• 제목/요약/키워드: Liver, infection

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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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임상적용을 위한 한국산 잡견에서의 실험적 심장및 심폐 이식술 (Studies on the Experimental Heart and Heart-Lung Transplantation in the Mongrel Dogs for the Purpose of Clinical Application)

  • 이정렬
    • Journal of Chest Surgery
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    • 제25권5호
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    • pp.458-468
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    • 1992
  • With the aid of extracorporeal circulation, nine dogs underwent orthotopic cardiopulmonary transplantation after preservation of the donor heart in a hypothermic amino acid[glutamate, aspartate] enriched high potassium extracellular solution, and preservation of the donor lung with hypothermic low potassium dextran solution from June 1990 to May 1991. The mean body weights of dogs were 20kg and the recipients` preoperative hematologic and hemodynamic pictures were within normal range except slightly decreased level of albumin and total protein, which was supposed to be due to malnutrition. The following modifications of the original Stanford technique were emphasized: [1] the posterior mediastinum is dissected as little as possible with meticulous hemostasis; [2] the surgical procedure is kept away from the phrenic and vagus nerves; [3] the tracheal anastomosis may be wrapped with recipient`s pulmonary artery flap or surrouding soft tissues. A combination of Cyclosporine, Azathioprine, corticosteroid was used as perioperative immunosuppressive therapy. Postoperatively all recipients could be weaned from extracorporeal circulation, showing favorable vital signs, but within 24 hours, irreversible congetive heart failure, ascites, arrhythmias developed with a mean survival time 13.6$\pm$6.6[n=9, range=6~26] hours. Hemoglobin and platelet counts were significantly[p<0.05] decreased postoperatively, which is thought to be attributed to blood damage by cardiopulmonary bypass and hemodilution. Postmortem finding included multiple subendocardial patch hemorrhage in both atrial and ventricular cavities, pulmonary and liver congestion, and all tracheal anastomoses were intact. Further consideration about quality control of the animal, infection, rejection, the effect of cardiopulmonary bypass on the experimental animal is required to improve the results.

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부분 간조사만을 시행받은 환자에서의 B형 간염바이러스의 재활성화: 증례보고 (Hepatitis B Virus Reactivation after Partial Hepatic Irradiation Alone: A Case Report)

  • 김보경
    • Radiation Oncology Journal
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    • 제28권2호
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    • pp.106-110
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    • 2010
  • B형 간염바이러스의 재활성화는 세포독성치료 및 면역억제치료를 시행 받은 만성 B형 간염 환자 및 보균자들에서 잘 알려진 합병증이다. 방사선치료의 경우, B형 간염바이러스 재활성화에 대한 연구는 그 수가 적으며, 대개 이전에 항암화학요법 또는 경동맥화학색전술을 시행 받은 환자를 포함한다. 간의 방사선조사만을 시행 받은 환자에서의 B형 간염바이러스의 재활성화에 대한 연구는 보고된 바 없으며, 이에 본 증례를 보고한다. 본 연구를 통하여, 간의 국소방사선조사 단독으로 B형 간염바이러스의 재활성화 유발의 가능성을 확인하였으며, 따라서, 간을 포함한 방사선조사 시 B형 간염관련 간질환 환자의 경우 방사선 관련 간질환뿐 아니라 바이러스의 재활성화에 대한 고려도 요구된다.

사람 치수염 병소에서 분리된 Streptococcus intermedius ChDC B718의 유전체 염기서열 해독 (Complete genome sequence of Streptococcus intermedius ChDC B718 isolated from a human pulpitis lesion)

  • 박순낭;노한성;임윤경;국중기
    • 미생물학회지
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    • 제53권2호
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    • pp.131-133
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    • 2017
  • Streptococcus intermedius는 그람 양성이면서, 통성 혐기성, 비스포아형성 및 운동성 구균이다. S. intermedius는 사람의 구강 내 정상세균총의 하나이고, 치근관 감염, 호흡기 감염, 감염성 심내막염, 뇌 낭종 및 간 낭종이 있다. S. intermedius ChDC B718 (= KCOM 1545) 균주가 사람 치수염 병소에서 분리되었다. S. intermedius KCOM 1545 균주 유전체 염기서열을 해독하여 보고한다.

