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농흉과 종격동염이 합병된 viridans streptococcus에 의한 인후농양 1예
임상현,유진홍,권순석,김연식,신완식,강문원,정명희 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.2
최근 저자들은 viridans streptococcus에 의한 인후농약으로 인하여 발생한 종격동염 및 농흉을 보인 47세 여자 환자를 적절한 배농과 항생제로 치료한 국내 최초의 1예를 치험하였기에 문헌 고찰과 함께 보고하는 바이다. Since the antibiotic era, retropharyngeal abscess became a rare disease entity nowadays. But it may often progress to lethal complications involving vital structure if diagnosis or treatment is delayed. We experienced a case of empyema and mediastinitis complicating retropharyngeal abscess caused by viridans streptococcus in a 47-year-old female patient with diabetes mellitus. She was successfully treated with appropriate antibiotic therapy combined with percutaneous abscess drainage. To our knowledge, such a complication of retropharyngeal abscess has not been reported in Korea yet and we present this unusual case herein followed by a review of the related literature.
2차 진료기관 비뇨기과의 현황 및 비뇨기과 의사의 역할
김종현(Jong Hyun Kim),박창수(Chang Soo Park),이웅희(Woong Hee Lee),신관희(Kwan Hee Shin),김용수(Yong Soo Kim),허준(Jun Heo),최동원(Dong Won Choi),안주형(Joo Hyeong Ahn),김강원(Kang Won Kim),강주호(Joo Ho Kang),원용연(Yong Yeun Won) 대한비뇨기종양학회 2013 대한비뇨기종양학회지 Vol.11 No.1
Purpose: We investigated the characteristics of patients transferred from other department or other healthcare institution and tried to find a way to develop the role of urologist and department of Urology in secondary healthcare institution. Materials and Methods: Thirty-eight secondary healthcare institutions were involved in the survey of questionnaire study which includes overall status of urology department and private information of 357 patients transferred from other departments of same institution or other healthcare institutions. Results: The number of hospital bed was 267 and the urologists were at work for 4.7 years on average. In 35/38 (92%) institutions, only one urologist was at work for clinical practice. Average patients number was 39.7 per day in the outpatient clinic and the portion of urological patients among the outpatients were 76.4%. Average patients number was 20.6 per month in the inpatient clinic and average number of urological surgery was 18.6. The portion of patients transferred from other departments of same institution or other healthcare institutions was 16.4%. The answer which shows good communication between other departments of same institution was 78.9% and facilitating relationship among other healthcare institutions was 47.4%. Analysis of 357 patients shows that the period of symptom development was 26.2 months and the period of prior treatment in other department or institution was 5.3 months. Bladder related disease was most common and the next order of frequency were prostate disease and urinary stone. The rate of concordance of final diagnosis between urology and other department or institution was 52.7%, and rate of concordance of medication was 23.0%. The positive answer as ‘helpful" for the prior treatment in the other department or institution was 41.2%. Conclusions: The department of Urology in secondary healthcare institution has several limitations such as relative lack of man power and expertise, lack of awareness of patients or other physicians to urology specialty, and insufficient communication with other departments or institutions. In many case, urological diseases have been managed in other departments and it takes much limitation to help the urological patients. Therefore urologists in secondary health care institution should try to upgrade their specialty and make effort to educate and promote urological concern as well as better communication with other medical departments.
Poster Session : Small RNA and Gene Regulation ; ECgene: and alternative splicing database update
( Yeun Sook Lee ),( Young Hee Lee ),( Bum Jin Kim ),( Young Ah Shin ),( Seung Yoon Nam ),( Pora Kim ),( Nam Shin Kim ),( Won Hyong Chung ),( Jae Sang Kim ),( Sang Hyuk Lee ) 한국생화학분자생물학회 (구 한국생화학회) 2007 생화학분자생물학회 춘계학술발표논문집 Vol.2007 No.-
Isolation of Antimicrobial Substances from Natural Products and Their Preservative Effect
Hee-Yun Kim,Young-Ja Lee,Ki-Hyoung Hong,Yong-Kwan Kwon,Kyu-Chang Sim,Ju-Yeun Lee,Hong-Yon Cho,In-Sook Kim,Sang-Bae Han,Chul-Won Lee,Il-Shik Shin,Jae Sun Cho 한국식품과학회 2001 Food Science and Biotechnology Vol.10 No.1
( Yeun Seoung Choi ),( Jung Soo Lim ),( Woocheol Kwon ),( Soon Hee Jung ),( Il Hwan Park ),( Myoung Kyu Lee ),( Won Yeon Lee ),( Suk Joong Yong ),( Seok Jeong Lee ),( Ye Ryung Jung ),( Jiwon Choi ),( 대한결핵 및 호흡기학회 2015 Tuberculosis and Respiratory Diseases Vol.78 No.4
Pulmonary Langerhans cell histiocytosis is an uncommon diffuse cystic lung disease in adults. In rare cases, it can involve extrapulmonary organs and lead to endocrine abnormalities such as central diabetes insipidus. A 42-year-old man presented with polyphagia and polydipsia, as well as a dry cough and dyspnea on exertion. Magnetic resonance imaging of the hypothalamic-pituitary system failed to show the posterior pituitary, which is a typical finding in patients with central diabetes insipidus. This condition was confirmed by a water deprivation test, and the patient was also found to have type 2 diabetes mellitus. Computed tomographic scanning of the lungs revealed multiple, irregularly shaped cystic lesions and small nodules bilaterally, with sparing of the costophrenic angles. Lung biopsy through video-assisted thoracoscopic surgery revealed pulmonary Langerhans cell histiocytosis. On a follow-up visit, only 1 year after the patient had quit smoking, clinical and radiological improvement was significant. Here, we report an uncommon case of pulmonary Langerhans cell histiocytosis that simultaneously presented with diabetes insipidus and diabetes mellitus.