• 제목/요약/키워드: Liver, infection

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치매가 있는 후두암 환자에서 술 후 방사선치료 중 발생한 인두피부누공 (Pharyngocutaneous Fistula which Occurred During Postoperative Radiotherapy in Larynx Cancer Patient with Dementia)

  • 김정준;강주용;최익준;이명철
    • 대한두경부종양학회지
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    • 제35권2호
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    • pp.51-55
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    • 2019
  • Pharyngocutaneous fistula is a relatively common, but serious complication after pharyngeal or laryngeal cancer surgery. It can cause wound infection, longer hospitalization period and sometimes carotid artery rupture which can be fatal. Recently, we experienced a 63-year-old larynx cancer patient who had dementia and alcoholic liver cirrhosis for underlying diseases. He underwent total laryngectomy and both neck dissection, and pharyngocutaneous fistula occurred during postoperative radiotherapy. Pharyngocutaneous fistula during postoperative radiotherapy has not yet reported in the literature, and there are few reports about pre and postoperative management of dementia patient after head and neck cancer surgery. Therefore, we report this case with a brief review of literature.

양식 강도다리, Platichthys stellatus Pallas에서 분리된 Streptococcus parauberis의 특성 (Isolation of Streptococcus parauberis from starry flounder, Platichthys stellatus Pallas)

  • 조미영;이재일;김명석;최희정;이덕찬;김진우
    • 한국어병학회지
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    • 제21권3호
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    • pp.209-217
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    • 2008
  • A disease with mass mortality characterized exophthalmia and abdominal distension by ascites occurred in farmed starry flounder, Platichthys stellatus in Pohang since October of 2007. Severe necrosis and infiltration of inflammatory cells were observed in tissue histopathological sections from liver, kidney, spleen and heart of the diseased fish. The catalase-negative and gram positive cocci with -hemolysis were isolated from moribund fish. Analysis of the API profiles and the multiplex PCR of the isolates showed that strains were identified as Streptococcus parauberis. In API profiles, S. parauberis isolated from starry flounder differed from those of olive flounder, Paralichthys olivaceus to the test of arginine dihydrolase, D-mannitol, D-sorbitol and α-lactose. And the strains, PH0710 and PH0711, were strongly lethal for starry flounder (LD50 ranging from 4.2×103~4.2×102 cfu/fish at 7 days after intraperitoneally inoculation). This is the first report on a S. parauberis infection in starry flounder.

고창(鼓脹)의 처방(處方)에 대한 문헌적(文獻的) 고찰(考察)

  • 이용운;김일렬;최창원;이강녕;이영수;곽정진;김희철
    • 대한한의학방제학회지
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    • 제9권1호
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    • pp.165-206
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    • 2001
  • After this study, I report the following result from it 1. 'Qiao zhang' is the symptoms that the abdomen is distension and fullness, but face, eye, four limb is not dropsial swelling. It corresponds to the Gu zhang(?脹), Zhang man(脹滿), Jiju(積聚), Dan fu zhang(單腹脹), Zhong man(重滿) of the Oriental Medicine. 2. The cause and overeating and, and malfunction pathology of the 'Qiao zhang' were accumulation of water cause of overeating and, overdrinking, the hurt of feeling, overwork, infection of blood sucker and malfunction of liver, spleen and kidney for jandice and Jiji(積聚) 3. The treatment of the 'Qiao zhang' was reinforcing middle-energizer and replenishing Qi and allevating water retention because middle-energizer were much weak. 4. The prescription of the 'Qiao zhang' that Zhang man fen xiao wan(中滿分消散) were 16 times the most. Zhang man fen xiao tang(中滿分消湯), Guang man kui jian tang(廣茂潰堅湯), ren shen gui pi tang(人蔘芎歸湯), Yu yu liang wan(禹餘糧丸), mun xiang sun qi tang(木香順氣散) were next. 5. The single herb of the prescription of the 'Qiao zhang' that were Auckrandiae Radix(木香), Citri Pericarpium(陳皮) for rephenshing qi drug, Atractylodis Macrocephalae Phieoma(白朮), Ginseng Radix(人蔘), Magnoliae Cortex(厚朴) for regurating qi drug, Pinelliae Rhzoma(半夏) for dischanging phlegm drug.

