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경기북부 지역의 Richettsia 질환에 관한 임상적 고찰
전성주(Seoung Ju Chun),이기영(Kee Yeoung Lee),최두혁(Du Hyok Choi),양현억(Hyun Eog Yang) 대한내과학회 1989 대한내과학회지 Vol.36 No.4
N/A Rickettsiosis is one of the most prevailng acute febrile diseases in the northern part of Kyoung Ki Do during harvest-time. We experienced 36 cases of rickettsiosis in this area during 1978. Herein we report the epidemiological and clinical observations with laboratory findings. 1) The disease was prevalent in adult female farmers and the epidemic seasons were fall and early winter. 2) The serologic test revealed a positive rate of 67% (24 cases) in R. tsutsugamushi and 33% (12 cases) in R. typhi and two cases were seropositive to Korean Hemorrhagic Fever. 3) Clinical pictures of Tsutsugamushi disease were characterized by fever (88%), chills (71%), headache (71 %) and abdominal pain (50%) but were less severe in R. typhi as fever in 83% of cases, chills 67% and headache 67%. 4) On physical examination, abdominal tenderness (54 %), fever (38%), CVA tenderness (29%), tachycardia (25 %) and eschar (13%) were found but were less severe in R. typhi as abdominal tenderness in 25% of cases, fever 25%, CVA tenderness 17% and tachycardia 17%. 5) On laboratory examination, a left shift of leukocytes, atypical lymphocytes, anemia, microscopic hematuria and proteinuria were found. Blood chemistry findings were characterized by increased SGOT & SGPT and increased CPK & LDH. The chest X-ray revealed interstitial pneumonia in nine cases (25%).
Hyperglycemic Nonketotic and Ketoacidotic Hyperosmolar Coma
김기호 ( Ki Ho Kim ),민병석 ( Byong Sok Min ),김선우 ( Suh Woo Kim ),최두혁 ( Du Hyok Choi ) 대한내과학회 1973 대한내과학회지 Vol.16 No.8
Hyperglycemic nonketotic hyperosmolar coma는 응급을 요하는 질환중의 하나로 ketosis 이나 산혈증(acidosis)없이 혈청의 심한 고삼투압(Hyperosmolarity), 탈수 및 고혈당을 특징으로 한다. 당뇨병의 기왕력이 없거나 경도의 성인형 당뇨환자에서 잘 생기며 연령은 50세에서 70세까지가 가장 많다. 아직까지 병인(病因)은 밝혀져 있지 않으며 생존율은 낮아서 40~60%밖에 되지 않는다. 도(都)등이 196
세균성 이질 감염 후에 용혈성 빈혈과 급성 신부전증을 동반한 1예
최두혁,김재하,전성주,박우근 대한감염학회 1986 감염 Vol.18 No.2
A case of hemolytic uremic syndrome like disease is reported which developed after shigella infection, but lacking thrombocytopenia. A 52-year-old woman was admitted to the hospital with complanints of fever, headache, and diarrhea. A stool culture yielded a growth of shigella flexneri. A peripheral blood smear showed findings consistent with hemolytic anemia. She also showed laboratory findings of aucte renal failure. She was discharged on 23rd hospital day with complete resolution of the symptoms after treatment with diuretics, antibiotics, antihypertensive drug, and packed cell transfusion.