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정상인에서 발생한 Mycobacterium Intracellulare에 의한 관절염 1예
강경훈 ( Gyung Hoon Kang ),김성훈 ( Sung Hoon Kim ),이홍열 ( Hong Yeul Lee ),서현웅 ( Hyun Woong Seo ),송은희 ( Eun Hee Song ),이기원 ( Ki Won Lee ),김성수 ( Sung Soo Kim ) 대한류마티스학회 2011 대한류마티스학회지 Vol.18 No.2
Nontuberculous mycobacteria (NTM) are widely distributed in nature and are usually of low pathogenic potential. NTM rarely has been recognized as a cause of musculoskeletal infections that involve joints, bone and soft tissue in immunocompetent patients. The risk factors of its infection are local traumas caused by surgery, injury, or injection. A fifty five-year-old immunocompetent patient visted to hospital due to right wrist mass and pain. Excisional biopsy was done. Histologically granulomatous inflammation was identified and Mycobacterium intracellulare was cultured. Although very rare, NTM should be suspected at least once as a causative pathogen of chronic arthritis when the cause is uncertain.
김성훈 ( Sung Hoon Kim ),김성수 ( Sung Soo Kim ),정복현 ( Bock Hyun Jung ),강경훈 ( Gyung Hoon Kang ),서현웅 ( Hyun Woong Seo ),최규언 ( Kyu Un Choi ),임재민 ( Jae Min Lee ) 대한결핵 및 호흡기학회 2012 Tuberculosis and Respiratory Diseases Vol.72 No.1
Tube thoracostomy is known to cause complications such as bleeding or infection, but the incidence of chylothorax secondary to tube thoracostomy is under-reported, and therefore, we report this case. A patient was diagnosed as systemic lupus erythematosus with pleural and pericardial involvement. During repeated therapeutic thoracentesis, which were performed because of poor response to steroids and cylophosphamide, hemothorax developed and we therefore inserted a chest tube. The pleural effusion changed from red to milky color in several hours and we diagnosed the pleural effusion as chylothorax. Total parenteral nutrition based on medium-chain triglycerides was supplied to this patient and chylothorax was improved after 4 days.
정성희,정훈용,김태원,김청수,강경훈,송현순,황창연,명승재,양석균,홍원선,김진호,민영일,Jung Sung-Hee,Jung Hwoon-Yong,Kim Tae Won,Kim Chung Su,Kang Gyung Hoon,Song Hyun Sun,Hwang Chang Yeon,Myung Seung-Jae,Yang Suk-Kyun,Hong Weon-Seon,Kim J 대한위암학회 2002 대한위암학회지 Vol.2 No.1
Carcinomas of the stomach can spread to adjacent structure by local extension or metastasize to lymph nodes, peritoneum and distant organs. However, the incidence of metastatic bladder cancer originated at the stomach is very rare. A fifty-five year-old man admitted complaining of epigastric pain for 2 months. A large ulceroinfiltrative lesion was seen in the low body, which was confirmed poorly differentiated adenocarcinoma by histological examination. Abdominopelvic CT scan showed wall thickening at the greater curvature side of gastric body and urinary bladder. Urine cytology was negative. By transurethral resection of bladder, he was diagnosed as metastatic adenocarcinoma of the bladder. We report a case of stomach cancer with metastasis to urinry bladder.
골수로의 원격전이를 동반한 위장의 저등위 점막연관성 림프조직림프종 2 예
김진호,장혜숙,민영일,홍원선,명승재,이미헌,양석균,강경훈,정훈용 대한소화기학회 2000 대한소화기학회지 Vol.36 No.5
Extranodal mucosa-associated lymphoid tissue (MALT) lymphoma constitutes most of the low-grade gastric lymphoma and almost 50% of all gastric lymphoma. The specific recirculation pattern might explain the tendencies of MALT lymphomas to remain localized and to recur preferentially within the gastrointestinal tract. It was known that the rate of gastric MALT lymphoma with bone marrow involvement was low, as less than 10%. We have experienced two patients who presented with nonspecific abdominal pain and dyspepsia. They were diagnosed to have gastric low-grade MALT lymphoma with bone marrow involvement at the time of presentation. The endoscopic findings showed irregular ulcerations. Microscopically, there was monotonous lymphoid infiltration with lymphoepithelial lesions which were consistent with low grade MALT lymphoma. Both patients showed H. pylori-associated chronic gastritis. The results of their bone marrow biopsy showed focal infiltration of neoplastic lymphoid cells. We report two cases of primary gastric low-grade MALT lymphoma with the bone marrow involvement.