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Pleural and pulmonary sparganosis : A case report
( Hyae Min Lee ),( Eun Jung Lee ),( Jee Hong Yoo ),( Cheon Woong Choi ),( Yee Hyung Kim ) 대한내과학회 2011 대한내과학회 추계학술발표논문집 Vol.2011 No.1
Sparganosis is a parasite infection caused by the larvae of cestodes in the genus Spirometra. While human sparganosis usually appears as subcutaneous nodules all over the body, it rarely involves the internal organs such as eye, brain, and spinal cord. Herein is presented a case of pulmonary sparganosis accompanying migrating infiltration and pleural effusion, which was confirmed by histological examination. A 57-year-old man was admitted with pleuritic pain lasting for 2 weeks. He had chronic alcoholic pancreatitis. He had eaten both wine-soaked snakes and the flesh of wild boar, and drunken unboiled stream water for past 3 years. At admission, chest x-ray and CT showed 4 x 3 cm sized ill defined mass in left lower lung and ipsilateral pleural effusion. Serum leukocytosis with eosinophilia was found. Analysis of pleural effusion was an exudative effusion with eosinophilia. After 10 days of admission, a new pneumonic infiltration and effusion appeared at right lung zone and previous lesion disappeared on chest radiography. Based on his eating habit, serum ELISA to detect parasite infection was performed and revealed strong positive reaction to sparganosis. For the confirmatory diagnosis and treatment, surgical excision was performed at right lower lobe. Sparganum larva was identified and removed. Histological examination showed that there was fragmented adult worm with characteristic calcareous corpuscle with eosinophilic infiltration and granuloma. On the 5th day after excision, serum eosinophil count was normalized and follow-up chest x-ray in outpatient clinic showed no more pleural effusion and pulmonary infiltration. This is a rare case of sparganosis limited to lungs all over the world. Though it is very rare, the possibility of sparganosis should be considered when eosinophilic pleural effusion and migration infiltration were faced in a patient with plausible history.
Lee, Ji Won,Kim, Hyae Young,Goo, Jin Mo,Kim, Eun Young,Lee, Soo Jung,Kim, Tae Jung,Kim, Yeol,Lim, Juntae The Korean Society of Radiology 2018 KOREAN JOURNAL OF RADIOLOGY Vol.19 No.4
<P><B>Objective</B></P><P>To report the radiological results of a pilot study for the Korean Lung Cancer Screening project conducted to evaluate the feasibility of lung cancer screening using low-dose chest computed tomography (LDCT) in Korea.</P><P><B>Materials and Methods</B></P><P>The National Cancer Center and three regional cancer centers participated in this study. Asymptomatic current or ex-smokers aged 55–74 years with a smoking history of at least 30 pack-years who had used tobacco within the last 15 years were considered eligible. In total, 256 participants underwent LDCT November 2016 through March 2017. The American College of Radiology Lung Imaging Reporting and Data System (Lung-RADS) was used to categorize the LDCT findings.</P><P><B>Results</B></P><P>In total, 57%, 35.5%, 3.9%, and 3.5% participants belonged to Lung-RADS categories 1, 2, 3, and 4, respectively. Accordingly, 7.4% participants exhibited positive findings (category 3 or 4). Lung cancer was diagnosed in one participant (stage IA, small cell lung cancer). Other LDCT findings included pulmonary emphysema (32.8%), coronary artery calcification (30.9%), old pulmonary tuberculosis (11.7%), bronchiectasis (12.9%), interstitial lung disease with a usual interstitial pneumonia pattern (1.2%), and pleural effusion (0.8%).</P><P><B>Conclusion</B></P><P>Even though the size of our study population was small, the positive rate of 7.4% was like or lower than those in other lung cancer screening studies. Early lung cancer was detected using LDCT screening in one participant. Lung-RADS may be applicable to participants in Korea, where pulmonary tuberculosis is endemic.</P>
High C-reactive protein level is associated with high-risk adenoma
( Hyae Min Lee ),( Jae Myung Cha ),( Jung Lok Lee ),( Jung Won Jeon ),( Hyun Phil Shin ),( Kwang Ro Joo ),( Jin Young Yoon ),( Joung Il Lee ) 대한장연구학회 2017 Intestinal Research Vol.15 No.4
