• Clinical and Experimental Pediatrics
• /
• 제54권10호
• /
• pp.425-428
• /
• 2011

Ornithine transcarbamylase (OTC) deficiency is well known as the most common inherited disorder of the urea cycle, and 1 of the most common causes of hyperammonemia in newborns. We experienced a case of a 3-day-old boy with OTC deficiency who appeared healthy in the first 2 days of life but developed lethargy and seizure soon afterwards. His serum ammonia level was measured as > $1,700{\mu}g/dL$ (range, 0 to $45{\mu}g/dL$). Continuous renal replacement therapy (CRRT) in the mode of continuous venovenous hemodiafiltration was immediately applied to correct the raised ammonia level. No seizure occurred after the elevated ammonia level was reduced. Therefore, CRRT should be included as 1 of the treatment modalities for newborns with inborn errors of metabolism, especially hyperammonemia. Here, we report 1 case of successful treatment of hyperammonemia by CRRT in a neonate with OTC deficiency.

• 대한임상독성학회지
• /
• 제16권1호
• /
• pp.42-48
• /
• 2018

Purpose: On November 15, 2012, sales of OTC (Over-The-Counter) drugs began at convenience stores, which changed the accessibility of some drugs. As a result, the exposure and access patterns of these drugs could have changed. In this study, we reviewed the changes in the characteristics of drug poisoning patients because of the reposition of nonprescription drugs according to the revised Pharmaceutical Affairs Act. Methods: A retrospective study was conducted to evaluate changes in characteristics of drug poisoning patients between 2008 and 2016. A registry was developed by an emergency medical center in a local tertiary teaching hospital, and patients who visited the center were enrolled in this registry. We compared two periods, from 2008 to 2012 (Pre OTC) and from 2013 to 2016 (Post OTC), for type of intoxicant, time from poisoning to visiting the emergency center, intention, psychiatric history, previous suicidal attempt, alcohol status, and emergency room outcomes. The primary outcome was the number of patients who took acetaminophen and NSAIDs (nonsteroidal anti-inflammatory drugs). Secondary outcomes were ICU admission rate, mortality rate, and number of patients who visited the ER when the pharmacy was closed after taking acetaminophen and NSAIDs (nonsteroidal anti-inflammatory drugs). Results: Among 1,564 patients, 945 and 619 patients visited the emergency room during pre and post OTC periods. The number of patients with acetaminophen and NSAIDs poisoning decreased from 9.2% to 6.1% (p=0.016). The ICU admission rate and mortality rate in the emergency room did not show significant results in the relevant patient groups, and so was the number of patients visiting ER when the pharmacy was closed taking acetaminophen and NSAIDs. Conclusion: Despite the sales of nonprescription drugs at convenience stores, the number of acetaminophen and NSAIDs poisoning patients decreased.

• 대한임상독성학회지
• /
• 제11권1호
• /
• pp.19-22
• /
• 2013

Dextromethorphan and chlorpeniramine are common ingredients of over-the-counter (OTC) cough pills. They are known to be safe when used alone, however, combination with other serotonergic drugs or use of an overdose can cause serotonergic toxicity. We report on a 43-year-old male and a 57-year-old female who ingested an overdose of antitussive drugs containing dextromethorphan and chlorpeniramine. They commonly presented with altered mentality and hyperreflexia on both upper and lower extremities. After conservative therapies, they were discharged with alert mentality. These cases are meaningful in that there are few cases of serotonin syndrome with an overdose of a combination of dextromethorphan and chlorpeniramine. Careful use with medication counseling for OTC cough pills is needed in order to prevent overdose of these ingredients.

• 대한불안의학회지
• /
• 제3권1호
• /
• pp.41-45
• /
• 2007

Objective : The present study investigates patterns of consumption of alcohol, cigarettes, and over the counter drugs (OTC) in Korean patients with PTSD and psychiatric patient controls and healthy controls from multicenter hospital samples. Method : Data were collected from 18 hospitals nationwide. Patients with PTSD were compared with nonpsychotic psychiatric disorders control and healthy control subjects on psychometric measures of consumption of alcohol, cigarettes, and OTC drugs. Result : Ninety-three patients with PTSD, 73 patients with psychiatric disorders control, and 88 healthy control subjects were enrolled. There were significant differences in the frequency of alcohol drinking among the three groups ($X^2$=12.93, df=6, p=0.044). Only 3.2% of healthy control subjects drank alcohol more than 4 times a week, but 43.9% of PTSD group and 46.5% of mental disorder controls drank alcohol more than 4 times a week, respectively. Regarding cigarette smoking, there were no differences among the three groups. There were significant differences in uses of OTC drugs among the three groups; 16.7 % in the PTSD group, 14.9% in the psychiatric control group and 1.3% in the heath control group, respectively ($X^2$=11.31, df=2, p=0.004). Conclusion : In this study, patients with PTSD showed significant differences in the frequency of consumption of alcohol and OTC drugs, as compared with healthy controls. However, there were no differences between the PTSD and psychiatric patient control groups. Since all subjects were enrolled from hospital based sample, results may differ in the community samples. Further studies will be needed for the evaluation of substance uses in these groups.