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경부 괴사성 근막염의 임상적 고찰 (Clinical Analysis of Cervical Necrotizing Fasciitis)

  • 박병건;이도준;이상준
    • 대한기관식도과학회지
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    • 제17권1호
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    • pp.46-49
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    • 2011
  • Background and Objectives Cervical necrotizing fasciitis is a fulminant disease associated with necrosis of connective tissue, spread along the fascial plane, and high mortality. We analyzed the clinical characteristics and treatment outcome of this rare fatal disease. Materials and Methods We retrospectively reviewed the medical records of 19 patients treated for cervical necrotizing fasciitis from January 1999 to January 2009. Mean age was 53.7 years. Results The most common predisposing illness was tonsillitis (36.8%), followed by odontogenic infection (15.7%). Diabetes mellitus was most common underlying disease. Liver cirrhosis and chronic renal failure were found in 2 patients each. All patients were treated with combination of parenteral antibiotics and wide surgical debridement by transcervical and/or thoracotomy approach. Multiple surgical debridements were performed in 7 patients. Tracheotomy was performed in most of the patients (88.8%). Period of total hospitalization and Intensive care unit was 23 days and 10.1 days. Two patients died of disease and overall survival rate was 89.4%. Conclusion Early surgical management and care in intensive care unit are essential for cervical necrotizing fasciitis. Possible complications such as respiratory failure, mediastinitis or sepsis should be carefully evaluated.

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이스라엘 잉어(Cyprinus carpio)에서 Aeromonas veronii 감염증의 증례: phylogenetic analysis와 항생제 내성 (A case of Aeromonas veronii infection in Israeli carp (Cyprinus carpio): phylogenetic analysis and antimicrobial resistance)

  • 이승원;유명조;이해범;신기욱
    • 한국동물위생학회지
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    • 제35권3호
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    • pp.239-243
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    • 2012
  • We reported an outbreak of Aeromonas (A.) veronii responsible for ulcerative dermatitis in Israeli carp (Cyprinus carpio). The major clinical signs were darkening body, abdominal extension, exophthalmos and severe ulcerative necrosis in the skin. The necropsy showed yellowish ascites, necrosis in liver and enlargement of kidney and spleen in the morbid fish. In blood agar for culturing bacteria, three different colonies were identified as A. veronii, Plesimonas shigelloides and Shewanella putrefaciens by phylogenetic identification using 16S rRNA or gyrB gene sequences. A. veronii was the most dominant species among them and was resistant to ampicillin, nalidixic acid and oxytetracycline.

Comparison of the pathogenicity among Cronobacter species in a neonatal mouse model

  • Hong, Sun-Hwa;Chung, Yung-Ho;Park, Sang-Ho;Kim, Ok-Jin
    • 한국동물위생학회지
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    • 제36권2호
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    • pp.67-71
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    • 2013
  • Neonatal infection caused by Cronobacter species can result in serious illnesses such as bacteremia, septicemia, meningitis, and death in at-risk infants who are orally fed contaminated reconstituted powdered infant formulas. The objective of this study was to compare the virulence among three Cronobacter species strains by using an animal model for human neonatal Cronobacter species infections. We acquired timed-pregnant ICR mice and all owed them to give birth naturally. On postnatal day 3, each pup was administered orally a total dose of $1{\times}10^7$ CFU Cronobacter species strain 3439, CDC 1123-79, and 3231. Mice were observed twice daily for morbidity and mortality. At postnatal day 10, the remaining pups were euthanized, and brain, liver, and cecum were excised and analyzed for the presence of Cronobacter species. Cronobacter species were isolated from cecum and other tissues in inoculated mice. In the tissues of Cronobacter species infected mice, meningitis and gliosis were detected in the brain. In this study, we identified the virulence among Cronobacter species strains by using a neonatal mice model which was a very effective animal model for human neonatal Cronobacter species infections.

