• Title/Summary/Keyword: Antibiotic therapy

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A Case Report of Sweet's Syndrome with Parotitis

  • Jo, Myoung-Soo;Lim, Young-Bin;Shin, Hea-Kyeong;Choe, Joon;Seul, Jung-Hyun;Jang, Tae-Jung
    • Archives of Plastic Surgery
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    • v.39 no.1
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    • pp.59-62
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    • 2012
  • Sweet's syndrome is characterized by clinical symptoms, physical features, and pathologic findings which include fever, neutrophilia, tender erythematous skin lesions, and a diffuse infiltrate of mature neutrophils. This is a report of our experience of Sweet's syndrome with parotitis. A 57-year-old man initially presented with tender swelling on the right cheek similar to parotitis. His symptoms relapsed despite the use of an oral antibiotic agent for 3 weeks. He additionally presented with erythematous papules and plaques on the periocular area and dorsum of both hands. Histiopathologic findings on punch biopsy of the right dorsum of the hand showed superficial perivenular histiocytic infiltration without vasculitis. We confirmed this as histiocytoid Sweet's syndrome and used systemic corticosteroid. After initiation of treatment with systemic corticosteroids, there was a prompt recovery from both the dermatosis-releated symptoms and skin lesions. Sweet's syndrome should be considered in patients with therapy-refractory parotitis and unclear infiltrated nodules. We present a confusing case who initially appeared to have parotitis but turned out to have histiocytoid Sweet's syndrome.

Isolation of methicillin-resistant Staphylococcus aureus from a Shih-Tzu dog with canine distemper virus infection

  • Pak, Son-il;Hwang, Cheol-yong;Youn, Hwa-young;Han, Hong-ryul
    • Korean Journal of Veterinary Research
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    • v.39 no.2
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    • pp.376-382
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    • 1999
  • A methicillin-resistant Staphylococcus aureus (MRSA) isolate was recovered from a 9-month-old female Shih-Tzu dog with canine distemper virus infection. We performed in vitro antimicrobial susceptibility test to determine the most effective antimicrobial drug against the isolate and thus, to emphasize its potential clinical importance in animal practices. Isolate was confirmed MRSA by oxacillin agar screening test. The isolate was fully resistant to all $\beta$-lactam antibiotics and was susceptible to glycopeptides. Of the other antibiotics, mupirocin, TMP/SMZ (trimethoprim-sulfamethoxazole), and chloramphenicol showed inhibitory effect at the concentration of 4x MIC. The MICs ranged 0.25->$128{\mu}g/ml$, and MBCs ranged 0.5->$128{\mu}g/ml$. The combined TMP/SMZ with cefamandole or novobiocin showed synergistic effect, whereas the combination of novobiocin plus cefamandole or teicoplanin resulted in antagonistic effects. Although MRSA in animals so far has been reported in the geographically limited countries, at least theoretically, it could be occurred in the future more frequently through either human or animal origin. The use of this combination may be of value in this situation. As with all antimicrobial agents, inappropriate or unnecessarily prolonged therapy may contribute to the emergence of resistance strains and loss of efficacy.

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Flurbiprofen toxicity in 2 dogs (두 마리 개에서의 flurbiprofen 중독 2례)

  • Lee, Ye-Hyun;Nam, Eui-Hwa;Park, Seol-Hee;Song, Chi-Youn;Lee, Yong-Uk;Lee, Jong-Myung;Park, Jung-Hoon;Hwang, Cheol-Yong
    • Korean Journal of Veterinary Research
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    • v.53 no.3
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    • pp.177-180
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    • 2013
  • Two dogs were presented with melena, vomiting and depression after accidental swallowing of candy form of Strepsils (flurbiprofen), which is one of non-steroidal anti-inflammatory drugs used in human medicine for controlling a sore throat. These dogs had common signs of anemia induced by gastrointestinal ulceration and hemorrhage with azotemia and leukocytosis. The dogs were treated with blood transfusion, fluid therapy, proton-pump inhibitor, antiemetics, mucus protectant and antibiotic. Although most of clinical signs of two dogs were resolved, azotemic problem with evidence of renal injury have remained.

Acute Osteomyelitis of the Humeral Head after Arthroscopic Rotator Cuff Repair (관절경적 회전근 개 봉합술 이후 발생한 상완골두의 급성 골수염)

  • Shin, Sang-Jin;Jeong, Byoung-Jin;Kook, Seung Hwan;Shin, Sung-Joon
    • Clinics in Shoulder and Elbow
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    • v.16 no.2
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    • pp.141-147
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    • 2013
  • A 57-year-old man who simultaneously underwent an operation for repair of rotator cuff and a revision operation for nonunion of a Pilon fracture presented with osteomyelitis of the humeral head on the $19^{th}$ day after surgery due to MRSA (Methicillin-resistant Staphylococcus aureus) infection. Infection was controlled after administration of appropriate intravenous antibiotic therapy and performance of several surgical procedures. However, devastating defects at the humeral head and the rotator cuff remained. No case of short term MRSA induced osteomyelitis has been reported.

Meningitis Occurred during Continuous Lumbar Epidural Block -A case report- (지속적 요부 경막외 차단 중 발생한 뇌막염 -증례 보고-)

  • Lee, Seong-Yeon;Chae, Jeong-Hye;Choi, Bong-Choon;Chun, Tae-Wan;Kim, Jeong-Ho;Kim, Chan
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.383-385
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    • 1995
  • Postpuncture headache is the most common complication of epidural block, others include abscission of the tip of catheter, epidural abscess and subarachnoid infection, etc. A 69-year-old female patient visited the Neuro-Pain Clinic of Seran General Hospital for treatment of lower back pain and both sciatica. She received continuous epidural block, psoas compartment block, lumbar facet joint block and lumbar facet thermocoagulation. During the epidural block procedure the dura was accidently punctured and auto-logous blood patch was performed. Three days later, she manifested fever, nausea, vomiting, mild neck stiffness and mental deterioration. Meningitis was suspected as the cause of these signs. The CSF study reported: protein 400 mg/dl, sugar 14 mg/dl, WBC $468/mm^3$. She was recovered from the meningitis after adequate antibiotic therapy.

