• Title/Summary/Keyword: Lung parenchyma

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A literature study of pediatric pneumonia in traditional chinese medicine (소아폐렴(小兒肺炎)의 한의학적(韓醫學的) 연구(硏究)에 대한 고찰(考察) -중의학(中醫學) 문헌(文獻)을 중심(中心)으로-)

  • Kim, Jang-Hyun;Kwon, Hyuk-Ran
    • The Journal of Pediatrics of Korean Medicine
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    • v.17 no.1
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    • pp.99-115
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    • 2003
  • Pneumonia is an acute or recurrent infection of the parenchyma of the lung causing cough, fever, and respiratory distress. Pneumonia was named 'Feiyanchuansou(肺炎喘嗽)' in chinese medicine. This study was progressed for oriental medical treatment for pediatric pneumonia in china. The purpose of this study is current oriental medical approach to pediatric pneumonia In this study, the authors tried to figure out the cause of the pediatric pneumonia and its treatment and came to the conclusion as follows: 1. The study for pediatric pneumonia consists of basic, clinical and experimental study. 2. Basic study consists of etiology and pathogenesis(病因病耭), the rule of treatment(治療原則) and method of treatment(治法). 3. Clinical study consists of symptoms-based treatment(辨證論治), adequate prescription treatment(專病專方), acupuncture(鍼灸治療), and western diagnosis based treatment. 4. The majority of experimental study was pharmacology that consists of antiviral and antibacterial effect, removing heat(淸熱), releasing pulmonary qi(宣肺), dissipating phlegm(化痰).

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A Case of Pulmonary Cryptococcosis in an Immunocompetent Male Patient Diagnosed by a Percutaneous Supraclavicular Lymph Node Biopsy

  • Sung, Ji Hee;Kim, Do Hoon;Oh, Mi-Jung;Lee, Kyoung Ju;Bae, Young A;Kwon, Kye Won;Lee, Seung Min;Kang, Ho Joon;Choi, Jinyoung
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.276-280
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    • 2015
  • Cryptococcal pneumonia usually occurs in immunocompromised patients with malignancy, acquired immune deficiency syndrome, organ transplantations, immunosuppressive chemotherapies, catheter insertion, or dialysis. It can be diagnosed by gaining tissues in lung parenchyma or detecting antigen in blood or bronchoalveolar lavage fluid. Here we report an immunocompetent 32-year-old male patient with diabetes mellitus diagnosed with cryptococcal pneumonia after a ultrasound-guided percutaneous supraclavicular lymph node core needle biopsy. We treated him with fluconazole at 400 mg/day for 9 months according to the guideline. This is the first case that cryptococcal pneumonia was diagnosed from a percutaneous lymph node biopsy in South Korea.

Pulmonary carcinoid tumor presented with recurrent pneumonia in adolescence (반복되는 폐렴으로 내원한 청소년기 폐 칼시노이드 종양)

  • Park, Eun Sil;Park, Ji Suk;Seo, Ji-Hyeon;Lim, Jae Young;Lee, Joung Hee;Ko, Gyung Hyuck
    • Clinical and Experimental Pediatrics
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    • v.49 no.7
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    • pp.805-809
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    • 2006
  • The incidence of endobronchial tumor in the pediatric period is very rare and the symptoms are very close to those of respiratory tract infection. Diagnosis can be delayed because of low clinical suspicion and the many ways in which these tumors can present. We report the first case, in Korea, of a pulmonary carcinoid tumor that presented with recurrent pneumonia at the same location in adolescence. Treatment is surgical and geared towards complete resection while sparing healthy lung parenchyma. Long-term and careful follow up is recommended to detect local and distant metastasis.

An Outbreak of Porcine Pleuropneumonia in Korea (돼지 흉막폐렴(胸膜肺炎)의 발생(發生))

  • Lee, Hyun-beom;Lee, Keun-woo;Park, Hoo-yeol;Kwon, Oh-deog
    • Korean Journal of Veterinary Research
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    • v.24 no.1
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    • pp.99-104
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    • 1984
  • Authors observed an outbreak of porcine pleuropneumonia at a piggery in Gyeongbug, Korea, which were diagnosed on the ground of clinical and pathological findings with the following results. 1. One hundred and forty weanlings out of 200 ones died suddenly without noticiable signs during the period of 15 days. All of the dead pigs showed formy, blood-tinged discharge from the nose and mouth. 2. Main clinical findings observed from 60 alive pigs from group consisted of fever, cyanosis severe degree of dyspnea and pleuritic friction rub. 3. On hematological observation for typical 5 cases leukocytes showed marked degenerative left shift with leukopenia (10500-13070/cmm), neutropenia (7-13%) and increase in the number of band neutrophils (6-27%). 4. The most prominent and constant pathological changes observed at necropsy for dead or alive pigs consisted of fibrinous pleurisy with partial adhesion, overlying of the pulmonary surface with fibrinous menbrane and necrotic pneumonic lesions with marked edema and congestion of lung parenchyma. 5. From these results the outbreak was considered to be typical porcine pleuropneumonia, although no bacteriological isolation was attempted.

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Multicystic Pulmonary Parenchymal Lesions in a Young Adult with Hemoptysis (폐실질내 다발성 낭종으로 발현한 기관지기원낭)

  • Choi, Kyoung A;Koh, Won-Jung;Lee, Kyung Soo;Han, Joungho;Kim, Kwhanmien
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.1
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    • pp.71-73
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    • 2007
  • Bronchogenic cysts are commonly located in the mediastinum or lung parenchyma, and arise from the abnormal budding of the primitive tracheobronchial tube. Cough and pain are the most common symptoms. Bronchogenic cysts appear as spherical or oval masses with smooth outlines and are usually unilocular and noncalcified. We report a young adult with a bronchogenic cyst presenting as multicystic pulmonary parenchymal lesions. This case is very unusual because a multicystic intrapulmonary bronchogenic cyst is very rare in adults.

