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정인아 ( In Ah Jung ),서수영 ( Soo Young Seo ),김지훈 ( Ji Hoon Kim ),조경순 ( Kyoung Soon Cho ),빈중현 ( Joong Hyun Bin ),이원배 ( Won Bae Lee ),강지민 ( Ji Min Kahng ),김현희 ( Hyun Hee Kim ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2011 소아알레르기 및 호흡기학회지 Vol.21 No.2
Purpose: Influenza B-associated myositis is an infrequent and poorly known complication of influenza B virus infection in children. The aim of this study was to describe the clinical and laboratory manifestations, diagnosis, and outcomes of influenza B-associated myositis in Korean children. Methods: A retrospective analysis was conducted in patients aged <16 years who had been diagnosed with influenza B-associated myositis at the Catholic University Bucheon Saint Mary`s Hospital between April 2010 and May 2010. Results: Overall, 16 cases were analyzed. Influenza B-associated myositis typically occurred in preschool-aged children with a 3:1 male predominance. The mean age was 4.6 years (range, 3 to 7 years). The median interval between onset of influenza infection and onset of influenza B-associated myositis was 3 days (range, 1 to 7 days). Only the calf muscles were involved in all patients. Blood creatine phosphokinase concentration was elevated in most patients. Median duration to clinical recovery was 3 days (range, 1 to 4 days). No patient had rhabdomyolysis, renal failure, or related sequelae. All patients had a favorable outcome without administration of antiviral drugs. Conclusion: Clinical and laboratory findings of influenza B-associated myositis are very characteristic and allow a rapid diagnosis during the influenza season. Outcomes of influenza B-associated myositis are good with only proper supportive treatment. [Pediatr Allergy Respir Dis(Korea) 2011;21:86-90]
김태연,유진홍,박성환,김연식,임상현,신완식,강문원,정창훈,최문구,강지민 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.2
저자들은 최근 화농성 슬관절염과 병발한 수막구균성 수막염 1예를 체험하였고, 이는 국내에서 아직 보고되지 않은 드문 예로 사료되어 문헌고찰과 함께 보고하는 바이다. We recently experienced a case of meningococcal meningitis associated with pyogenic arthritis in a 37-year old male patient. Pyogenic arthritis developed in right knee joint during treatment for meningococcal meningitis. He was treated successfully by appropriate antibiotics and arthroscopic irrigation. To our knowledge, such a rare case has not ever been reported in Korea, Hence we report this case with a review of related literatures.
강지민,한경자,이교영,심상인,김선무 대한감염학회 1990 감염 Vol.22 No.4
Fusarium species, belonging to the class Deuteromycetes, order Moniliales, is one of the common saprohytes and plant pathogen. Currently, infection due to Fusarium species is an increasing cause of serious potentially fatal disease in patients with cancer. Recently, we experienced a case of mycotic pneumonia caused by Fusarium species in 24 year-old male patient with refractory anemia. The patient had been undergoing chemotherapy with low dose cytosine arabinoside, until when his body temperature was checked over 39℃ with oral thrush. He was leukopenic (0.4×??/L) at the onset of infection, and the X-ray film of the chest was showing an ill-defined inhomogenous increased density on the medial side of both upper lobes including bilateral perihilar areas. Fungus culture with broncho-alveolar lavage fluid revealed whitish filamentous colonies on Sabouraud dextrose agar at room temperature. There was slight orange-yellow pigments on the reverse, which turned brown with age. Microscopically, the organism manifested numerous fusiform, sickle-shaped, multiseptate macroconidia, consistent with Fusarium species.
Kim, Jin-Woo,Yoo, Jin-Hong,Park, Yoon-Hee,Kahng, Ji-Min,Kim, Jung-Sun,Song, Dong-Seob,Chung, Ho-Yoon,Choi, Ji-Hyeon,Kang, Jin-Han,Shin, Wan-Shik,Kang, Moon-Won 대한화학요법학회 1998 대한화학요법학회지 Vol.16 No.4
50세 남자환자가 불명열을 주소로 내원하였다. 각종 검사상 빈혈 이외에는 정상이었으며 골수조직검사상 적혈구와 다형핵세포를 식혈하고 있는 조직구증식이 관찰되었다. 혈청학적 검사상 Epstein-Barr virus(EBV)에서 EBV viral capsid antigen(VCA) 의 IgM 은 음성, EBV VCA 의 IgG 은 양성, EBNA 항체는 양성, EBV EA-DR의 IgM 은 1:10의 역가로 양성을 보였고, EBV EA-DR의 IgG 은 양성, EBNA 항체는 양성, EBV EA-DR 의 IgM은 1:10의 역가로 양성을 보였고, EBV EA-DR의 IgG는 양성이었다. 이 검사결과를 토대로 Epstein-Barr 바이러스에 대해 골수조직에서 in situ hybridization을 시행한 결과 EBERs 및 Epstein-Barr 바이러스의 mRNA를 증명하였다. 이에 저자들은 Epstetn-Barr virus에 의한 hemophagocytic syndrome으로 진단된 50세 남자환자 1예를 보고하는 바이다.