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최근 5년간 신증후군 출혈열의 임상양상: 백신 도입 이전과 비교
어영 ( Young Uh ),이남석 ( Nam Seok Lee ),김효열 ( Hyo Youl Kim ),채명훈 ( Myeong Hun Chae ),김은미 ( Eun Mi Kim ),박소연 ( So Yeon Park ),한상훈 ( Sang Hoon Han ),권오건 ( Oh Gun Kwon ) 대한내과학회 2009 대한내과학회지 Vol.76 No.4
Background/Aims: Hemorrhagic fever with renal syndrome (HFRS) caused by Hantaan virus is an endemic febrile disease in Korea. Although inactivated Hantaan virus vaccine has been introduced, the effect of vaccination is not clear. We evaluated the effect of vaccination on the incidence rate and clinical features of HFRS based on our clinical experience. Methods: Group I consisted of the patients with confirmed HFRS from a total of 131 patients who were seropositive for Hantaan virus at one tertiary teaching hospital from January 2002 to December 2006. Group II contained 100 patients treated as HFRS at the same hospital from January 1986 to December 1990, before the introduction of the vaccine. Then, we compared the clinical features of the two groups. We confirmed whether the patients had been vaccinated by reviewing their medical records and from telephone interviews. Results: Only 16 (12.2%) of the 131 patients who were seropositive for Hantaan virus were confirmed to have overt HFRS during the most recent 5 years. The incidence of overt HFRS was significantly lower in vaccinees (5%, 3 of 56) than in non-vaccinees (20%, 10 of 50) (p=0.025). The prevalence of renal failure (62.5 vs. 95%, p<0.001) and oliguria (6.25 vs. 46%, p=0.002) was significantly lower in group I than in group II. Three patients were treated with dialysis and none died in group I, versus 17 and 8, respectively, in group II. Conclusions: It appears that Hantaan virus vaccine has helped to reduce the amount of serious illness and the occurrence of HFRS. (Korean J Med 76:459-466, 2009)
일측성 편마비를 동반한 A군 ${\beta}$-용혈성 사슬알균 수막뇌염 1례
김기원,순유진,차병호,이해용,어영,김선주,전진경,Kim, Ki-Won,Soon, Eu-Gene,Cha, Byung Ho,Lee, Hae Yong,Uh, Young,Kim, Sunjoo,Chun, Jin-Kyong 대한소아감염학회 2009 Pediatric Infection and Vaccine Vol.16 No.2
저자들은 건강하던 8세 남아에서 A군 $\beta$-용혈성 사슬알균(Group A $\beta$-hemolytic streptococci, GABHS) 감염 후 발생한 일련의 면역반응으로 인한 응고장애와 좌측 편마비 및 경련이 발생한 수막뇌염을 경험하여 문헌고찰과 함께 보고하는 바이다. Group A streptococcus (GAS) rarely causes meningoencephalitis in children without risk factors. A previously healthy 8 year-old child presented with lethargy, high fever, and vomiting. The clinical course was unusual including intractable seizures, disseminated intravascular coagulation (DIC), and left hemiparesis in spite of the appropriate and timely administration of antibiotics and corticosteroids. The microbiologic studies revealed that the pathogen was susceptible to penicillin and GAS M18 strains. This case showed the importance of the GAS vaccine in addition to appropriate antibiotics.
β-용혈성 연쇄상구균 C, G 및 F 혈청군의 균종별 분리 빈도
황규열 ( Gyu Yul Hwang ),어영 ( Young Uh ),장인호 ( In Ho Jang ),이관수 ( Kan Su Lee ) 대한임상검사과학회 2006 대한임상검사과학회지(KJCLS) Vol.38 No.1
Beta-hemolytic streptococci (BHS) are frequently isolated pathogens in clinical microbiology laboratories. Among them, Group C, G and F streptococci infrequently cause respiratory infections, but they often invade other sites. Patients with underlying diseases are prone to be infected by the organisms and some of them can be fatal. Therefore, combination tests of serological and biochemical tests are needed to correct the identification of non-A, B streptococci because to various species belong to this species. The aim of this study was to investigate the isolation rates of strains and distribution of serogroup C, G and F streptococci at Wonju Hospital during the period of 2003-2004. 133 clinical isolates of group C, G and F streptococci were examined. Of them, 13 (9.8%) were group C, 41 (31.8%) were group F, 79 (59.4%) were group G. The prevalent isolation of the strains by serogroup were: group C, Streptococcus constellatus (38.5%); group F, Streptococcus anginosus (56.1%), Streptococcus constellatus (26.9%); group G, Streptococcus anginosus (54.4%), Streptococcus dysgalatiae subsp. equisimilis (26.5%). Overall, the most frequently isolated BHS was Streptococcus anginosus (51.2%).
