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      수술 후 혈소판감소증을 보인 환아의 말초혈액도말표본에서 진단된 균혈증 1예 = Bacteremia Detected by a Peripheral Blood Smear in a Pediatric Surgical Patient with Thrombocytopenia

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      https://www.riss.kr/link?id=A101574293

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      다국어 초록 (Multilingual Abstract)

      Microscopic examination of peripheral blood smear (PBS) for detection of microorganisms is simple method that can be used for doctors to confirm the septicemia more swiftly and to select more specific therapy.
      But it is unusual to find microorganisms in PBS. We report a case of gram negative bacteremia diagnosed by PBS in a severe thrombocytopenic pediatric surgical patient. A 6-month and 2 week old baby with cyanosis was diagnosed congenital heart diseases such as transposition of great arteries, atrial septal defect, and patent ductus arteriosus. The infant underwent surgical operations and the postoperative platelet count progressively decreased in spite of transfusion of multiple platelet concentrates.
      We performed routine examination of a PBS for evaluation of severe thrombocytopenia. The PBS revealed severe thrombocytopenia, leukopenia with left shifted and some extracellular bacilli. Toxic granulations,toxic vacuoles and some bacilli were observed in the neutrophils. The bacilli were identified as Pseudomonas aeruginosa and Serratia marcescens in blood culture. To our knowledge, this is the second case of bacteremia diagnosed by PBS before the positive blood culture in Korea. We suggest that a PBS is useful for the rapid detection of organisms in cases of septicemia with severe thrombocytopenic pediatric surgical patient. (Korean J Clin Microbiol 2010;13:182-186)
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      Microscopic examination of peripheral blood smear (PBS) for detection of microorganisms is simple method that can be used for doctors to confirm the septicemia more swiftly and to select more specific therapy. But it is unusual to find microorganisms ...

      Microscopic examination of peripheral blood smear (PBS) for detection of microorganisms is simple method that can be used for doctors to confirm the septicemia more swiftly and to select more specific therapy.
      But it is unusual to find microorganisms in PBS. We report a case of gram negative bacteremia diagnosed by PBS in a severe thrombocytopenic pediatric surgical patient. A 6-month and 2 week old baby with cyanosis was diagnosed congenital heart diseases such as transposition of great arteries, atrial septal defect, and patent ductus arteriosus. The infant underwent surgical operations and the postoperative platelet count progressively decreased in spite of transfusion of multiple platelet concentrates.
      We performed routine examination of a PBS for evaluation of severe thrombocytopenia. The PBS revealed severe thrombocytopenia, leukopenia with left shifted and some extracellular bacilli. Toxic granulations,toxic vacuoles and some bacilli were observed in the neutrophils. The bacilli were identified as Pseudomonas aeruginosa and Serratia marcescens in blood culture. To our knowledge, this is the second case of bacteremia diagnosed by PBS before the positive blood culture in Korea. We suggest that a PBS is useful for the rapid detection of organisms in cases of septicemia with severe thrombocytopenic pediatric surgical patient. (Korean J Clin Microbiol 2010;13:182-186)

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      참고문헌 (Reference)

      1 Mirza I, "Waterhouse-Friderichsen syndrome secondary to Capnocytophaga canimorsus septicemia and demonstration of bacteremia by peripheral blood smear" 124 : 859-863, 2000

      2 Francois B, "Thrombocytopenia in the sepsis syndrome: role of hemophagocytosis and macrophage colony-stimulating factor" 103 : 114-120, 1997

      3 Rowe MI, "The early diagnosis of gram negative septicemia in the pediatric surgical patient" 182 : 280-286, 1975

      4 Branda JA, "Sensitivity of peripheral blood smear review for the diagnosis of Candida fungemia" 131 : 97-101, 2007

      5 Chang JC, "Review: Postoperative thrombocytopenia: with etiologic, diagnostic, and therapeutic consideration" 311 : 96-105, 1996

      6 Misawa S, "Rapid diagnosis of infectious diseases; features and limitations of the microscopic examination of clinical specimens" 10 : 121-131, 1999

      7 Nakamura H, "Overwhelming pneumococcal bacteremia revealed by a peripheral blood smear in a 74-year-old healthy woman" 46 : 303-306, 2007

      8 Kroft SH, "Infectious diseases manifested in the peripheral blood" 22 : 253-277, 2002

      9 Fife A, "Gram negative septicaemia diagnosed on peripheral blood smear appearances" 47 : 82-84, 1994

      10 Rodwell RL, "Evaluation of direct and buffy coat films of peripheral blood for the early detection of bacteraemia" 25 : 83-85, 1989

      1 Mirza I, "Waterhouse-Friderichsen syndrome secondary to Capnocytophaga canimorsus septicemia and demonstration of bacteremia by peripheral blood smear" 124 : 859-863, 2000

      2 Francois B, "Thrombocytopenia in the sepsis syndrome: role of hemophagocytosis and macrophage colony-stimulating factor" 103 : 114-120, 1997

      3 Rowe MI, "The early diagnosis of gram negative septicemia in the pediatric surgical patient" 182 : 280-286, 1975

      4 Branda JA, "Sensitivity of peripheral blood smear review for the diagnosis of Candida fungemia" 131 : 97-101, 2007

      5 Chang JC, "Review: Postoperative thrombocytopenia: with etiologic, diagnostic, and therapeutic consideration" 311 : 96-105, 1996

      6 Misawa S, "Rapid diagnosis of infectious diseases; features and limitations of the microscopic examination of clinical specimens" 10 : 121-131, 1999

      7 Nakamura H, "Overwhelming pneumococcal bacteremia revealed by a peripheral blood smear in a 74-year-old healthy woman" 46 : 303-306, 2007

      8 Kroft SH, "Infectious diseases manifested in the peripheral blood" 22 : 253-277, 2002

      9 Fife A, "Gram negative septicaemia diagnosed on peripheral blood smear appearances" 47 : 82-84, 1994

      10 Rodwell RL, "Evaluation of direct and buffy coat films of peripheral blood for the early detection of bacteraemia" 25 : 83-85, 1989

      11 Ristuccia PA, "Detection of bacteremia by buffy coat smears" 19 : 215-217, 1987

      12 Graham BS, "Detection of bacteremia and fungemia: microscopic examination of peripheral blood smears" 5 : 448-452, 1984

      13 Shanholtzer CJ, "Concentrated gram stain smears prepared with a cytospin centrifuge" 16 : 1052-1056, 1982

      14 van der Meer W, "Bacteria in blood smears: overwhelming sepsis or trivial contamination" 107 : 220-223, 2002

      15 Sohn HE, "Bacteremia diagnosed on peripheral blood smear before blood cultures become positive: a case report" 19 : 27-30, 1999

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 재인증평가 신청대상 (재인증)
      2020-01-01 평가 등재학술지 선정 (재인증) KCI등재
      2019-12-01 평가 등재후보로 하락 (계속평가) KCI등재후보
      2016-01-01 평가 등재학술지 유지 (계속평가) KCI등재
      2013-03-11 학술지명변경 한글명 : 대한임상미생물학회지 -> Annals of Clinical Microbiology
      외국어명 : Korean Journal of Clinical Microbiology -> Annals of Clinical Microbiology
      KCI등재
      2012-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2008-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2007-01-01 평가 등재후보학술지 유지 () KCI등재후보
      2005-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.19 0.19 0.26
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.22 0.2 0.651 0
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