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장티푸스와 파라티푸스 30 예에 대한 임상적 고찰 및 Thiamphenicol 의 치료효과
박창호(Chang Ho Park),김종서(Zong Suh Kim),남상숭(Sang Soong Nam),기세길(Se Kil Kee),윤덕구(Duk Koo Yun),송홍석(Hong Suck Song) 대한내과학회 1986 대한내과학회지 Vol.31 No.1
N/A We reviewed 30 cases of bacteriologically con- firmed salmonellosis which performed hone marrow culture from March I984 to August 1985 at the Keimyung University. The results of study were as follows: Among 30 cases, paratyphoid A was 13 cases and group D typhoid fever was 17 case. Age distribution was from 16 to 63 years and most frequent in 2nd decade. Male to female ratio was 1: 3.3 in group A and 1: 1.4 in group D with female predominance. Clinical symptoms were fever, chill, general weakness, headache, anorexia, eneral ache in order of frequency and there was no difference in both group. Physical findings revealed abdominal tenderness in 14 cases(47%) and most common in right lower quadrant area. Splenomegaly was 3 cases(10%) and hepatomegaly was 4 cases(13%). Laboratory findings revealed anemia in 13%, leukopenia in 30%, thrombocytopenis in 10%, positive stool occult blood in 27%, proteinuria in 33% and hypoalbuminemia in 20%. Increased alkaline phosphatase was 20%, increased was 73%, increased SGPT was 80% and positive SGOT widal test above 1: 160 titer was 43%. With blood culture 73% was isolated, 20% with stool culture, 0% with urine culture, 77% with bone marrow culture and 20% isolated with bone marinrow culture only. Mean duration of defervescence was 4.1 days in chloramphenicol-treated group and 5.5 days in thiamphenicol-treated group. Neutropenia after drug therapy was occurred 62% in CP-treated group and 67% in TP-treated group. Complications occurred in 5 cases of typhoid fever: Intestinal hemorrhage in 2 cases and intestinal perforation, pleurisy, 1st degree AU block in 1 case respectively.
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기세길,박근용,곽동협,강영우,윤덕구,박승국 啓明大學校 醫科大學 1987 계명의대학술지 Vol.6 No.1
Four cases of cryptococcal meningitis were experienced in Keimyung University Hospital during 11 years periods. These patients were one pregnant woman, one man who had liver cirrosis and diabetes mellitus and two healthy men. After admission, all four patients were treated with antituberculous agent under the impression of tuberculous meningitis, but no clinical improvement was achieved. Later, Crytococcus neoformans was identified in CSF by India ink preparation or Sabouraud media culture, after then one patient was treated with combination of amphotericin B and 5-fluorocytosine and achieved much clinical and laboratory improvement. Unfortunately other three patients were not followed. The authors experienced four cases of crytococcal meningitis and herein presenting our experience and literature were reviewed.
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崔東翊,鄭東一,奇世吉 慶北大學校 醫科大學 1990 慶北醫大誌 Vol.31 No.1
1987年 6月부터 同年 10月까지 慶北 淸道群 淸道川에서 淡水魚를 投網, 낚시, 사발모지等으로 採集하여 吸蟲類 被襄幼蟲의 魚種別 寄生狀을 調査하였다. 淸道川에서 採集된 13種의 淡水魚에서 6種의 吸蟲類 被襄幼蟲과 所屬未定의 被襄幼蟲을 同定하였다. 肝吸蟲 被襄幼蟲은 6種의 淡水魚에, 橫川吸蟲 被襄幼蟲은 4種의 淡水魚에 寄生되어 있었다. Echinochasmus species 被襄幼蟲은 4種, Exorchis oviformis 被襄幼蟲은 10種, Metacercaria hasegawai 被襄幼蟲은 11種의 淡水魚에 比較的 高率로 寄生되어 있었으며 Metorchis orientalis 및 所屬未定 被襄幼蟲의 平均數는 참붕어(Pseudorasbora parva) 56.5個로 가장 많았으며 다음은 돌고기(Pungtungia herzi) 10.4個였고 나머지 淡水魚에서는 10個以下였다. 橫川吸蟲 被襄幼蟲數는 참붕어(P. parva) 2.4個, 돌고기(P. herzi) 1.4個, 큰납지리(Acanthorhodeus taenianalis) 0.2個 및 몰개(Gnathopogon atromaculatus) 0.1個로 4魚種에서 모두 낮았다. From June to October, 1987, fresh-water fish collected in the river Chongdo, Chongdo county, Kyungpook Province, were examined for the presence of metacercaria of digenetic trematodes. Six kinds of larval trematodes and unidentified larvae were found from thirteen species of the fish collected inthe river. Among these larval trematodes, Clonorchis sinensis metacercaia was found from six species and Metagonimus yokogawai cyst from four species of the fish examined. Besides, Exorchis oviformis metacercaria was infested in ten, Metacercaria hasegawai in eleven, Echinochasmus species in four, Metorchis orientalis in two and metacercariae of unidentified species in five species of the fish examined. In the intensity of infestation with the metacercaria of C. sinensis, Pseudorasbora parva was the most heavily infested and the average number of metacercaria per gram of flesh was 56.5 each; followed by Pungtungia herzi 10.4 and other fish were relatively low (less than 10.0). The average numbers of M. yokogawai were very low in all infested species of the fish ; P. parva 2.4, P. herzi 1.4, Acanthorhodeus taenianalis 0.2 and Gnathopogon atromaculatus 0.1, respectively.
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