• Title/Summary/Keyword: 괴사

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A Case of Pseudomembranous Necrotizing Bronchial Aspergillosis in An Old Age Host (노인 환자에서 발생한 거짓막 괴사성 기관지 아스페르길루스증 1예)

  • Lee, Seung Eun;Jun, Eun Ju;Song, Ju Han;Shin, Jong Wook;Kim, Jae Yeol;Park, In Whon;Choi, Byoung Whui;Choi, Jae Chol;Kim, Mee Kyoung
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.3
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    • pp.278-282
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    • 2007
  • Invasive aspergillus tracheobronchitis is uncommon manifestation of infection due to Aspergillus species, occurring in severely immunocompromised patients who are generally neutropenic with haematological diseases, AIDS, or after heart and lung transplantation. The pseudomembranous form is the most severe condition and is usually fatal despite treatment with antifungal agents. However, there are a few cases reported with no apparent severe compromise in the host defences. We encountered a pseudomembranous necrotizing bronchial aspergillosis in a 73-year old male patient, who was treated successfully with antifungal agents.

Solitary Necrotic Nodule of the Liver Mimicking Metastasis in Patient with Early Gastric Cancer : 3T MRI and PET/CT Findings (조기 위암 환자에서 전이암과 감별이 필요했던 간내 단발성 궤사성 결절: 3T MRI 및 PET/CT 소견)

  • Cho, Woo-Sun;Kim, Gi-Hyeon;Lee, Hwa-Yeon;Lee, Jong-Beum;Kwon, Gui-Young
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.2
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    • pp.213-217
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    • 2009
  • Solitary necrotic nodule (SNN) of the liver is a very uncommon benign lesion, and it is detected incidentally as a rule. It is important to differentiate SNN radiologically from various single hepatic nodules because SNN mimics hepatic metastasis, especially in staging work up of known primary malignancy. The reported imaging findings of SNN are well-defined nodule without enhancement or with subtle peripheral enhancement. There has been no report about the target-like SNN of the liver and about the imaging finding of 3T magnetic resonance imaging and positron emission tomography. We report a case of targetlike SNN of the liver, mimicking hepatic metastasis, with findings of various imaging modalities and try to find a cause of this nodule according to the pathologic and literature review.

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Lymphadenitis in experimental murine toxoplasmosis induced by intramuscular injection of tachyzoites (톡소포자충 RH주의 근육내 주입에 의한 마우스 림프절의 조직상)

  • 최원영;남호우
    • Parasites, Hosts and Diseases
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    • v.33 no.2
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    • pp.131-134
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    • 1995
  • When tachyzoites (RH strain) of Toxoplasmo gondii are injected intramuscularly, experimental mice survive up to 7 days, 1-2 days longer than those infected intraperitoneally. We observed sequential histopathological changes in inguinal Iymph nodes after intramuscular injection of tachyzoites to thighs of specific pathogen free (SPF) mice. Initial findings on 1 or 3 days after the injection were reactive germinal centers, distended sinuses and epithelioid cell clusters in cortical and paracortical regions. Later on 5 days after the injection, however, effacement of nodal structure with depletion of cells and focal necrosis were observed . Necrotizing Iymphadenitis in the experimental murine toxoplasmosis suggests the causal relation between T. gondii infection and the human disease.

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Study on the Boron Deficiency in Sugar Beet (사탕무우의 붕소결핍증에 관한 연구)

  • Im, Hyong Bin;Ung Kyu Lim;Kyong Sik Tscho
    • Journal of environmental and Sanitary engineering
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    • v.5 no.1
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    • pp.1.2-6
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    • 1990
  • The purpose of this experiment was to investigate boron deficient symptom of sugar beet. Sugar beet affected by boron deficiency was anatomized and observed by microscope and electron microscope. The sugar beet plants affected onboron deficiencyu with water culture and those of the experimental farm alike contained a small amount of boron. The symptom of boron deficiency began to show dark-brown lines at the ventral suface of the basal part of petiole and then, in the ridge of young leaf, growing point became darkened due to necrosis. The leaf blade was wrinked severely and finally the growth was stunted. The boron deficiency began with necrosis of the epidermis of the ventral surface of the basal part of petiole, and parenchyma under it. Necrosis and disintegration of the ridge of young leaf began to take place and were expanded gradually. Electron microscopic examination of boron deficient sugar beet plants revealed that chloroplasts degenerated, and appeared to contain larger amounts of starch, also observed larger number of osmophilic granules. And they peculiarly were found polyhedral crystals in the certain deficient chloroplasts.