• 한국어병학회지
• /
• 제5권2호
• /
• pp.135-142
• /
• 1992

새로운 수산용 항생제로서 사용이 증가되고 있는 OX의 흡수 및 배설속도를 측정하고 수온, 급이등의 외적 환경이 이들 속도에 미치는 영향을 평가하였다. 동시에 OTC에 대비한 OX의 항균성 그리고 어류 혈장내 단백질과의 결합도 비교검토하였다. OX는 조사된 13균주중 11균주에 대해 OTC보다 10배이하의 낮은 MIC치를 보였고 향어나 틸라피아의 혈장내 단백질과의 complex 형성에 의한 역가 감소도 OTC에 비교해서 나타나지 않아 일반적인 세균성어병의 치료제로서 OTC 보다 우수한 것으로 나타났다. 향어에의 OX 투여를 경구, 근육주사, 정맥주사, 약욕등의 방법으로 실시하여 혈중 농도를 비교 측정하였을 때, i.v와 약욕법은 높은 초기 혈중 농도와 빠른 배설 속도를 보였다. 경구 투여와 근육 주사시는 24~28시간 후 최고 혈중 농도에 도달하고 이후 천천히 배설되었으며, 특히 i.m 투여에서의 OX bioavailability는 경구 투여보다 높게 나타났다. 이러한 약동력학적인 특성은 수온이 $30^{\circ}C$와 $20^{\circ}C$에서 차이를 보이지 않았으나 2주일 절식을 시킨 향어에 약욕방법으로 항생제 투여를 하면 절식어에서의 초기 혈중 농도가 정상급이어에 비해 훨씬 낮게 나타나 어류 표피나 아가미의 생리 활성도에 따른 항생제의 흡수율 변화를 추정케 해 주었다.

• 한국응용과학기술학회지
• /
• 제27권1호
• /
• pp.37-43
• /
• 2010

The objective of this study was to evaluate the antifungal properties of xanthorrhizol (extract from curcuma xanthorrhiza) against Candida albicans. Some of the commercial products were evaluated for their ability to inhibit growth of C. albicans. OTC product containing povidone iodide and cosmetic grade product with surfactants were tested. Antifungal activity was shown in 1.56% of OTC product, however, there was no antifungal effect in cosmetic product. For the comparison, we tested several materials. Povidone iodide, lemon tea tree oil and xanthorrhizol showed antifungal activities against C albicans in 0.25, 0.062 and 0.007%, respectively. We also tested the antifungal effects of povidone iodide and xanthorrhizol in surfactant base. Test results revealed that 2.5% of povidone iodide and 0.156% of xanthorrhizol showed similar antifungal effects. These findings support the application of xanthorrhizol for vaginal cleanser or personal cares using antifungal effect.

• 한국어병학회지
• /
• 제19권3호
• /
• pp.267-276
• /
• 2006

제주도내 양식넙치 병어에서 분리된 연쇄상구균 75균주의 항균제에 대한 감수성 경향 및 내성균 출현빈도를 조사하고 다재내성 균주로부터 전이성 R plasmid를 검출하였다. 넙치 병어에서 분리된 모든 연쇄상구균은 flumequine (AR)과 oxolinic acid (OA)에 대하여 저항성이었으며, 그 중 30균주 (41%)는 ampicillin (ABPC), doxycycline (DOXY), erythromycin (EM), norfloxacine (NFLX), oxyteracycline (OTC)의 약제에 대하여 다양한 조합으로 동시내성을 나타내었다. AR과 OA를 포함하여 4～6약제에 대하여 다재내성을 보인 균주는 26주였다. 연쇄상구균의 다재내성 전이에 관여하는 R plasmid인 pST9와 DNA구조가 유사한 plasmid의 분포를 알아보기 위하여 60 분리 균주에 대한 colony 혼성화를 실시하였다. 그 결과 13 분리균에서 혼성화 양성반응이 나타났으며 생사료의 원료로 사용되는 양치와 고등어에서도 양성반응이 나타남으로써 동일 DNA구조의 plasmid가 분포함을 시사하였다. 혼성화 양성반응을 보인 13균주로부터 전이성 R plasmid를 검출하기 위하여 conjugation을 실시하였다. OTC, DOXY, EM에 대한 항균제 내성 marker인 Otc, Doxy, Em은 R plasmid에 의하여 수용균인 Streptococcus sp.로 전이가 이루어졌다. 또한 이들 전이성 R plasmid를 보유하고 있는 연쇄상구균들이 동일 분류군에 속하는지를 알아보기 위하여 RAPD pattern을 분석하였다. 내성균주들의 RAPD pattern은 모두 유사하였으며, Streptococcus iniae type의 RAPD pattern (Kim and Kim, 2003)은 나타나지 않았다. 그러므로 pST9와 동일 DNA 구조의 R plasmid는 S. iniae에서의 출현빈도가 매우 낮을 것으로 예상되었다.