Background/Aims: There is substantial evidence supporting a role of inflammation in the pathogenesis of colorectal cancer; however, little is known about the association between serum C-reactive protein (CRP) and the risk of colorectal adenoma. This study was conducted to investigate the association between serum CRP and colorectal adenoma risk. Methods: A retrospective cross-sectional study was performed on first-time screening colonoscopies in asymptomatic subjects who also had their serum CRP level measured during a routine health check-up between September 2006 and September 2009 in Korea. Serum CRP level was compared between high-risk and low-risk adenoma groups and independent predictors of high-risk adenoma were analyzed using multivariate regression analysis. Results: Among the 3,309 eligible patients, the high-risk adenoma group had higher serum CRP levels than the low-risk adenoma group (P=0.000). In addition, patients with a high-risk adenoma were more frequently included in the high CRP group than in the low CRP group (8.6% vs. 4.0%, P<0.001). The prevalence of high-risk adenoma was 3.5 times higher in the highest quartile of CRP level (P=0.000) compared with that in the lowest quartile. In logistic regression analysis, a higher quartile CRP level was found to be an independent risk factor for high-risk adenoma (odds ratio, 1.8; 95% confidence interval, 1.3-2.5; P=0.000). Conclusions: High CRP level is associated with high-risk adenoma in both men and women. Our data may support the association between chronic inflammation and colorectal neoplasia, which warrants further investigation. (Intest Res 2017;15:511-517)
웹 기반 의료정보 서비스를 위한 멀티미디어 콘텐츠 저작시스템
이혜정(Hyae-Jung Lee),이민규(Min-Kyu Lee),정영식(Young-Sik Jeong),한성국(Sung-Kook Han),정석태(Suck-tea Joung) 한국컴퓨터정보학회 2005 韓國컴퓨터情報學會論文誌 Vol.10 No.4
인간의 건강한 삶을 위해 의료정보 서비스에 대한 수요가 급증함에 따라 웹 환경에서 상호작용적으로 작동할 수 있는 의료정보 서비스를 위한 멀티미디어 콘텐츠저작 시스템이 필요하다. 본 논문에서는 웹 기반 멀티미디어 지원 언어인 SMIL(Synchronized Multimedia Integration Language)을 이용하여 사용자 친화적 인터페이스 기능을 갖는 SMIL 기반 의료정보 서비스를 위한 멀티미디어 콘텐츠 저작시스템을 개발하였다. 본 논문에서 개발된 저작도구는 부분적으로 작성된 결과를 편집 즉시 재생하고 확인·수정할 수 있으며, 멀티미디어 객체를 간편하게 삽입할 수 있어 다양한 형태의 의료정보 요소를 포함한 멀티미디어 콘텐츠를 쉽게 저작할 수 있다. 또한 사용자의 편리성을 증대시켜 효과적으로 다양한 의료정보 서비스가 제공 가능한 멀티미디어 콘텐츠를 실현할 수 있다. According to the increasing interests of medical information services for healthy living, the multimedia authoring tools for medical information service contents are strongly required. In this paper, a new multimedia authoring tool supporting user-friendly interfaces is implemented, which is based on SMIL(Synchronized Multimedia Integration Language) producing Web-based multimedia contents. The implemented authoring tool in this paper not only provides functionalities to play, verify and modify the partial contents immediately but also offers capabilities to insert multimedia objects into contents with ease. The multimedia contents containing disparate healthcare and medical information can be easily designed with this tool. The enhanced usability of this tool can contribute to the realization of diverse medical information services.
CASE REPORT : Anaphylactic Shock Caused by Ingestion of Polyethylene Glycol
( Sun Hee Lee ),( Jae Myung Cha ),( Joung Il Lee ),( Kwang Ro Joo ),( Hyun Phil Shin ),( Il Hyun Baek ),( Jung Won Jeon ),( Jun Uk Lim ),( Jung Lok Lee ),( Hyae Min Lee ),( Young Hak Cho ) 대한장연구학회 2015 Intestinal Research Vol.13 No.1
Colonoscopy is the current standard method for evaluation of the colon. The diagnostic accuracy and therapeutic safety of colonoscopy depend on the quality of colonic cleansing and preparation. Generally, all these preparations have been demon-strated to be safe for use in healthy individuals without significant comorbid conditions. Based on safety and efficacy concerns, polyethylene glycol (PEG) is most commonly utilized as a bowel preparation solution for colonoscopy. Adverse events in pa-tients receiving PEG are mostly clinically non-significant. However, fatal adverse events rarely have been shown to occur in the few individuals who experience vomiting or aspiration. Anaphylactic shock associated with ingestion of PEG electrolyte solu-tion is an extremely rare fatal complication, and reported mainly in Western countries. Here, we report the first case of anaphy-lactic shock following the ingestion of PEG solution in Korea. (Intest Res 2015;13:90-94)