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우연히 발견된 무증상성 기종성 방광염 국내 증례 종합 고찰
윤재필 ( Yun Jae Pil ),서장원 ( Seo Jang Won ),김상현 ( Kim Sang Hyeon ),박수길 ( Park Su Gil ) 대한신장학회 2004 Kidney Research and Clinical Practice Vol.23 No.1
Emphysematous cystitis is a rare disease that is associated with diabetes mellitus, neurogenic bladder, chronic genitourinary infection, and malignancy. Fever, chill, abdominal pain, and urinary difficulties were the most frequent presenting symptoms associated with emphysematous cystitis. We report a case of incidentally detected asymptomatic emphysematous cystitis in a 67 years old female patient with diabetic nephropathy. We review characteristic features of all 19 cases that has been reported in korean medical journals till now. Risk factors for this condition appear to be female sex, old age, and diabetes mellitus. (Korean J Nephrol 2004;23(1):174-179)
증례 : Ciprofloxacin에 의해 유발된 중증 면역성혈소판감소증 1예
안성기 ( Sung Ki Ahn ),손현영 ( Hyun Young Son ),김자영 ( Ja Young Kim ),오형철 ( Hyoung Chul Oh ),전재범 ( Jae Bum Jun ),윤재필 ( Jae Pil Yun ),최성준 ( Seong Jun Choi ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
저자들은 60세 남자 환자에서 ciprofloxacin 투여 12일 후, 매우 심한 비출혈을 동반하고 혈소판 수혈에도 호전되지 않는 혈소판 감소증이 발생하였고, 스테로이드와 면역글로불린 치료로 혈소판 수치의 급격히 호전을 보인 ciprofloxacin에 의한 면역성 혈소판 감소증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Ciprofloxacin is generally considered to be a safe drug with infrequent hematological side effects such as thrombocytopenia. Here, we report a case of severe immune thrombocytopenia associated with the use of ciprofloxacin. A 64-year-old man developed generalized purpura and severe epistaxis associated with severe thrombocytpenia that occurred after the use of ciprofloxacin. Thrombocy-topenia persisted in spite of repeated platelet transfusion. After discontinuation of ciprofloxacin and the use of corticosteroid and immunoglobulin, his platelet count rapidly recovered to normal value and his bleeding symptoms disappeared. (Korean J Med 69:S943-S947, 2005)