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만성 신부전 환자에서 내경정맥 도관 감염에 의한 농흉 1 예
차현민(Hyun Min Cha),김영옥(Young Ok Kim),김순섭(Soon Sub Kim),임현미(Hyun Mi Rhim),윤정민(Jung Min Yoon),김기범(Ki Beom Kim),윤선애(Sun Ae Yoon),윤지영(Ji Young Yun),방병기(Byung Kee Bang) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.5
Central catheterization for temporary vascular access in hemodialysis patients may cause serious catheter-related infection such as bacteremia, osteomyelitis, and septic shock. We here report a case of unusual complication of catheter-related infection in a hemodialysis patient with internal jugular catheter. A 44-year old man was admitted due to intermittent fever and right chest discomfort. Five weeks ago, right internal jugular catheter was inserted for hemodialysis. Three weeks ago, He stopped hemodialysis treatment and exit site skin care of the catheter by himself. Chest X-ray showed massive right pleural effusion. But the catherter was normally positioned in superior vena cava. Both blood and pleural fluid cultures demonstrated Staphylococcus aureus. After prompt removal of the catheter and drainage of the pleural fluid, and adequate antibiotic treatment, catheter-related bacteremia and pleural effusion improved.
중증 급성 신부전의 원인의 되었던 급성 국소성 세균성 신염
윤정민 ( Jung Min Yoon ),윤선애 ( Sun Ae Yoon ),김영옥 ( Young Ok Kim ),김미정 ( Mi Jung Kim ),차현민 ( Hyun Min Cha ),곽승기 ( Sung Ki Kwak ),김해림 ( Hae Rim Kim ),최영진 ( Young Jin Choi ),방병기 ( Byung Kee Bang ) 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.6
Urinary tract infection is one of the causes of acute renal failure. But it has been reported rarely, so we must consider another etiologies before diagnoses. Abdominal ultrasonogram is a good non-invasive technique for radiologic diagnosis or for differential diagnosis, but it`s possible that tiny abscesses and small lesions of focal bacterial nephritis might be missed CT is the best radiologic method to diagnose renal lesion, especially acute bacterial nephritis. Nevertheless, CT has several problems, including contrast-induced nephropathy, exposure to radiation. We experienced a severe form of anuric acuric acute renal failure secondary to acute bacterial nephritis due to E, coli infection, The patient`s renal lession was not visualized on the ultrasonogram and his uremic symptom was severe. So we decided to do a kidney biopsy to find another possible cause of acute renal failure. The renal biopsy finding showed acute bacterial nephritis, and abdominal CT reconfirmed it. His serum creatinine increased to a maximum 8.5 ㎎/dL, but decreased to 1.24 ㎎/dL through continuous antibiotic therapy. We emphasize that urinary tract infection is not a rare cause of acute renal failure any more, and that positive diagnositic approaches, including kidney biopsy, are important for accurate and early diagnosis.
대한외상학회지에 게재된 문헌들의 추세: 계량서지학과 인용을 이용한 분석
예진허치슨 ( Yejin L Hutchison ),차현민 ( Hyun Min Cha ),오재훈 ( Jae Hoon Oh ),강형구 ( Hyung Goo Kang ),임태호 ( Tae Ho Lim ),이윤재 ( Yoon Je Lee ),강보승 ( Bo Seung Kang ),김창선 ( Chang Sun Kim ),최혁중 ( Hyuk Joong Choi ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Purpose: We performed a quantitative and qualitative analysis in the Journal of the Korean Society of Traumatology (JKST) by Bibliometrics to know the trends of articles. Methods: We reviewed articles in the JKST retrospectively through 1988 to 2014. Articles were classified into original articles, case reports, review articles, and also it is further classified as topics and the information related to the Department of Medicine of corresponding author. Original article was classified prospective and retrospective studies. Results: 753 studies and average of 27.9 studies per year were posted on JKST. 576 original articles (76.5%) were posted. Retrospective studies around 449 studies (78%) were posted and there were about 35 descript studies and 541 analytic studies. The most common themes were related to abdominal trauma, 144 pieces, 95 pieces following damage to the chest and the 84 pieces of special order of trauma. Emergency department had the highest case whereas general surgery came to the second place. Conclusion: Recently, there has been reduced proportion of original article in JKST. It was not possible to evaluate the Korea Citation index journals due to the fact that it does not correspond to listed register Journal of National Foundation of Korea. There will be the need for the effort to improve the maintenance of the posted article number, as well as the qualitative development of the posted articles. [ J Trauma Inj 2015; 28: 182-189 ]