가와사끼병 및 말단 조직 괴저가 동반된 혈구탐식 증후군 1례
윤화준,전고운,김황민,박석원,어영,Yun, Hwa Jun,Jeon, Ko Woon,Kim, Hwang Min,Park, Seok Won,Uh, Young 대한소아청소년과학회 2002 Clinical and Experimental Pediatrics (CEP) Vol.45 No.5
저자들은 이에 가와사끼병 및 말단 조직괴저가 동반된 혈구 탐식증 1례를 보고하는 바이며, 가와사끼병 환자가 간비종대, 혈소판 감소를 보이는 경우에는 드물지만 혈구 탐식증의 가능성을 배제할 수 없으므로 확진을 위하여 혈청 중성지방의 측정과 골수 생검을 시행하여야 할 것으로 사료하는 바이다. A twenty six months-old boy developed hemophagocytic syndrome during the course of Kawasaki disease. Despite the appropriate treatment modalities for Kawasaki disease, he developed thrombocytopenia, hepatomegaly, high-grade fever, hypertriglyceridemia, peripheral gangrene, and evidence of hemophagocytosis in bone marrow biopsy. Although the course was stormy, he responded well to a combination therapy of corticosteroid and etoposide.
소아 결핵 감염 진단에 있어서 결핵 특이항원 자극 Interferon-${\gamma}$ 분비능 측정의 진단적 유용성
순유진,임백근,김황민,남궁미경,차병호,어영,전진경,Soon, Eu-Gene,Lim, Baek-Keun,Kim, Hwang-Min,NamGoong, Mee-Kyung,Cha, Byung-Ho,Uh, Young,Chun, Jin-Kyong 대한결핵및호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.68 No.5
Background: $QuantiFERON^{(R)}$-TB Gold In Tube (QFT-G IT) has been used for diagnosing latent tuberculosis infection and active tuberculosis (TB) since 2007. However, there has not been enough data on QFT-G IT for universal use in children. In this study, we evaluated the clinical usefulness of the QFT-G IT in pediatric practice. Methods: We retrospectively reviewed the clinical records of 70 patients younger than 18 years of age who had taken QFT-G IT and had a tuberculin skin test (TST) between July 2007 and July 2009 at Wonju Christian Hospital. The subjects were divided into two groups, asymptomatic TB exposure group and disease group. Four patients who were taking immunosuppressants during the study period were excluded. Results: A total of 66 immunocompetent children were included in this study. Among 27 asymptomatic children who had contact histories of TB, 6 (22.2%) were found to be positive by QFT-G IT. Eleven (40.7%) and 5 (18.5%) children were found to be positive by TST with cutoff values of ${\geq}5mm$ and ${\geq}10mm$, respectively. Agreement was fair to good between QFT-G IT and TST (${\kappa}=0.59$: cutoff value ${\geq}5mm$, ${\kappa}=0.7$: cutoff value ${\geq}10mm$). In disease group, 14 patients (35.9%) were diagnosed with active tuberculosis, 8/14 (57.1%) were positive on TST and 9/14 (64.3%) on QFT-G IT. The positive rate of acid-fast bacilli smear, TB-polymerase chain reaction, and culture for tuberculosis was 11% (1/9), 27.3% (3/11) and 33.3% (3/9), respectively. Conclusion: Our data support that the QFT-G IT can be used as an additional diagnostic tool for latent and active tuberculosis infection in children.
면역성혈소판감소성자반증이 동반된 기왕제왕절개술 임신부에서 성공적인 질식 분만 1 예
이흥순(Heung Sun Lee),이영심(Young Sim Lee),정인배(In Bai Chung),장정호(Chung Ho Chang),황명증(Myung Jung Hwang),이영진(Young Jin Lee),어영(Young Uh) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.8
Thrombocytopenia is hematologic disorder commonly occurs during pregnancy (5%) with different severity. It doesn`t cause severe problem during pregnancy and after the delivery if it is not below certain level which will cause spontaneous bleeding. But in this case, patient was previous cesarean section status and platelet number didn`t arise more than 20,000/μl even after transfusion which will cause spontaneous bleeding. Vaginal delivery was done because transverse cesarean section was considered relatively safe although there was the risk of rupture of uterus, and was successful-both mother and baby is in good health condition. Here now we report this case because vaginal delivery of Immunologic thrombocytopenic purpuric woman with prior history of cesarean section has not reported.
국소 분절 사구체 경화증 환자에서 발생한 Nocardia farcinica 뇌 농양 1예
한승태 ( Seung Tae Han ),김영섭 ( Young Sub Kim ),송신한 ( Shin Han Song ),어영 ( Young Uh ),한병근 ( Byoung Geun Han ),최승옥 ( Seung Ok Choi ),양재원 ( Jae Won Yang ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.1
Nocardia is an opportunistic pathogen that can cause disseminated disease in serious immunosuppressive patients with organ transplantation, advanced HIV infection, malignancy or long-term corticosteroid use. Cerebral nocardiosis constitutes the most severe form of Nocardial infection. Early detection and treatment of cerebral abscess of Nocardia is important because the mortality is three times higher than that of other bacterial cerebral abscesses. We report a case of N. farcinica brain abscess in a focal segmental glomerulosclerosis (FSGS) patient after steroid treatment.