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어수택,김양기,이영목 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
A bronchial carcinoid tumor is identified in the patients with cough and normal chest PA or during routine examination of chest PA. Sometimes it is very difficult to diagnose the bronchial carcinoid tumor with normal chest PA, especially if the patient complains the typical symptoms of bronchial asthma. We experienced a 30 year-old female, who had been suffered from coughing and dyspnea in spite of asthma medications for 1 year, with bronchial carcinoid tumor. We describe here a case of bronchial carcinoid tumor mimicking refractory bronchial asthma.
Leuconostoc garlicum에 의한 균혈증 1예
어영,이현교,장인호,윤갑준,김효열,김영근 대한감염학회 2009 감염과 화학요법 Vol.41 No.6
Although Leuconostoc species have rarely been isolated from clinical specimens, this organism may cause invasive infections such as bacteremia and meningitis in immunocompromised patients. We report a case of Leuconostoc garlicum bacteremia in an 84-year-old male with hemovac catheter placement, vancomycin therapy, and inflammatory enterocolitis as underlying risk factors.
이영목,어수택,김양기 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Sweet's syndrome is a neutrophilic dermatosis that has various clinical characteristics and is often associated with inflammatory, malignant or autoimmune diseases, so the viral or bacterial antigens and tumor antigens are suspected to play a role in the pathogenesis of Sweet's syndrome. We describe here a Korean male who had Sweet's syndrome accompanied by anaphylaxis.
해외에서 유입된 정상 면역 성인의 Varicella 폐렴 1예
조영관,박은경,김양기,이영목,어수택,김태형 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Varicella-zoster virus, an unusual pathogen of community acquired pneumonia in adult, may causes respiratory distress and death. Since the first description by Waring et al. in 1942, the disease has been recognized by roentgenography, pathologic study, and virus studies as a special syndrome of the varicella virus. Immunocompromized conditions such as leukemia, malignant lymphoma and corticosteroid therapy predispose patients to varicella pneumonia. It occurs rarely in immunocompetent patients. The clinical manifestations of varicella zoster pneumonia exhibit a wide spectrum of disease from asymptomatic to death. Acyclovir is the recommended treatment and corticosteroid can be used in severe varicella pneumonia. We report a case of varicella pneumonia developed in a immunocompetent patient.
Rifampicin에 의한 Clostridium difficile-associated disease 1예
김양기,이영목,어수택 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Clostridium difficile-associated disease (CDAD) is a common cause of antibiotics-associated diarrhea. Rifampicin is one of the first line agents in treatment of tuberculosis and a large number of patients are exposed to its potential adverse effects. We report a case that diarrhea due to CDAD after receiving antituberculous medication, and which was probably caused by rifampicin. A 76-year-old female was admitted with general weakness and fever of 6 days duration. The patient was diagnosed as active pulmonary tuberculosis following sputum AFB smear. She was started on isoniazid, rifampicin, ethambutol and pyrazinamide as antituberculous medication. She complained watery diarrhea at sixth days after antituberculous medication, and was positive result for C.difficile toxin. She was diagnosed as CDAD, and treated with oral metronidazole and continuous antituberculous medication without rifampicin. Diarrhea did not recur after antituberculous medication without refampicin continued. In patients with persistent diarrhea receiving anti-tuberculosis treatment, rifampicin associated CDAD should always be kept in mind.