Septicemic colibacillosis accompanied by white-spotted kidney in a calf (White-spotted kidney가 동반된 송아지의 패혈증성 대장균증)

  • Yoon, Soon-Seek;Bae, You-Chan;Lee, Hee-Soo;Yang, Dong-Kun;Kwon, Yong-Kuk;Han, Hong-Ryul
    • Korean Journal of Veterinary Research
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    • v.45 no.1
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    • pp.99-103
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    • 2005
  • We report septicemic colibacillosis accompanied by white-spotted kidney in a 30-day old female Holstein-Friesian dairy calf. Grossly, there were numerous white spots sized average 0.5cm in diameter in both kidneys. When sectioned sagittally, there were radially oriented gray streaks extending outward and reaching the renal cortex. The renal papillae were ulcerated, white to gray in color and very friable. Histologically, there was extensive purulent inflammation characterized by severe neutrophilic cellular infiltrations in the tubular lumens and interstitia. In addition, massive coagulative necrosis were found in the apices of papillae. Numerous Gram-negative bacterial colonies were detected in both of the renal and lung tissues. Beta-hemolytic Escherichia coli (E. coli) was purely isolated from the renal parenchyma, peritoneal surface and pleural surface. Based on the above results, we suggest that the generalized septicemia with pyelonephritis may be oriented from the lower urinary tract infection with E. coli in this case.

Occult Papillary Thyroid Carcinoma Presenting as a Metastatic Pleural Effusion (전이성 흉수로 발현된 잠재성 유두상 갑상선암)

  • Lee, Kye-Young;Myong, Na-Hye;Kim, Keun-Yeol
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.4
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    • pp.594-599
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    • 1995
  • Although papillary carcinoma of the thyroid generally follows an indolent course characterized by slow growth and the absence of distant metastases, several available reports suggest that metastasis to bone and/or lung parenchyma may occur infrequently. But pleural metastases are known to be very rare, so there have been only two case reports about the pleural metastases of papillary thyroid carcinoma in the literatures. Even the case of occult papillary thyroid carcinoma presenting as a metastatic pleural effusion has been never been reported. Recently we experienced a case with the chief complaint of dyspnea due to massive pleural effusion, the cytologic examination of which revealed the papillary carcinoma with psamomma bodies. The examination of the thyroid revealed no definite primary tumor. The total thyroidectomy was done with the plan of post-operative radioactive iodine treatment and the pathologic result confirmed the occult papillary microcarcinoma as expected. With the present case report, the extension of the clinical spectrum. of metastatic papillary carcinoma of the thyroid is expected.

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A Case of Congenital Bronchial Atresia with Mucocele (성인에서 발견된 점액류를 동반한 선천성 기관지 폐쇄증 1예)

  • Park, Chul-Young;Kang, Hong-Mo;Kim, Soo-Joong;Han, Min-Soo;Yoo, Jee-Hong
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.2
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    • pp.451-456
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    • 1998
  • Bronchial atresia is a rare congenital anomaly characterized by a bronchocele resulting from a mucus-filled, blindly-terminating segmental or lobal bronchus, and hyperinflation of the obstructed segment of lung. Characteristically, the patient is young and asymptomatic but has an abnormal chest roentgenogram. The only physical finding may be decreased breathing sounds over the affected parenchyma. We experienced a case of bronchial atresia with mucocele in adult So we report it with a review of the literature.

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Bronchogenic Cyst of the Right Hemidiaphragm Presenting with Pleural Effusion

  • Kim, Jae-Bum;Park, Chang-Kwon;Kum, Dong-Yoon;Lee, Deok-Heon;Jung, Hye-Ra
    • Journal of Chest Surgery
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    • v.44 no.1
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    • pp.86-88
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    • 2011
  • Bronchogenic cysts are developmental foregut anomalies usually located within the mediastinum or lung parenchyma. An isolated bronchogenic cyst of the diaphragm is very rare. Our case was a 56-year-old female patient who presented with pleuritic chest pain in her right chest. Chest and abdominal computed tomography revealed a large lobulated cystic mass that was accompanied with pleural effusion in the right lower hemithorax. The tumor showed focally calcified areas in the wall and abutted against the diaphragm. We performed complete excision of the cyst including a portion of the diaphragm attached to it. The pathological diagnosis was established as the bronchogenic cyst originating from the diaphragm. We report this case with a review of the literature.

A case of Atypical pneumonia with Pleural effusion (흉막삼출액을 동반한 비정형 폐렴환자 치험 1례)

  • Kim, Seung-Uk;Moon, Seong-Ho;Heo, Young-Ran;Han, I-Su;Choi, Jun-Hyuk;Lim, Seong-Woo;Son, Jeong-Suk
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.489-494
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    • 2001
  • Pneumonia is the disease caused by inflammation of lung parenchyma. Major symptoms of pneumonia are fever, cough, etc and consolidation is seen in chest x-ray. When pleurisy gets in complication of pneumonia, pleural effusion occurs. Also chest pain occurs by pleurisy. Gyulhyung is the disease of which major symptom is chest pain. Sugyulhyung from in Gyulhyung, the water sound is audible from the flank side the fact that as Sugyulhyung. Symptom of Gyulhyung is similar to that of pneumonia. We diagnosed this case as Gyulhyung and administrated Banhabogryeongtang to patient. As result, there is remarkable Improvement in symptom and chest x-ray.

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