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정현광,김태우,조윤성,김강민,장재훈,이재우,정준훈 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2
Coronary artery anomalies are found incidentally in approximately 1% of all patients undergoing routine coronary angiography. Of these, an isolated single coronary artery anomaly is the rarest one. Patients with an isolated single coronary anomaly may present with symptoms such as angina pectoris, myocardial infarction, arrhythmias, syncope, sudden death, and congestive heart failure. We report a case of single coronary artery anomaly with the left anterior descending and left circumflex coronary artery originating from the right coronary artery.
위장관 간질종양과 위 샘암종 환자에서 발생한 Candida guilliermondii에 의한 눈속염 1예
안광순,고진우,박정현,이규,박성남,이화정,정준훈,정민희 대한감염학회 2005 감염과 화학요법 Vol.37 No.6
저자들은 간전이와 소장의 위장관 간질종양을 동반한 위 샘암종 환자에서 발생한 C. guilliermondii에 의한 눈속염 1예를 경험하였기에 문헌 고찰과 함께 보고하며, 칸디다의 위험인자가 있는 환자에서 눈속염이 발생하는 경우에 칸디다혈증의 유무, 원발병소의 추적검사, 눈속염에 대한 안과적 정밀검사 및 신속한 치료가 필요하리라 본다. Candida is the most common etiologic agent causing endogenous endophthalmitis resulting due to hematogenous spread from a remote primary focus. Risk factors for the infection include intravenous drug use, hyperalimentation, surgery, malignancy, diabetes, neutropenia, and the use of broad- spectrum antibiotics and immunosuppressive agents, especially corticosteroids. The outcome of candida endophthalmitis is disappointing. One main problem in the management of this infection is that early diagnosis is difficult. Thus, treatment may be delayed and this which often leads to a poor outcome. Candida endophthalmitis, particularly candida guilliermondii endophthalmitis, is extremely rare, although it is becoming more common as the number of chronically debilitated patients and the use of invasive procedures increase. It is an ophthalmologic emergency and commonly takes a tragic course. Therefore, early suspicion and aggressive management are imperative to prevent visual loss. The authors report a case of candida endophthalmitis caused by Candida guilliermondii in a 65-year-old man with mixed gastrointestinal stromal tumor(GIST) and stomach adenocarcinoma.