기관지염과 기관지 이형성이 동반된 장티푸스 1예 (A Case of Bronchitis and Bronchial Dysplasia Associated with Typhoid Fever)

  • 석준호;김기범;정진흥;이관호;이현우
    • Tuberculosis and Respiratory Diseases
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    • 제45권1호
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    • pp.227-233
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    • 1998
  • 장티푸스에 합병되는 호흡기 질환은 약 1% 정도로 매우 드물다. 저자들은 호흡기 증상이 첫 증상이었던 장티푸스 환자에서 경기관지 내시경검사상 기관지염과 기관지 이형성 소견이 관찰되었고 항생제 투여로 기관지 병변이 호전되었던 환자 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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전문대학 간호과 전공심화과정 운영방안 (A Study on Intensive Major Course of Department of Nursing in College)

  • 박송자;제미순
    • 한국간호교육학회지
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    • 제10권1호
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    • pp.64-74
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    • 2004
  • This study was conducted to investigate what contents nurses want in the intensive major course of junior nursing college. Data were collected for four months from October 2002 to February 2003 by structured questionnaires. Subjects were 240 registered nurses in working at five hospitals and four public health centers and elementary or middle schools in the capital and its suburbs and country. The collected data were analyzed using SPSS 8.0 program. The results of this study were summarized as follows : 1. Nurses working at hospitals want the programs which involve the contents as follows : emergency nursing/CPR, infection control, critical care, caner pt. care, pain control, hospice, pulmonary disease pt. care, analysis of lab. exam, heart disease pt. care, chronic disease pt. care, DM pt. care, digestive-system disease pt. care, nervous-system disease pt. care, elderly pt. care, immune-system disease pt. care, endocrine-system disease pt. care. 2. Nurses working at public health centers want the programs which involve the contents as follows : home nursing, family nursing, management of DM, HT, degenerative disease, and chronic liver disease, elderly pt. care, health education, maternity nursing, rehabilitation nursing. 3. Nurses working at elementary or middle schools want the programs which involve the contents as follows : prevention of drug abuse or misuse, sex education and consultation, health education, consultation technique, emergency care, prevention of child obesity, prevention and management of adult disease in children, teaching method, method of school health room management.

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기관지염과 기관지 이형성이 동반된 장티푸스 1예 (A Case of Bronchitis and Bronchial Dysplasia Associated with Typhoid Fever)

  • 석준호;김기범;정진홍;이관호;이현우
    • Tuberculosis and Respiratory Diseases
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    • 제44권6호
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    • pp.1414-1418
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    • 1997
  • 장티푸스에 합병되는 호흡기 질환은 약 1% 정도로 매우 드물다. 저자들은 호흡기 증상이 첫 증상이었던 장티푸스 환자에서 경기관지 내시경검사상 기관지염과 기관지 이형성 소견이 관찰되었고 항생제 투여로 기관지 병변이 호전되었던 환자 1례를 경험하였기에 고찰과 함께 보고하는 바이다.

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6-[(N-2,3-Dichlorophenyl)amino]-7-Chloro-5,8-Quinoline-dione Treatment of Candidiasis in Normal Mice

  • Ryu, Chung-Kyu;Kim, Dong-Hyun;Lee, In-Kyung;Kim, Sung-Hee
    • Archives of Pharmacal Research
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    • 제19권3호
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    • pp.197-200
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    • 1996
  • 6-[(N-2,3-Dichlorophenyl)aminol-7-chloro-5,8-quinolinedione (RCK1 1) was tested for in vivo antifungal activities in the treatment of systemic infection with Canclicla albicans in normal mice compared with ketoconazole. The therapeutic potential of RCK11 had been assessed by evaluating their activities (survival rates) against systemic infections in normal mice. $ED_{50}$ of intraperitoneally administered RCK11 was $0.10\pm0.01 mg/kg$ but that of ketoconazole had $8.00\pm0.73 mg/kg$ respectively. When RCK11 was administered intravenously at the $ED_{50}$(0.10 mg/kg), the colony counts of Canoliola albicans in the liver after 7 days and 14 days were reduced as likely as ketoconazole at the $ED_{50}$ (8.00 mg/kg), and the better survival rates than ketoconazole were achieved after 14 days. The results suggest that RCK11 may be a potent antifungal agent.

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