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Epidural Abscess Following Continuous Epidural Catheterization (지속성 경막의 차단후 발생한 경막외 농양의 치험)

  • Kim, Sung-Sub;Kim, Hae-Kyu;Kim, Inn-Se;Chung, Kyoo-Sub
    • The Korean Journal of Pain
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    • v.2 no.1
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    • pp.94-96
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    • 1989
  • The cases of continuous epidural catheterization for pain control have increased nowadays. Epidural abscess, one of the complications of continuous epidural catheterization. can cause severe and permanent neurologic deficit. Though the incidence of epidural abscess is rare, we should devote every effort to prevention of abscess formation. And in the occurrence of epidural abscess formation, treatment should be started as early as possible with antibiotic therapy and surgical drainage to prevent permanent neurologic deficit. We experienced a case of epidural abscess following continuous epidural catheterization, and so the case is presented.

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A case study of third-generation quinolone antibiotics-induced-dyspepsia treated with Beewha-eum and acupuncture (비화음 및 침치료로 호전된 3세대 퀴놀론계 항생제 유발 소화장애 치험례)

  • Seo, Hyun-Sik;Joung, Jin-Yong;Son, Chang-Gue;Lee, Nam-Hun;Cho, Jung-Hyo
    • Journal of Haehwa Medicine
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    • v.26 no.1
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    • pp.68-72
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    • 2017
  • Objectives: The purpose of this case study is to report the clinical effects of acupuncture and Korean medicine on antibiotics-induced functional dyspepsia. Methods: The patient, 79-year-old, who complained about nausea and vomiting after taking antibiotics was treated by acupuncture and Korean medicine. We measured the amount of meals eaten by patient and quantified the degree of nausea she felt. Results: After the treatment, the symptoms were decreased. Conclusion: Acupuncture and herb medicine may be effective therapy on antibiotic's side effects such as nausea and vomit.

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Pediatric Non-Infectious Osteomyelitis of the Mandible: A Case Report

  • Lee, Kyu-Hoon;Moon, Seong-Yong;You, Jae-Seek;Kim, Gyeong-Mi;Lee, Nan-Young;Oh, Ji-Su
    • Journal of Oral Medicine and Pain
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    • v.45 no.2
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    • pp.39-43
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    • 2020
  • Chronic recurrent multifocal osteomyelitis (CRMO) is a rare idiopathic inflammatory bone disease characterized by pain and swelling without any detectable infectious factors, the main feature is mild to moderate bone pain. CRMO commonly develops in the metaphyses of long bones and clavicles in children or adolescents. Chronic nonbacterial osteomyelitis (CNO) is the isolated form of CRMO and the etiology of CNO is still unclear. This report describes a rare case of CNO of the mandible in an 8-year-old female patient. On the basis of clinical, histological, and radiological findings, CNO was diagnosed. The patient was asymptomatic after surgical curettage followed by antibiotic therapy. Cone beam CT scan revealed a nearly completed bone healing after three months.

Actinomycotic Infection of the Epiglottis: A Case Report and Review (후두개에 발생한 방선균 감염 1례)

  • Jeong, Seung-Won;Kim, Kyung-Rae;Tae, Kyung;Kim, Yun-Jeong
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.154-156
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    • 2010
  • We report a case of actinomycotic infection in epiglottis. Actinomycosis in the head and neck area is relatively rare but extremely rare in the larynx. A 63-year old man presented with continuous discomfort of the throat while swallowing. He had a history of oral injury caused by a fish bone a few weeks prior. Upon Examination with a flexible laryngoscope, a whitish round mass was noted at the lingual surface of the epiglottis. Under local anesthesia, a punch biopsy was performed and showed the typical features of actinomycosis. The mass was removed using a Diode laser under suspension laryngoscope. Additive oral antibiotic therapy was done for 2 weeks. No definite recurrence was noted at the operation site and the patient is now free of disease.

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A Case of Drug-Induced Interstitial Pneumonitis Caused by Valproic Acid for the Treatment of Seizure Disorders

  • Kim, Se Jin;Jhun, Byung Woo;Lee, Ji Eun;Kim, Kang;Choi, Hyeun Yong
    • Tuberculosis and Respiratory Diseases
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    • v.77 no.3
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    • pp.145-148
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    • 2014
  • Valproic acid is one of the most common antiepileptic drugs used for the treatment of several seizure disorders. A 20-year-old man presented with a sudden decline of consciousness. He had a neurosurgery operation for intracranial and intraventricular hemorrhage. Following surgery, antiepileptic medication was administered to the patient in order to control his seizure events. On valproic acid treatment, he began to complain of fever and dyspnea. His symptoms persisted despite receiving empirical antibiotic treatment. All diagnostic tests for infectious causes were negative. A high-resolution computed tomography scan of the chest revealed predominantly dependent consolidation and ground-glass opacities in both lower lobes. The primary differential was drug associated with interstitial lung disease. Therefore, we discontinued valproic acid treatment and began methylprednisolone treatment. His symptoms and radiologic findings had significantly improved after receiving steroid therapy. We propose that clinicians should be made aware of the potential for valproic acid to induce lung injury.