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Pathogenicity of the fish nodavirus causing viral nervous necrosis of sevenband grouper, Epinephelus septemfasciatus (능성어, Epinephelus septemfasciatus의 바이러스성 신경괴사증 바이러스의 병원성 연구)

  • Sohn, Sang-Gyu;Chun, Seh-Kyu
    • Journal of fish pathology
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    • v.12 no.2
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    • pp.107-113
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    • 1999
  • The pathogenicity of the fish nodavirus causing viral nervous necrosis (VNN) of sevenband grouper, Epinephelus septemfasciatus was examined in sevenband grouper and other marine fish by intramuscular injection. Sevenband groupers of 27~104 g in body weight were highly susceptible to the fish nodavirus, but yellowtail (537 g in body weight), red seabream (207 g), rock bream (43 g), flounder (41 g), tiger puffer (27 g) and rockfish (94 g) of the sizes used to this experiment were not. The pathogenicity of the viral agent to the sevenband grouper was high without regard to fish sizes at rearing water temperature over $20^{\circ}C$, but not at $15^{\circ}C$. Therefore, susceptibility of sevenband grouper to the viral agent causing VNN was thought to be water temperature-dependent rather than fish size (age-dependent). Compared to the infectivity of the viral agent to sevenband grouper with artificial infection methods, fish were successfully affected by intramuscular, intraperitoneal, oral, dipping and cohabitation administrations although there were slight differences in mortalities among infection methods. And survival sevenband grouper after infection with the fish nodavirus was resistant to the reinfection for a long time.

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Extremity Amputation following Radial Artery Cannulation in Patient with Craniectomy (경피요골동맥삽관후 발생된 수지괴사 1례)

  • Kim, Heung-Dae;Song, Sun-Ok;Lee, Kyeung-Sook
    • Journal of Yeungnam Medical Science
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    • v.4 no.1
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    • pp.145-149
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    • 1987
  • The technique of radial artery cannulation and its complications are well documented, but serious complications are rare. This is a report of one case of amputation of wrist due to finger necrosis developed from the radial artery cannulation in patient who had craniectomy surgery. This 52-year-old 70kg male underwent subdural hematoma removal surgery. Right radial artery cannulation was carried out percutaneously using 22 gauge Teflon extracath needle after modified Allen's test appeared to be positive. It was intermittently flushed by heparinized solution. His arterial blood pressure was maintained 100/70 - 110/80mmHg and 5 units of banked whole blood and 1 unit of fresh frozen plasma were transfused during 8-hours operation. Cannula was removed on the 9th hour after operation because that was obstructed. On the 12th hour after removal of cannula, his right hand noted to be cool and cyanotic. So, warm towel and hot bag applied continuonsly on the right hand and the right stellate ganglion block was carried out everyday for 4 times. However, on the 10th day after removal of cannula, necrotic change of all fingers of the right hand became worse and skin of fingers were shrunken. Therefore, disarticulation of the right wrist carried out on the 71th day of his hospitalization.

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Bilateral Avascular Necrosis of the Femoral Head After Epidural Steroid Injection for the Management of Low Back Pain (요통 치료를 위한 경막외 스테로이드 주입후 발생한 양측 무혈성 대퇴골두괴사)

  • Kim, Dong-Gin;Roh, Seon-Ju;Ban, Jong-Seock;Min, Byung-Woo
    • The Korean Journal of Pain
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    • v.5 no.1
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    • pp.117-120
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    • 1992
  • Non traumatic aseptic necrosis of the head of the femur is well documented with respect to its clinical roentgenographic and pathological aspect, but not with respect to etiology. A number of reports have associated various diseases and conditions with necrosis of the femoral head. Prominent among these are alcoholism, steroid therapy and hemostatic disorder. The increased incidence of avascular necrosis of bone associated with long-term corticosteroid therapy has aroused much interest. The pathogenesis of cortisone-induced avascular necrosis is as yet unproved. But cortisone-induced fatty liver with hyperlipidemia, leading to systemic embolization of fat and avascular necrosis of bone has much experimental support. We present a case of bilateral avascular necrosis of the femur head following several epidural steroid injections in a 30 year old male patient who had low back pain with radiation to both legs for 1 year and who had Cushinoid appearance for several months. One week later, he had a total replacement of both hip operation.

