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물두꺼비(Bufo stejnegeri Schmidt) 섭취에 의한 digoxin-like immunoreactive substance(DLIS) 중독증 1예
박정식,김광석,권한진,원동준,곽현철,오용렬,오성주,김수길,유해진 대한내과학회 1998 대한내과학회지 Vol.54 No.4
Everybody knows that toads are not eatable because of their toxins. But water toads are very similar to frogs morphologically, so fried water toads are eaten by some people on occasion. It has been studied that the granular glands of the toads secrete toxins known as digoxin-like immunoreactive substances (DIJS) such as bufogenins and bufotoxins. DLIS have cross-reactivity with microparticle enzyme immunoassay for the quantitative measurement of digoxin. We report a case of DLIS poisoning in 56-year-old male patient who showed vomiting, syncope, and marked bradyarrhythmia with block (heart rate down to 29 beats per minute) after ingestion of the fried water toads (Bufo stejnegeri Schmidt).
박정식,김현일,조욱현,오용열,권한진,조호,엄민섭 대한내과학회 2000 대한내과학회지 Vol.59 No.5
$quot;Authors report two cases of hypothermic patients with Osborne's J wave on electrocardiogram. A 46-year-old male with liver cirrhosis was brought to the emergency room by ambulance due to comatous mental status. On exammination, the body temperature was below 35 ℃. By rewarming using warm normal saline intravenous infusion and hot pack application on the chest, his body temperature rose up to 36 ℃ and regained consciousness. Later, he expired with afterdrop phenomenon. Another 41-year-old stuporous quadriplegic male with post-traumatic cerebral palsy was brought to the emergency room by his family complaining weakness and vomiting. On exammination, the body temperature was below 35℃. He was rewarmed using warm normal saline intravenous infusion and hot pack application on the chest. However, he could not regain his normal body temperature and expired due to irreversible shock.(Korean J Med 59:561-564, 2000)$quot;
일란성 쌍생아에서 발견된 편측성 폐 발육부전(hypoplasis) 및 무발생(agenesis) 각 1예
김수길,정석태,박정식,김현일,김인재,김휘정,오용열,권한진,조호,오성주,엄민섭,원동준 대한내과학회 1999 대한내과학회지 Vol.56 No.3
Unilateral developmental deficiency of lung is rare. As the most of those, unilateral agenesis or Scimitar syndrome(hypogenetic lung syndrome) had been reported. We experienced that two cases of unilateral developmental deficiency of lung, which is different form each other, are found in identical twin. To our knowledge, this condition has not been reported before. We evaluated lung parenchyma and bronchus(; simple chest PA, chest CT(HRCT, 3DCT)), vasculatures(; pulmonary angiography and cardiac catheterization) and combined anomalies (;abdominal ultrasound, echocardiography, routine blood chemistry, and chromosomal study). This 31 yrs old twin female patient was confirmed as an unilateral agenesis of left upper lobe and hypoplasia of left lower lobe without combined anomalies. She's twin younger sister was confirmed as unilateral agenesis of right lung with atrial septal defect(ASD).