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승모판 전엽의 동맥류와 천공이 합병된 대동맥판막 심내막염 1예
나학열,김우식,강흥선,조정휘,김권삼,송정상,배종화 한국심초음파학회 2000 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.8 No.2
Aortic valve is usually involved in infective endocarditis. Aortic valve endocarditis produces destruction and perforation of leaflets and results in ring abscess, frequently. Less commonly, direct extension or infected aortic regurgitant jet can produce secondary involvement of anterior mitral leaflet (AML) and result in the formation of an aneurysm or perforation of AML. A 60-year-old woman was admitted to Kyung Hee University hospital because of a febrile illness and dyspnea. Transthoracic echocardiography (TTE) showed an aortic valve vegetation, an aneurysm of AML, and an eccentric jet of mitral regurgitation through AML. Transe-sophageal echocardiography (TEE) showed a perforation of AML. -streptococcus was isolated from blood culture. The patient was treated with Vancomycin and Sisomicin sulfate. On hospital day 21, heart failure was aggravated and emergent double valve replacement was done. The patient was recovered and discharged. 저자들은 발열과 호흡곤란을 주소로 내원한 60세 여자환자에서 승모판 전엽의 동맥류와 천공이 합병된 대동맥판막 심내막염 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
균혈증, 안내염 및 전립선농양이 합병된 Klebsiella pneumoniae 간농양 1예
황석재,나학열,서환조 대한감염학회 1998 감염 Vol.30 No.6
저자들은 평소에 건강했던 72세 남자 환자에서 균혈증, 안내염 및 전림선농양이 합병된 Klebsiella pneumoniae 간농양 1예를 경험하였기에 문헌 고찰과 함께 이를 보고하는 바이다. Metastatic infections were rare complications of Klebsiella pneumoniae lever abscess and bacterremia. However, over the past 15 years, they have become prevalent infectious complications in diabetic patients in Taiwan. A 72-year old man was admitted to Kyung-Hee University Hospital with fever, chill, dysuria, and frequency. On rectal examination the prostate gland was tender. Abdominal sonogram showed liver abscess. On hospital day 3, orbital pain, eyelid edema, conjunctival chemosis, hypopyon, and absence of light perception were noted in the right eye. K. pneumoniae was isolated from blood culture. The antimicrobial susceptibility test showed susceptibility to all antibiotics, except ampicillin. He was treated with ceftrizxone and astromicin intravenously for 3 weeks and follow un-transrectal sonogram revealed formation of prostatic abcess. We report a case of K. pneumoniae liver abscess complicated with bacteremia, endophthalmitis, and prostatic abscess.
이계원,김명재,이태원,김희진,김명임,고용호,임천규,나학열 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.6
In order to assess the difference of autonomic dysfunction according to the absence or presence of nephropathy in patients with NIDDM, tests for cardiovascular autonomic function were performed in 23 NIDDM patients without nephropathy(M:F 14:9, mean age 50±8) and in 21 patients with nephropathy (M:F 13:8, mean age 57±12). Tests for cardiovascular autonomic function included the R-R interval changes in response to respiration, Valsalva maneuver, and lying-standing, the blood pressure changes in response to lying-standing and sustained handgrip exercise. The prevalence of autonomic dysfunction was different between the patients without and with nephropathy(69.6% vs 85.7%). For patients without symptoms suggesting autonomic neuropathy, the significant differences were found in the change of R-R interval in response to respiration(22.16±21.30 vs 11.73±10.83; p=0.0390$gt;, in the change of lying-standing blood pressure(10.63±9.70 vs 22.00±13.67; p=0.0044) and in the change of blood pressure during handgrip exer6.89±10.28 vs 84O±7.24; p=0.0065). These results suggested that autonomic neuropathy may occur more frequently in patients with diabetic nephropathy than diabetes mellitus without neuropathy.