Esophageal Stricture Secondary to Candidiasis in a Child with Glycogen Storage Disease 1b

  • Lee, Kyung Jae;Choi, Shin Jie;Kim, Woo Sun;Park, Sung-Sup;Moon, Jin Soo;Ko, Jae Sung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제19권1호
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    • pp.71-75
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    • 2016
  • Esophageal candidiasis is commonly seen in immunocompromised patients; however, candida esophagitis induced stricture is a very rare complication. We report the first case of esophageal stricture secondary to candidiasis in a glycogen storage disease (GSD) 1b child. The patient was diagnosed with GSD type 1b by liver biopsy. No mutation was found in the G6PC gene, but SLC37A4 gene sequencing revealed a compound heterozygous mutation (p.R28H and p.W107X, which was a novel mutation). The patient's absolute neutrophil count was continuously under $1,000/{\mu}L$ when he was over 6 years of age. He was admitted frequently for recurrent fever and infection, and frequently received intravenous antibiotics, antifungal agents. He complained of persistent dysphagia beginning at age 7 years. Esophageal stricture and multiple whitish patches were observed by endoscopy and endoscopic biopsy revealed numerous fungal hyphae consistent with candida esophagitis. He received esophageal balloon dilatation four times, and his symptoms improved.

In Vitro and in Vivo Antifungal Activities of 6-[(N-4-bromophenyl)amino]-7-chloro-5,8-quinolinediones

  • Ryu, Chung-Kyu;Kim, Dong-Hyun;Kwon, Sang-Mee;Jung, Sung-Hee;Kim, Sung-Hee
    • Archives of Pharmacal Research
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    • 제20권6호
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    • pp.586-589
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    • 1997
  • Antifungal activities of 6-[(N-4-bromophenyl)amino]-7-chloro-5,8-quinolinedione (RCK7) were tested. The MIC values of RCK7 were determined for antifungal suceptibility, in vitro against Aspergillus niger, Cryptococcus neoformans and Trichophyton mentagrophyte by standard agar streak method. In vitro, RCK7 showed more potent antifungal activity than fluconazole and ketoconazole. Also, RCK7 was tested for in vivo antifungal activity in the treatment of systemic infection with Candida albicans in normal mice. The therapeutic potential of RCK7 had been assessed by evaluating their survival rate against systemic infections compared with that of ketoconazole. $ED_{50}$ of intraperitoneally administered RCK7 ws $2.05{\pm}0.30mg/kg$ but that of ketoconazole was $8.00{\pm}0.73 mg/kg$, respectively. When RCK7 was administered intravenously at the $ED_{50}$(2.05 mg/kg). the colony counts of Candida 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's were achieved after 14 days. The results suggest that RCK7 may be a potent antifungal agent.

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C-Reactive Protein a Promising Biomarker of COVID-19 Severity

  • Fazal, Muntaha
    • 대한임상검사과학회지
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    • 제53권3호
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    • pp.201-207
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    • 2021
  • The 2019 coronavirus outbreak poses a threat to scientific, societal, financial, and health resources. The complex pathogenesis of severe acute respiratory syndrome coronavirus centers on the unpredictable clinical progression of the disease, which may evolve abruptly and result in critical and life-threatening clinical complications. Effective clinical laboratory biomarkers that can classify patients according to risk are essential for ensuring timely treatment, and an analysis of recently published studies found cytokine storm and coagulation disorders were leading factors of severe COVID-19 complications. The following inflammatory, biochemical, and hematology biomarkers markers have been identified in COVID-19 patients; neutrophil to lymphocyte ratio, c-reactive protein, procalcitonin, urea, liver enzymes, lactate dehydrogenase, serum amyloid A, cytokines, d-dimer, fibrinogen, ferritin, troponin, creatinine kinase, and lymphocyte, leukocyte, and platelet counts. These factors are predictors of disease severity and some are involved in the pathogenesis of COVID-19. CRP is an acute-phase, non-specific serological biomarker of inflammation and infection and is related to disease severities and outcomes. In the present study, CRP levels were found to rise dramatically among COVID-19 patients, and our findings suggest CRP could be utilized clinically to predict COVID-19 prognosis and severity even before disease progression and the manifestation of clinical symptoms.