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임병철,고재중,이규현,박용주,안경주,최형석,최신은 대한감염학회 1997 감염 Vol.29 No.4
저자들은 늑막삼출을 동반한 급성 발열 및 발진환자에서 임상적 및 혈청학적으로 쯔쯔가무시병을 진단하고 장막염에 의한 늑막삼출로 여겼으나, 늑막생검에서 육아종성 병변을 관찰하여 문헌고찰과 함께 보고하는 바이다. Tsutsugamushi disease is one of the acute febrile diseases caused by Orientia tsutsuga-mushi that is transmitted to human by the bite of larval-stage trombiculid mite(chigger). The clinical illness is characterized by abrupt onset of fecer, headache, rashes, myalgia and eschar. Chest radiologic findings show reticulonodular infiltration, cardiomegaly, lymphadenopathy and in a minority, pleural effusion. About pleural effusion, it is supposed to be caused by tsutsugamushi disease itself in most cases and no case has been reported that the pleural effusion confirmed by pleural biopsy and revealed granulomatous lesions. We experienced a case of tsutsugamushi disease with pleural effusion which was also confirmed to granulomtous lesion by pleural biopsy. So we report this case with a brief review of literatures.
임병철(Byung Chul Lim),고재중(Jae Jung Ko),안경주(Kyung Ju Ahn),이규현(Gyu Hyun Lee),박용주(Yong Ju Park),임선희(Seon Hee Lim),김나영(Na Young Kim),이계희(Kye Heui Lee) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.6
N/A Background/Aims: The parenteral transmission routes of HCV infection such as transfusion or drug abuse are well known, but there are no known risk factors in about half of HCV infections. In these group we considered the probability that the transmission is done by sexual or non-sexual contacts between family embers and studied anti-HCV antibody positive rate among each family members of patients with chronic C liver disease to understand the route of HCV transmission. Methods: One hundred and ten family members of 31 chronically HCV-infected patients who admitted to Kangnam General Hospital were tested for anti-HCV antibody by secon<l generation enzyrne immunoassay. Among 31 index patients, 4 were hepatocellular carcinoma, 10 were liver cirrhosis, and 17 were chronic hepatitis patients. In all patients the degree of liver injury was ascertained by clinical findings, ultrasonography and/or biopsy. Results: Overall out of 110 family members of 31 chronically HCV-infected patients, 3(2.7%) members were positive fc>r anti-HCV antibody, indicating a higher but not significant anti-HCV antibody rate than that of general population(0.93%). But the positive rate of anti-HCV antibody among spouses of index patients was 11.1%(3 of 27), which was significantly different than that of general population or those of other family member groups(p<0.01). The positive rate of anti-HCV antibody among spouses of patients with hepatocellular carcinoma, liver cirrhosis and chronic hepatitis was 25%, 0% and 13.3%, respectively. Conclusions: These results suggest that sexual contact plays a more important role in HCV infection than household contact among family members and more systematized and prospective studies are required to clarify the transmission route of HCV infection. (Korean J Gastroenterol 1996; 28:824-831)
위궤양 환자에서 Helicobacter pylori 와 NSAID 의 역할에 관한 연구
김나영(Na Young Kim),박용주(Yong Ju Park),안경주(Kyung Ju Ahn),이규현(Gyu Hyun Lee),임병철(Byung Chul Lim),고영희(Young Hee Koh),고재중(Jae Jung Ko),임선희(Seon Hee Lim),이계희(Kye Heui Lee),정현채(Hyun Chae Jung),송인성(In Sung Song 대한내과학회 1998 대한내과학회지 Vol.54 No.4
Objectives: H pylori infection and NSAID are very important risk factors for peptic ulcer. This study was conducted to investigate the H. pylori positivity rate and the rate of NSAID ingestion in the patients with benign gastric ulcer(BGl.J), to investigate which test and which site are the most adequate to reduce the false positivity rate of H. pylori, and finally to investigate the role of H. pylori and NSAID in BGU bleeding. Methods: This study was conducted for the 180 patients with HGU, and H pylori was diagnosed by any of CLO test, Gram stain of touch print and H&E stain in the antrum and body. In addition, age, sex, ingestion history of NSAID within 4 weeks before gastroscopy, past BGU history, smoking, alcohol and BGU bleeding were investigated. Results : 1) The H, pylori infection rate of patients with BGU in Korea was 82.8%, and the rata of NSAID history was 26.1%. The patients with HGU who have only NSAID history were 8.3%, and the 91.1% of the patients had either H. pylori infection or NSAID history. 2) The most sensitive test for H. pylori infection among CLO test, Gram stain of touch print and H&E stain in the antrum or body was CLO test in the body. 3) Depending on H, pylori positivity, the rate of NSAID history in the H pylori negative group was 48.4%, which was higher than that of H. pylori positive, 21,5%(p=0.002). In addition, the rate of past BGU history in the H pylori positive group was 47.0%, which was higher than that of H. pylori negative, 12.9%(p<0.001). 4) Depending on thc history of NSAID, the H. pylori positivity rate in NSAID positive group was 68.1%, which was lower than that of NSAlD negative, 88.0%(p=0.002). The female percentage of NSAID positive was 40.4Yo, which was higher than that of NSAID negative, 16.5% (p<0.001). The rate of BGU bleeding in the NSAID positive was 27.7%, which was higher than that of NSAID negative, 14.3%(p=0.039). 5) The rate of NSAID history of bleeding group was 40.6%, which was higher than that of non-bleeding group, 23.0%(p=0.039). However, there was no significance in the correlation of H. pylori positivity rate to the bleeding. 6) The H. pylori positivity and NSAlD history showed no correlation with bleeding in the group below age sixty. While in the age over or equal to sixty the H. pylori positivity had no correlation with bleeding, but the rate of NSAID history was 72.7% for the patients with bleeding, which is in contrast with the 25.5% for the patients without bleeding(p=0.003). Conclusion : From these results, the H. pylori infection rate of the patients with BGU in Korea was 82.8%, and the best method for H. pylori detection was CLO test in the body. H. pylori infection had no correlation with the bleeding, but NSAID ingestion increased bleeding tendency, particularly in the group of the age over or equal to sixty.