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이명래(Myung Rae Lee),최진혁(Jin Hyuk Choi),전재윤(Chae Yoon Chon),함기백(Ki Baik Hahm),최흥재(Heung Jai Choi),최은창(Eun Chang Choi) 대한내과학회 1991 대한내과학회지 Vol.40 No.1
Mucormycosis is a rare but fatal suppurative opportunistic infection that occurs almost exclusively in immunocompromised patients, most notably in those with diabetes mellitus. Other predisposing factors include severe burns, blood dyscrasias, renal disease, sepsis, and severe dehydration. Recently, we experienced a typical mucormycosis in patient with liver cirrhosis and nephrotic syndrome. A 60-year-old man who had suffered from liver cirrhosis and nephrotic syndrome for 3 years was admitted because of low back pain and edema of both lower extremities. On the 5th hospital day, various cranial nerve dysfunctions developed and progressed rapidly. A rhinocerebral mucormycosis was suspected due to rapidly progressive neurologic signs and amphotericin B therapy was begun. He died in spite of amphotericin B administration on the 15th hospital day. One day before death a Caldwell-Luc operation was performed and a mass like lesion was found in the left maxillary sinus. A mucormycosis was confirmed by biopsy specimens which showed broad, right-angled branching, nonseptated hyphae with vesse1 invasion.
원발성 세균성 복막염 진단에 있어서 혈액 배양 배지를 이용한 복수 배양법의 유용성
이명래(Myung Rae Lee),전재윤(Jae Yoon Chon),문영명(Young Myoung Moon),박인서(In Suh Park),이경원(Kyung Won Lee) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.6
N/A Background/Aims: Spontaneous bacterial peritonitis(SBP) is a serious and frequently fata1 compli- cation in cirrhotics, therefore earlier detection and earlier institution of appropriate treatment is crucial for good result. However, the conventional method of ascitic tluid culture has a low sensitivity in detecting causative organism of SBP. Methods: We have compared the sensitivity of the conventional method to the bedside inoculation of ascites into blood culture media. Two kinds of ascites culture methods were compared in cirrhotic patients with spontaneous bacterial peritoni- tis: 1) conventional(on blood agar, MacConkey agar, thioglycolate broth, and phenylethanol blood agar) and 2) blood culture media method(inoculation of each S mL of ascites into one 30-mL tryptic soy broth bottle and one30-mL thioglycolate broth bottle at the patients bedside. Results: In a 55-month period, 67 episodes of SBP in 61 cirrhotic patients were examined using simultane- ous both culture methods. The conventional method grew bacteria in 22 episodes(32.8%), whereas the blood culture media method grew in 55 episodes(82.1%), which showed a significantly higher sensitivity(p0.005). The organisms most frequently isolated in ascitic fluids in this study were aerobic gram-negative bacteria(88.37o), among them E. coli was the most most common pathogen comprising 55.0% of total isolates. The conventional method grew five species of organism whereas the b]ood culture media did eleven species. Most of E. coli were susceptible to amino- glycosides, third generation cephalosporins, aztreonam, and ofloxacin, but resistant to ampicil]in. Conclusions: It is suggested that the inoculation of ascitic fluid to a blood culture media is more sensitive than the conventional method and shou]d be routinely used for ascitic fluid culture in cirrhotic patients. (Korean J Gastroenterol 1995;27: 659 - 672)
이세준(Se Joon Lee),심원흠(Won Heum Shim),최원(Won Choi),이명래(Myung Rae Lee),김용진(Yong Jin Kim),정남식(Nam Sik Chung) 대한내과학회 1991 대한내과학회지 Vol.40 No.1
Cor triatriatum is a rare congenital heart anomaly having an intra-atrial membrane and frequently associated atrial septal defect or anomalous pulmonary venous return. A case of cor triatriatum with rheumatic mitral stenosis is reported. This 30-year-old female patient was admitted to the hospital because of dyspnea and general weakness for 3 years. An intra-atrial membrane which separates the left atrium into two chambers and a thickened and narrow mitral valve were noted on 2-dimensional and transesophageal echocardiography. Percutaneous mitral balloon valvuloplasty was performed and she was discharged without dyspnea.
이명래,이현철,김동수,김미림,이관우,임승길,김경래,허갑범,박기현,이병석,박정수 대한내과학회 1990 대한내과학회지 Vol.38 No.5
Forty-seven instances of androgen-producing adrenal tumors in adult females have been published since 1925. The diagnosis of virilizing adrenal adenoma is based on the clinical picture of hirsutism, amenorrhea, enlargement of the clitoris, a normal pelvic examination and the finding of elevated serum testosterone, DHEA-S, and increased urinary excretion of the neurtal 17-ketosteroids. A high-resolution CAT scanner can confirm the diagnosis and accurately localize the adrenal tumor. Here we report on a 20-year-old woman who had secondary amenorrhea, hirsutism, and deepening of the voice with markedly elevated serum testosterone, DHEA-S, and 17-OHP levels and slightly increased titer of the urinary neutral 17-KS. An abdominal CAT scanner revealed a left adrenal tumor. A left adrenalectomy was done. The pathologic diagnosis of the tumor was adrenocortical adenoma. Remenstruation was observed 27 days after the left adrenalectomy. Hirsutism disappeared six months after the left adrenalectomy.
이정호,김병일,이명래,홍종민,변동일,김우석,이기섭,여운철,임홍섭,이재갑 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.6
Behcet's disease is a recurrent and multisystemic disorder which usually persists over many years. In 1937 Behcet described a chronic relapsing triple symptom complex of recurrent oral ulceration, genital ulceration and ocular inflammation. Other manifestations of the syndrome include arthritis, cutaneous vasculitis, thrombophlebitis, epididymitis, ulcers of gastrointestinal tract and meningoencephalitis. Recently, a case was experienced involving intestinal Behcet's syndrome with duodenal ulcer bleeding. A 32-year-old male patient was admitted due to hematemesis, and epigastric pain. The patient had ulcers on the oral mucosa, soft palate, external genitalia, and anus. An irregularly marginated ulcer with bleeding was found on the anterior of the duodenal bulb through esophago- gastroduodenoscopic examination. The patient was diagnosed with Behcet's disease and was treated with steroids. In this paper, the case of duodenal bulb involvement of Behcet's disease is reported with a review of relevant literature.
이상인,강진경,박인서,한광협,양우익,김명욱,이명래,최흥재,임대순 대한소화기내시경학회 1990 Clinical Endoscopy Vol.10 No.1
The ischemic coitis proximal to obstructive colon cancer was firstly reported by MacCallum and Kaisch in 1947. Nowsdays, its clinical importance and the study of pathogenesis is reported frequently. Because of the rare inciedence of this complicated condition this lesion could be overlooked which then could result anastomotic leakage, fecal fistula and peritonitis. Recently, we have examined a 61 year-old Korean male patient who had the complaints of acute abdominal pain and bloody diarrhea. The diagnosis of gangrenous ischemic colitis associated with obstucting rectal cancer was confirmed on the basis of sigmoidoscopic and operative and associated histopathological findings. After prompt surgical intervention, the patient was discharged with good improvement. The literatures are reviewed here with the case presentation.