http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
하영은 ( Young Eun Ha ),백경란 ( Kyong Ran Peck ) 대한내과학회 2013 대한내과학회지 Vol.84 No.2
Opportunistic infections are major causes of morbidity and mortality in hematopoietic stem-cell transplant and solid organ transplant recipients. The epidemiology and incidence of opportunistic infections in those patients have been dramatically changed with use of potent immunosuppressive agents as well as routine prophylaxis against various microorganisms such as common bacterial pathogens, fungi, cytomegalovirus, Pneumocystis jirovecii, and so on. Because transplant recipients are at the greatest risk for infection during early phase (1-3 months) after transplant, safe and effective prevention strategies should be implemented in this period. Moreover, beyond early phase, recipients are often susceptible to infections due to prolonged immunosuppressive therapy for graft rejection or chronic graft-versus-host diseases. Therefore, clinicians should assess a recipient`s risk of infection on the basis of concomitant graft function, intensity of immunosuppression, and other factors that may contribute to susceptibility to infections. We discussed infection prevention strategies among recipients of hematopoietic stem-cell and solid organ transplantation against various opportunistic pathogens. Vaccinations should also be recommended for pre-transplant candidates and post-transplant recipients for the best prevention of infections. (Korean J Med 2013;84:168-178)
콩팥 증후군과 혈액 응고인자 X 결핍을 보인 일차성 아밀로이드증
김민영 ( Min Young Kim ),곽수영 ( Soo Yeong Kwak ),김경희 ( Kyung Hee Kim ),이지인 ( Ji In Lee ),하영은 ( Young Eun Ha ),김대중 ( Dae Joong Kim ),오하영 ( Ha Young Oh ),이정은 ( Jung Eun Lee ),허우성 ( Woo Seong Huh ),김윤구 ( Yoo 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.1
We report a case of nephrotic syndrome and factor X deficiency secondary to primary amyloidosis. A 58-year-old man was referred to our hospital for evaluation of nephrotic syndrome and bleeding tendency. He was confirmed to have primary amyloidosis by renal biopsy, immunofixation electrophoresis and bone marrow findings. His bleeding tendency was due to prothrombin time prolongation caused by isolated factor X deficiency. If any patient with nephrotic syndrome has bleeding tendency due to coagulation abnormalities, that patient should be considered to have factor X deficiency secondary to primary amyloidosis.
증례 : 비장티푸스성 살모넬라 감염으로 인한 감염성 거짓동맥류와 합병증 1예
서윤 ( Yun Seo ),하영은 ( Young Eun Ha ),성기익 ( Ki Ick Sung ),강철인 ( Cheol In Kang ),백경란 ( Kyong Ran Peck ),송재훈 ( Jae Hoon Song ),정두련 ( Doo Ryeon Chung ) 대한내과학회 2012 대한내과학회지 Vol.83 No.2
저자들은 대동맥활에 발생하고 종격동, 흉강, 심장막에 광범위한 화농성 합병증을 동반한 비장티푸스성 살모넬라 감염에 의한 감염성 거짓 동맥류 1예를 경험하고 치료하였기에 보고하는 바이다. Non-typhoidal Salmonella infections, which rarely present with multiple complications, are predominantly seen in immunocompromised patients, In particular, non-typhoidal Salmonella infections presenting with more than two complications are extremely rare, Here, we report a case of an infected pseudoaneurysm in the aortic arch caused by a non-typhoidal Salmonella species complicated by pleural empyema, pericarditis, pericardial empyema, and mediastinitis, To our knowledge, this is the first such case report in Korea.
백경란 ( Kyong Ran Peck ),송재훈 ( Jae Hoon Song ),김은석 ( Eun Seok Kim ),주은정 ( Eun Jeong Joo ),하영은 ( Young Eun Ha ),위유미 ( Yu Mi Wi ),정혜숙 ( Hae Suk Cheong ),이진서 ( Jin Seo Lee ),강철인 ( Cheol In Kang ),정두련 ( Doo 대한내과학회 2009 대한내과학회지 Vol.76 No.3
Background/Aims: The risk factors and clinical outcome of infective endocarditis (IE) have changed over the past few decades. Recently, the incidence of Staphylococcus aureus IE (SAIE) has increased. We investigated the clinical and microbiological characteristics and clinical outcomes of SAIE. Methods: All patient cases that were diagnosed as IE according to the modified Duke criteria in Samsung Medical Center during the period of January 1995 to December 2006 were reviewed retrospectively. The clinical and microbiological characteristics of patients with SAIE were compared to those of non-SAIE patients with IE. Results: We enrolled 304 patients with IE. Of these, 240 cases were IE culture-positive, including 73 cases of SAIE. The mean age of patients with SAIE was 48.15±19.87 years, with male patients accounting for 71.2% of our study group. Congenital heart disease (8.2%) was less common among SAIE patients. Hospital-acquired IE was significantly more common in SAIE than in non-SAIE cohorts (p<0.05). Surgical treatment was performed in 33 cases (45.2%). Valvular regurgitation with heart failure was the most frequent cause of surgery (39.3%). Twenty-three cases exhibited complications, including extra cardiac embolization (16.4%) and heart failure (5.6%). Fever persisting for a period longer than seven days was more common among those in the SAIE group. Twelve patients (16.4%) died and four patients (5.4%) were discharged without hope of improvement. The in-hospital mortality rate was higher among SAIE patients (17.3%) compared to that among non-SAIE patients (11%), although this comparison was not statistically distinct (p>0.05). Methicillin resistance and non-surgical treatment were significant risk factors for in-hospital mortality. Conclusions: SAIE is more strongly associated with systemic embolization, persistent fever, and longer hospital stays compared to non-SAIE. Further studies are warranted to evaluate adequate treatment and to improve the outcome of patients with SAIE. (Korean J Med 76:329-337, 2009)
자궁경부암의 단일성 소뇌 전이 : 증례보고 A Case Report
박정하,조창성,송관영,하은주,한윤경,김충현,하영일 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.8
Brain metastasis from primary uterine cervical carcinoma have been described but are extremely rare and usually occur in the presence of widely disseminated diseases. The authors report a case of solitary cerebellar metastasis from uterine cervical carcinoma. which was confirmed by histopathologial examination. The patient has shown no evidence of metastatic lesions elsewhere, thus far. but had undergone a radical hysterectomy under the diagnosis of uterine cervical carcinoma 52 months prior to the surgical excision of the cerebellar metastasis