous agents and was scheduled to undergo surgery for the inguinal hernia, but was transferred to a hospital nearer to home at her request. (Korean J Med 77:S1174-S1177, 2009)
증례 : 감염 ; 신장 경색을 동반한 Streptococcus agalactiae 감염 심내막염 1예
김주일 ( Joo Il Kim ),조현정 ( Hyon Joung Cho ),서종구 ( Jong Goo Seo ),김진용 ( Jin Yong Kim ),박윤수 ( Yoon Soo Park ),서일혜 ( Yiel Hae Seo ),조용균 ( Yong Kyun Cho ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
저자들은 별다른 기저 질환이 없던 건강한 성인 남성이 GBS에 의한 신장경색이 동반된 감염 심내막염을 최초로 경험하였기에 문헌고찰과 함께 보고한다. 최근 GBS에 의한 침습적 감염이 당뇨병이나 악성 종양 및 간경화와 같은 만성 기저질환이나 고령과 연관하여 증가하고 있다. 하지만 이와 같은 위험인자가 없는 환자에서도 GBS에 의한 감염이 발생할 수 있으며 GBS 감염 심내막염은 신장 경색을 포함한 전신적 색전증이나 다른 합병증이 빈번하게 발생하여 예후가 좋지 않을 수 있기 때문에 조기에 수술을 포함한 적극적으로 치료를 고려하여야 한다. Group B streptococcus (GBS, Streptococcus agalactiae) is categorized as a Lancefield Group B beta-hemolytic streptococci. GBS is a recognized cause of sepsis and meningitis in newborns and pregnant women. However, the incidence of GBS disease in nonpregnant adults is increasing, particularly in the elderly and those with significant underlying diseases. GBS infective endocarditis is generally characterized by an acute onset, the presence of large vegetations, rapid valvular destruction, and the frequent development of complications. Here we report the first case of GBS infective endocarditis associated with kidney infarction. (Korean J Med 77:S1328-S1331, 2009)
원인식,박예민,조현정,김형수,서종구,김진용,남동흔,박윤수,서일혜,조용균 대한감염학회 2009 감염과 화학요법 Vol.41 No.4
Syphilis is re-emerging worldwide due to the HIV epidemic. Prior to the introduction of penicillin, syphilis was the second most common primary cause of all cases of uveitis. Today, ocular syphilis is a rare disease, especially in an immunocompetent patient. Variable manifestation without pathognomonic signs of ocular syphilis often lead to delayed diagnosis, resulted in irreversibile loss of vision. In Korea, syphilitic uveitis has not been reported in an immunocompetent patient since 1984. We experienced a case of syphilitic uveitis in an immunocompetent man with visual deterioration. As the incidence of syphilis is increasing in these days, a high degree of clinical suspicion should be considered in patients with unexplained ocular inflammation and visual disturbances.
박예민,원인식,김주일,조현정,서종구,김진용,김은영,박상희,박윤수,서일혜,조용균 대한감염학회 2009 감염과 화학요법 Vol.41 No.4
Actinomyces normally colonizes the mouth, colon, and vagina. Although disruption of mucosa may lead to infection at virtually any site, central nervous system actinomycosis is rare. A 45-year-old man presented with seizure and magnetic resonance imaging showed brain abscess. He was diagnosed with actinomycotic and streptococcal infection of brain by histologic and microbiologic examination. After stereotactic aspiration and biopsy, he was treated successfully by prolonged antibiotic therapy using intravenous penicillin-G and oral amoxicillin.