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급성 신손상과 동반된 metformin 관련 중증 유산산증 1예
전해리 ( Hae Ri Chon ),김민정 ( Min Jung Kim ),김동현 ( Dong Hyun Kim ),구남호 ( Nam Ho Koo ),장세헌 ( Sae Heun Jang ),천미주 ( Mi Ju Chon ),정시정 ( Shi Jung Chung ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2
Metformin is the first line therapy for the treatment of type 2 diabetes mellitus. Metformin associated lactic acidosis is rare, but potentially life-threatening adverse effect. It may occur as a result of drug overdose, kidney injury or hepatic disease. We report a case of a 49-years-old man presented with general weakness, severe diarrhea and vomiting for several days. Arterial blood gas analysis showed severe metabolic acidosis and lactate level of 17.4 mmol/L. Serum creatinine level was 9.3 mg/dL. His current medications included metformin 3700 mg daily. We diagnosed him as metformin- induced lactic acidosis precipitated by acute kidney injury and drug overdose. We treated him with intravenous bicarbonate and hemodialysis with bicarbonate-rich dialysate and his renal function and acidosis were fully recovered.
Fenoverine 복용 후에 발생한 급성 신부전을 동반한 횡문근융해증
김민정 ( Kim Minjeong ),정시정 ( Chung Shijung ),정진성 ( Jung Jin Sung ),구남호 ( Koo Nam Ho ),장세헌 ( Chang Se Heon ),천미주 ( Cheon Mi Ju ),윤선빈 ( Yoon Seoun Bin ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.1
Fenoverine은 평활근에서 칼슘 흐름을 조 절하는 경련 조절제로 횡문근융해증 발생이 여러 차례 보고되어진 바 있다. 대개 간질 환, 신질환이 있거나 지질저하제를 복용하는 fenoverine 상용량인 하루 300 mg을 이틀간 복용한 바 있었다. 크레아틴 인산 효소 상승 과 Tc-99m MDP 골주사 검사 상 섭취 증 가 소견을 확인되어 횡문근융해증으로 진단 되었다. 무뇨가 동반된 급성 신부전이 유지 되어 6차례의 혈액투석을 시행하였고 이후 신기능이 호전되는 경과를 보였다. Fenoverine is a spasmolytic drug that inhibits calcium channel currents. Fenoverine has been repeatedly implicated in the occurrence of rhabdomyolysis. Risk factors for the development of rhabdomyolysis include hepatic dysfunction, renal dysfunction or use of lipid lowering drugs. We report a case of fenoverine-induced rhabdomyolysis and acute renal failure without risk factors. A 73 year-old, previously healthy male admitted with generalized myalgia and low back pain. He had taken fenoverine 300 mg daily for 2 days due to epigastric pain. Increased creatinine phosphokinase and increased uptake in both extremities in Tc-99m MDP bone scan were compatible with rhabdomyolysis. The patient needed hemodialysis due to anuria. After 6 sessions of dialysis, his renal function improved gradually. We suggest careful monitoring of symptoms and signs of rhabdomyolysis after prescribing fenoverine even if the patient has no risk factors.
Aerococcus viridans에 의한 요로성패혈증
정진성 ( Jin Sung Jung ),장세헌 ( Se Heon Chang ),유승현 ( Seung Hyen Yoo ),구남호 ( Nam Ho Koo ),박용원 ( Yong Won Park ),천미주 ( Mi Ju Cheon ),채윤태 ( Yun Tae Chae ) 대한내과학회 2014 대한내과학회지 Vol.87 No.2
Aerococcus viridans is a rare pathogen in humans, with only six cases of A. viridans urinary tract infections reported worldwide. Nosocomial urinary tract infections with bacteremia caused by A. viridians are even rarer, with no prior reports of urosepsis caused by A. viridans occurring in the Republic of Korea. Here we report a case of urosepsis caused by A. viridans in a 79 year-old female nursing home resident. The patient was admitted to the hospital presenting a fever of 39℃, chills, and oliguria for two days prior to admission. Urine culture yielded a robust growth of 105 CFU/mL of A. viridians, with blood culture positive for the same organism. Following diagnosis, the patient was treated with ciprofloxacin intravenously for 2 weeks, resulting in clearance of the infection and a full recovery from urosepsis. Although A. viridans is rarely associated with human infections, this case shows that, under the right conditions, it can be responsible for severe infections like urosepsis. (Korean J Med 2014;87:234-239)
Insulation-Tipped Diathermic Knife 2를 이용한 중심성 기도 폐쇄 치료 2예
고규한 ( Kyu Han Koh ),김세중 ( Se Joong Kim ),박상훈 ( Sanghoon Park ),장세헌 ( Se Heon Chang ),유승현 ( Seung Hyun Yoo ),구남호 ( Nam Ho Koo ),이승현 ( Seung Hyeun Lee ) 대한내과학회 2014 대한내과학회지 Vol.86 No.6
Central airway obstruction can result from various benign and malignant conditions, and often requires prompt palliation. The efficacies of a variety of bronchoscopic techniques for the treatment of central airway obstruction such as electrocautery, laser, brachytherapy, argon plasma coagulation and cryotherapy have been established. An insulation-tipped diathermic knife-2 (IT knife-2) was initially introduced for gastrointestinal endoscopic submucosal dissection and has been used globally as a safe and effective instrument. However, its use has not been reported for the treatment of endotracheal or endobronchial lesions. Here, we report the case of central airway obstruction in a 65-year-old male due to malignancy and a 52-year-old female with post-radiation bronchial stenosis that were treated successfully with the IT-knife-2 via flexible bronchoscopy. (Korean J Med 2014;86:755-760)