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- 저자 : 임성경 ( Seong Kyeong Lim ) (검색결과 4 건)
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증례 : 감염 ; 국소적 농흉으로 나타난 Mycobacterium bovis 감염 1예
임성경 ( Seong Kyeong Lim ),박지영 ( Ji Young Park ),박성달 ( Sung Dal Park ),장희경 ( Hee Kyung Chang ) 대한내과학회 2011 대한내과학회지 Vol.81 No.6
국내에서는 M. bovis에 대한 사람 감염의 보고는 없었으나 소에서의 감염률은 약 0.15%로 보고되고 있고, 개발도상국에서 M. bovis 감염률은 10-15% 정도로 보고되고 있다. 최근 다문화 가정이 증가하고 이주민 특히 개발도상국에서 국내로 이주가 증가함에 따라 이주민들에서 결핵 진단 시 M.bovis 등의 감염을 감별할 필요가 있다. 따라서 저자들은 베트남 이주 여성에서 국소적으로 발생한 농흉에서 얻은 조직으로 M. bovis를 진단하고 치료하였기에 문헌고찰과 함께 보고하는 바이다. Bovine tuberculosis, which is caused by Mycobacterium bovis, a member of the M. tuberculosis complex, is a zoonosis transmitted through the inhalation of infected droplets or the ingestion of raw milk. Human bovine tuberculosis has been reported rarely in most countries since the introduction of pasteurized milk and M. bovis eradication programs. However, it has been reported in other areas with poorly controlled programs. We encountered a case of localized empyema due to M. bovis infection in a pregnant female immigrant from Vietnam. We report this case with a brief review of the related literature. (Korean J Med 2011;81:792-796)
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임성경,박선자,박무인,문원,김성은,백승언,Seong Kyeong Lim,Seun Ja Park,Moo In Park,Won Moon,Sung Eun Kim,Sung-Uhn Baek 대한소화기암연구학회 2014 Journal of digestive cancer reports Vol.2 No.2
A 57-year-old male visited our hospital due to a growing abdominal mass for 1 month. The patient was diagnosed as transverse colon cancer with duodenal fistula, and then was treated with neoadjuvant concurrent chemoradiation therapy (2 cycles of FOLFOX-4, 3-dimensional conformal radiation therapy: 3,000 cGy in 10 fractions). Despite the improvement of colon cancer and associated inflammation, the symptom of colonic obstruction was aggravated. Thus transverse colon segmentectomy was done. After surgery, he have received adjuvant 12 cycles of FOLFOX-4 chemotherapy. Now, he is currently being followed up in cure state.
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상어 간유 흡인에 의한 급성 지방성 폐렴 1예 : 증례보고
임성경,옥철호,김희규,장태원,정만홍 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4
저자들은 상어 간유를 과량 복용하고 기침, 호흡곤란을 주소로 내원한 48세 여자 환자에서 방사선 소견과 기관지 폐포 세척액 검사를 통해 급성 지방성 폐렴으로 진단하고 스테로이드에 불응하는 경과를 취하자 우측 전폐 기관지 폐포 세척술을 시행하여 폐 병변과 증상의 호전을 보인 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Acute lipoid pneumonia is uncommon condition of the lungs that results from the aspiration of vegetable, animal, or mineral oils. Shark liver oil (so called Squalene) is taken as a traditional remedy in some Asian countries, and is used widely also in cosmetics. It results in foreign body type inflammatory reaction of the lung and can show various clinical presentations from asymptomatic incidental finding to severe pneumonia leading to acute respiratory failure. Although many cases have been reported, severe lipoid pneumonia requiring steroid or whole lung lavage for treatment is rare. We experienced a case of acute lipoid pneumonia of 48 year old female with dyspnea and cough caused by regular ingestion of large amount Shark liver oil, treated by whole lung lavage. We reported this case with a brief review of related literatures.
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심인경,윤병철,한병훈,이상욱,임성경,이혜원,조은주,김봉준,박세진,이신준 고신대학교 의과대학 2011 고신대학교 의과대학 학술지 Vol.26 No.1
OBJECTIVES: Improvement of liver synthetic function and the incidence of complication in the patients with hepatitis B-related liver cirrhosis is important. In this study, we study whether antiviral therapy was effective in patients with hepatitis B-related liver cirrhosis. METHODS: 103 patients with hepatitis B-related liver cirrhosis treated with lamivudine 100mg daily over 6 months and followed up over 30 months. 71 patients were positive for serum HBeAg. HBeAg, HBV DNA , CBC, prothrombin time, biochemistry, ultrasonography and endoscopy were tested every 6 months. RESULTS: The medians of ALT, albumin improved after 6 months and then aggravated after 18 months, but they didn't aggravated at 30 months compared with initial test. The median of Child-turcotte-pugh (CTP) score imporved after 6 months and then aggravated after 12 months, but they didn't aggravated at 30 months compared with initial test. The CTP score improved (2 point reduction) in 29 patients. The finding of ultrasonography didn't aggravaed (improved or didn't changed) in 58 patients. The 5 year incidence rate of hepatocelluar carcinoma was 8.3%. CONCLUSIONS: The antiviral therapy in patients with hepatitis B-related liver cirrhosis is improved CTP score and biochmical data. The improvement is more useful in decompensated cirrhosis the compensated cirrhosis. The incidence of hepatocellular carcinoma decreases than other studies. Therefore, the antiviral medication in patients with hepatitis B-related liver cirrhosis is helpful to consider more aggressively.
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