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An Outbreak of Swine Dysentery in Korea : Clinical Aspects and Pathology (돼지 적리(赤痢)의 발생보고(發生報告) : 임상(臨床) 및 발생학적(發生學的) 소견(所見))

  • Bak, Ung-Bok;Moon, Moo-Hong;Park, Ki-Seo
    • Korean Journal of Veterinary Research
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    • v.16 no.1
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    • pp.27-34
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    • 1976
  • 악상남도(惡尙南道) 김해군(金海郡) S 양돈장(養豚場)에서 1975년 4월 하순부터 5월 하순 사이에 사육돈(飼育豚) 1,200두중 약 350두에서 출혈성하리(出血性下痢)를 주증(主症)으로 하는 전염성(傳染性)이 강한 소화기질환(消化器疾患)이 발생하였다. 환돈(患豚)은 7주령(週齡)에서부터 14주령(週齡)까지에서 가장 많이 발생하고 급성(急性) 또는 아급성(亞急性)으로 경과하였으며 다량의 황백색(黃白色), 수양하리(水樣下痢)를 발하다가 황갈색(黃褐色), 포말성하리(泡沫性下痢) 또는 암적갈색(暗赤褐色) 점액성하리(粘液性下痢)를 나타내었다. 육안적(肉眼的) 병변(病變)은 대장(大腸)에 한하였으며 카타아르성(性), 출혈성(出血性) 내지 괴사성장염(壞死性腸炎)을 시현(示顯)하였으며 괴사(壞死)는 광범(廣凡)하나 표재성(表在性)이고 어떤 예에서는 결장점막(結腸粘膜) 속에 대소(大小)의 미세결절(微細結節)이 밀발(密發)한 것이 특징이었다. 조직학적검사(組織學的檢査)에서는 대장점막(大腸粘膜)에 현저한 배세포증식(杯細胞增殖), 울혈(鬱血) 및 원형세포침윤(圓形細胞浸潤)과 더불어 표재성괴사(表在性壞死)가 관찰되었고 상기(上記) 결절(結節)은 장선(腸腺) 속에 점액(粘液), 섬유소(纖維素) 및 붕괴세포(崩壞細胞)가 축적되어 선와(腺窩)가 확장되고 피복상피(被覆上皮)의 이형성(異形成)(dysplasia)을 일으키고 있음이 판명되었다. 병변부(病變部)의 세균염색(細菌染色)에 의하여 대형(大型) Spirocheta와 Vibrio 고균(孤菌)이 무수(無數)히 발견되었고 Spirocheta가 병변형성(病變形成)에 더 밀접하게 관련되어 있음이 밝혀졌다.

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CERVICOFACIAL NECROTIZING FASCIITIS;CASE REPORT (경안면 괴사성 근막염;증례보고)

  • Park, Kwan-Soo;Jeong, Ki-Hoon;Kim, Hyo-Eon;Jeong, Jeong-Kwon;Yoon, Kyu-Ho;Jeon, In-Seong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.1
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    • pp.77-81
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    • 2001
  • Necrotizing fasciitis is defined as infectious disease showing extensive necrosis of the superficial fascia with widespread involvement of the surrounding tissues and concurrent systemic toxicity. It is found commonly in the extremities, the trunk and the perineum, but shows extremely rare occurrence in the well vascularized area such as head and neck area. Occurred in the head and neck area, it is called "cervicofacial necrotizing fasciitis" (CFNF). It is a fatal disease which carries a mortality rate up to 60%. Early diagnosis, aggressive surgical debridement of necrotic tissues and massive antibiotics therapy are essential for achieving a favorable outcome. We present a case of cervicofacial necrotizing fasciitis in 35-year-old male patient with literature review.

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Occurrence of viral nervous necrosis(VNN) in red drum(Sciaenops ocellatus) larvae (홍민어 Sciaenops ocellatus에서의 바이러스성 신경괴사증 viral nervous necrosis)

  • Kim, Jin-Do;Kim, Sok-Ryul;Jung, Sung-Ju;Kim, Young-Jin;Jung, Tae-Sung;Cho, Tae-Jin;Park, Sung-Woo;Oh, Myung-Joo
    • Journal of fish pathology
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    • v.14 no.2
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    • pp.91-95
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    • 2001
  • Mass mortalities occurred among red drum larvae, 20 to 30 days old, culturing at hatcheries on southern costal area. No specific external signs were observed except abnormal swimming and spinal deformity. It was, however, suspected as a viral etiology due to high mass mortalities so that histopathological and molecular biological study was performed to evaluate the agent. Both vacuoles and necrosis were observed on nerve cells of brain and eye by H-E staining, and viral particles were observed on electronmicroscopic examination. On the other hand, DNA fragment, approximately 426 bps, was amplified with RT-PCR. The above results were able to diagnosis the etiological agent of mass moralities in red drum larvae as VNN(viral nervous necrosis)virus.

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