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송경일(Kyoung Il Song),김수희(Su Hee Kim),장진근(Jin Geun Jang),최종수(Jong Soo Choi) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.4
Bromate salt is very toxic oxidant. The climical manifestations of bromate intoxications are vomiting, diarrhea, depression of central nervous system, oliguric or non-oliguric renal failure, hemolytic anemia and deafness. Most of the toxic manifestations are reversible with the exception of renal failure and deafness. Since bromate is a small hydrophilic molecule, its removal by dialysis, especially hemodialysis, can reasonably be expected. Since the serious complications such as deafness, acute renal failure usually occur concurrently within 4-16 hours after ingestion, dialysis should therefore be considered in every patient presenting within a few hours of a significant amount of bromate. Recently, we encountered a 40-year-old female, past hairdresser, who was admitted to Asan Kangnung Hospital due to frequent diarrhea, vomiting and anuria after ingestion of sodium bromate. The patient required regular hemodialysis therapy and has not any evidence of complication such as hearing loss, blindness and irreversible renal failure. The clinician must assess the potential for preventing izrreversible ototoxicity and nephrotoxicity and weigh the importance of early intervention against the possible risks of aggressive treatment in bromate intoxication.
Central Venous Catheter Removal Distress Syndrome 2 예
김수희(Su Hee Kim),박성오(Sung Oh Park),고혁(Hyeok Koh),최종수(Jong Su Choi),송경일(Kyoung Il Song) 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.1
Much attention has been paid to the insertion of central venous catheter(CVC) but their removal is a subject discussed rarely. After removal of a central venous catheter, rare but potentially life-threatening, transient cardiopulmonary collapse or neurological dysfunction had developed. The failure to appreciate these complications may be a significant factor in their high mortality. Early recognition and treatment may be made possible by a high index of suspicion. In this report, the clinical courses of two patients with central venous catheter removal distress syndrome are reviewed. Also guidelines for safe removal of CVC are formulated. An awareness of potential CVC removal complications is most important for their prevention and timely treatment. CVCs should be removed with the same degree of meticulous attention to detail that accompanies their insertion. Medical personnel should be reminded that removal of the catheter is an integral component of CVC management. (Korean J Nephrol 2002;21(1):165- 170)
홍대식,장선호,송경일,박희숙 순천향대학교 1990 논문집 Vol.13 No.3
This is a report of three cases of adult onset Still's disease. The term adult Still's disease was first used by Bywater's in 1971. This is not common in adult but it is recognized as a causes of multiple joint pain and fever of unknown origin and it's clinical significance. Most patients reported have presented with characteristic and identical. clinical syndrome which include high fever, maculopapular rash, polyarthritis associated with leucocytosis and neutrophilia. But serologic abnormalities was not found and no etiologic agents have been identified. Diagnosis of adult onset Still's disease require exclusion of both common and rare causes of febrile polyarthritis as well as prolonged floow-up. Treatment of adult onset Still's disease is aspirin, non-steroidal antiinflammatory durg(NSAID) and steroid. Now, we report three cases of adult Still's disease.