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수은 증기 흡입에 의한 급성 폐손상 및 급성 전신성 발진성 농포증
서현정 ( Hyun Jung Seo ),명유식 ( Yu Sik Myung ),정희재 ( Hee Jae Jung ),김민진 ( Min Jin Kim ),서유리 ( Yu Ri Seo ),박경아 ( Kyong Ah Park ),박춘식 ( Choon Sik Park ),박재성 ( Jai Soung Park ),박종숙 ( Jong Sook Park ) 대한천식알레르기학회 2012 천식 및 알레르기 Vol.32 No.4
Background: Inhalation of mercury vapor is very rare, but if it occurs, fatal damage, such as acute lung injury or death, may ensure. In addition, acute generalized exanthematous pustulosis due to mercury hypersensitivity has rarely been reported in the literature. We experienced a 49-year-old male patient who had been exposed to mercury vapor following burning of mercury-containing materials. Case History: The patient complained of dyspnea, fever, and systemic erythema. Physical examination revealed that he had macular erythema with tiny pustules. His body temperature was 38.3oC and a complete blood count revealed elevated leucocytes. Chest radiographs revealed diffuse airspace opacification in both lungs. Results: He was admitted to the intensive care unit and treated with oxygen, intravenous methylprednisolone 125 mg per day, and oral antihistamines. His symptoms improved and his skin lesions resolved completely with desquamation 5 days. On the eighth hospital day, intravenous methylprednisolve was tapered to 62.5 mg methyprednisolone, followed by oral methyprednisolone. He was discharged from the hospital on the 20th hospital day and is currently being followed-up with no aggravation of symptoms or relapse. Conclusion: We report a case of acute lung injury and acute generalized exanthematous pustulosis induced by inhalation of mercury vapor that was successfully treated with early avoidance and steroid therapy.
이식 후 신기능 상실로 혈액투석을 시작한 환자에서 뇌경색을 동반한 감염성 심내막염 1예
정희재 ( Hee Jae Jung ),유병철 ( Byung Chul You ),명유식 ( Yu Sik Myung ),김은정 ( Eun Jung Kim ),박무용 ( Moo Yong Park ),최수정 ( Soo Jeong Choi ),김진국 ( Jin Kuk Kim ),황승덕 ( Seung Duk Hwang ),고은석 ( Eun Suk Koh ),허균 ( 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.5
Infective endocarditis is a dreaded complication in dialysis or kidney transplantation patients, with high morbidity and mortality. Despite the improved early survival of the transplanted kidney with new immunosuppressive agents, the number of patients returning to dialysis after a failed renal allograft is increasing. There is no consensus on the optimal management of immunosuppression in patients with a failed allograft. Continued immunosuppression is associated with infection, and the rapid discontinuation of immunosuppression may lead to acute rejection. Therefore, it is important to taper the immunosuppression properly in patients with a failed renal allograft. We report on a hemodialysis patient with a failed renal allograft who had a cerebral infarction following infective endocarditis. The patient was treated successfully with antibiotics and valve replacement.
개회충증에 의하여 유발된 호산구성 심장막염을 동반한 급성 담낭염 1예
추진우 ( Jin Woo Choo ),최현종 ( Hyun Jong Choi ),문종호 ( Jong Ho Moon ),정종호 ( Jong Ho Chung ),박진석 ( Jin Seok Park ),명유식 ( Yu Sik Myung ),서혜선 ( Hye Sun Seo ) 대한내과학회 2013 대한내과학회지 Vol.84 No.6
Toxocariasis is a parasite infection of a human host caused by Toxocara canis. Most human infections occur in persons who eat contaminated food containing embryonated eggs or larvae. Toxocariasis can produce various symptoms associated with eosinophilic infiltration into various internal organs such as the liver, lungs, eyes, or central nervous system. However, a simultaneous onset of cholecystitis and pericarditis has not yet been reported in the literature. A 39-year-old female patient complained of right upper abdominal pain. Several imaging studies revealed acute cholecystitis and pericarditis with pericardial effusion. Marked eosinophilia was observed in her peripheral blood and pericardial fluid. A high titer of antibodies against T. canis was discovered during the search for the cause of the eosinophilia. All clinical features and the eosinophilia improved dramatically after treatment with albendazole. We report a case of simultaneous onset of acute cholecystitis and pericarditis associated with marked eosinophilia caused by T. canis. (Korean J Med 2013;84:836-841)