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Clostridium Difficile 에 의한 위막성 장염 1예
정인식,조성민,이창돈,이완국,정규원,선희식,정환국,김경희 대한소화기내시경학회 1985 Clinical Endoscopy Vol.5 No.1
Pseudomembranous colitis (PMC) was first described by Finney as postoperative diphtheritic enteritis in 1893 and was known to be associated with antibiotics by Reiner et al in 1952. Most cases of antibiotic-associated PMC are now associated with cytotoxigenic C. difficile. The association of PMC several antibiotics is well docamented; however, its association with clindamycin appeared to be most striking. We experienced a male patient who developed tarry stool, abdominal pain and diarrhea after having recieved clindamycin for two weeks. The PMC diagnosed by colonofiberscopy with biopsy and C. difficile was identified by tissue-culture study. The patient was treated by oral vancomycin and healed. Described here a case of PMC with some review of literature.
Chung, Whan Kook,Sun, Hee sik CATHOLIC MEDICAL CENTER 1974 Bulletin of the Clinical Research Institute Vol.2 No.1
Sera from 92 patients with biopsy proven various liver diseases (acute viral hepatitis, 24 cases; chronic persisting hepatitis, 7cases; chronic active hepatitis; 45 cases; hepatic cirrgosis, 12 cases; liver cell carcinoma, 4 cases) and of 43 control subjects were examined for Hepatitis-B-Antigen (HB Ag) by solid phase double-antibody radioimmunoassay (RIA) technique (Table 1).
Circumscribed Hepatic Necrosis Developing in the Course of Chronic Hepatitis B
Chung, Kook Whan,Cha, Sang Bok,Moon, Sae Kwang CATHOLIC MEDICAL CENTER 1984 Bulletin of the Clinical Research Institute Vol.12 No.1
Thirty-five sequential biopsy specimens from fourteen adult Korean patients obtained during periods of from 20 days to 11 years were studied and correlated with clinical findings. In eleven, a circumscribed severe alteration of the lobular parenchyma was noted and in three others minor degrees of a similar lesion. The circumscribed hepatic necrosis shows an acinar arrangement of altered hepatocytes surrounded by increased connective tissue, progressing to collapse. The lesion frequently followed histologically documented acute viral hepatitis but was found in the presence of chronic active hepatitis and was also preceded by chronic lobular hepatitis which differs from the emphasized circumscribed lesion by diffuse lobular development. The lesion was frequently associated with transition to cirrhosis and may be a factor in this process. It is usually accompanied by clinical manifestations of hepatic failure and has been followed by demise of the patient during observation but recovery has also been recorded. The pathogenesis of the lesion, which may be relatively rare in Western countries, requires exploration. The presented observations suggest a major role of parenchymal changes in the evolution of chronic viral hepatitis B.
Hepatitis B Virus Antigen (HB Ag) in Korean Leprosy Patients
Chung, Whan Kook,Choi, Shi Ryong CATHOLIC MEDICAL CENTER 1974 Bulletin of the Clinical Research Institute Vol.2 No.1
1. Of the 846 leprosy cases, 2.3% had HB Ag in their serum and 6.3% showed abnormal SGP-T activity. These fre-quencies are far lower than those of the general population in Korea. 2. No significant difference was noticed with regard to HB Ag incidence between lepromatous and non-lepromatous patients, but the frequency of SGP-T elevation was significant-ly higher in lepromatous patients than in non-lepromatous patients. 3. The frequency of HB Ag as well as of SGP-T elevation was significantly higher in males and the frequency of HB Ag was significantly higher in younger age groups and in those with shorter duration of the disease. 4. In out-patients, HB Ag was found in 4.3% who received treatment previously, but not found in those who had no pre-vious treatment. The incidence of SGP-T elevation was higher in out-patients than in in-patients, particularly so in patients who had previous treatment. 5. n both frequencies of HB Ag and SGP-T elevation, no significant difference was observed whether Mycobacterium leprae were present or not.
Histologic Studies on Typhoid Liver
Chung, Whan Kook,Yoo, Jae Young CATHOLIC MEDICAL CENTER 1978 Bulletin of the Clinical Research Institute Vol.6 No.1
Although typhoid has received great attention throughout the medical literature, we have been impressed by the scarcity of reviews concerning liver function and histology, and by few investigations that have attempted to reproduce the essential features on infection with this Salmonella typhi in animal as observed in man (Kim, 1969; Ayhan, or at., 1973; Edsall, et al., 196O; Nasrallah & Nassar, 1978). It is therefore the purpose of this study to clarify the pathologic changes of the liver in cases of typhoid fever and to establish the expe3irnerltal animal model for the studies of the pathogenic behavior of Salmonella typhi.
Chung, Whan Kook,Paik, Nam Jong CATHOLIC MEDICAL CENTER 1978 Bulletin of the Clinical Research Institute Vol.6 No.1
Familial clustering of chronic liver diseases including primary hepatic cell carcinoma associated with hepatitis B antigen (HBsAg) are occasionally reported in Far East Asian area and it has been emphasized that the familial clustering of such liver diseases and HB Ag depend mainly on the maternal side vertical transmission of hepatitis B virus (Ohbayasi et al., 1972; Schweizer at al., 1973; Stevens et at., 1975). In an attempt to clarify the entities of such familial clustering liver diseases and familial transmission mode of HBAg in Korea, 43 families with clustering of liver diseases, 134 orphans and 60 governesses of those orphanages were selected and submitted to examine the HBsAg, anti-HBsAg and HBcAg with radioimmunoassay technique.