• 대한유전성대사질환학회지
• /
• 제3권1호
• /
• pp.32-37
• /
• 2003

저자들은 반복적이며 간헐적인 기면, 정신착란과 운동실조를 주소로 내원한 6세 여아에서, 고암모니아혈증과 혈장 glutamine, 요 orotic acid의 증가를 보여 지발형 OTC 결핍증으로 진단하고, 분자유전학적 검사상 exon 6에서 221번째 아미노산 lysine에 해당하는 염기 AAG가 AAT(asparagine)로 치환된 돌연변이를 이형접합자(heterozygote)로 보인하였던 1례를 경험하였기에 보고하는 바이다.

• Journal of Preventive Medicine and Public Health
• /
• 제32권2호
• /
• pp.170-176
• /
• 1999

본 연구는 EMT-6 세포를 이용하여 무기수은, 유기수은 및 카드뮴의 세포독성에 대한 glutathione(GSH)의 방어효과를 알아보고자 하였다. 무기수은, 유기수은 및 카드뮴을 첨가한 배양조건에서 EMT-6 세포의 세포생존율, ${NO_2}^-$ 및 ATP 생성량은 첨가한 중금속의 농도가 증가할수록 용량의존적으로 감소하였다. GSH, OTC 및 BSO를 단독 첨가한 배양조건은 세포의 세포생존율과 NO2- 및 ${NO_2}^-$ 생성량에 영향을 주지 않았다. 수은화합물 및 카드뮴과 GSH를 동시 첨가한 배양조건에서는 세포생존율이 90% 이상 유지되었고, ${NO_2}^-$ 및 ATP 생성량은 기본배양조건과 비슷한 수준으로 나타났다. $16{\mu}M$의 무기 및 유기수은과 $160{\mu}M$의 카드뮴을 첨가한 실험조건에 GSH를 동시 첨가했을 경우 방어효과는 GSH의 농도에 따라 용량의존적으로 증가하였다. 세포내에서 수은 및 카드뮴의 세포독성에 대한 GSH역할을 알아보고자 GSH, OTC, BSO 전처리 실험을 한 결과, GSH의 전처리는 이들이 세포막을 통과하지 못하기 때문에 대조군과 비슷한 양상으로 나타난 반면에 BSO를 전처리한 군에서는 세포내 GSH 농도의 감소로 수은의 세포 독성이 증가하여 대조군에 비하여 ${NO_2}^-$와 ATP 생성량이 현저히 감소하였다. 또한 세포내 GSH의 농도를 증가시키는 OTC를 전처리한 결과 수은의 독성에 대한 방어효과가 시간 및 용량 의존적으로 현저하게 증가하였다. 이러한 실험결과는 수은의 세포독성에 대한 GSH의 방어효과가 GSH 세포내 농도와 밀접한 관련이 있음을 간접적으로 보여주고 있다. 본 연구의 결과는 수은 및 카드뮴의 독성에 대한 GSH의 방어작용이 단순히 -SH기와 중금속의 결합에 의한 결과가 아니라 세포내에서 GSH 분자가 갖는 고유의 기능으로 판단되며, 특히 중금속에 의한 에너지대사의 장애를 GSH가 회복시킬 수 있음을 보여준다.

• 대한임상독성학회지
• /
• 제5권1호
• /
• pp.53-56
• /
• 2007

Nicotine poisoning arising from the use of nicotine patches is rare. However, because nicotine patches are classified as an OTC drug, the risk of misuse or abuse is increasing. Nicotine poisoning using nicotine patches shows an unusual clinical presentation compared to that from oral ingestion of multiple doses of nicotine. We present a case of misused nicotine patches that cause a nicotine poisoning. A thirty-nine year-old healthy man visited the ER with complaints of an intermittent cramping abdominal pain with nausea and vomiting. Upon physical examination, there were no specific findings except increased bowel sounds, and the patient's initial laboratory findings were also unremarkable except for an increased bilirubin level. CT revealed a mild degree of fatty liver. The patient's symptoms did not improve any further with conservative management. During his ED stay, we meticulously took his history again, and we discovered that he had used nicotine patches for three days, six days before admission, and had misused the nicotine patches as NSAID patches. The patient's diagnosis of nicotine poisoning was confirmed by a urine cotinine level ten times the normal value. After a 12-hour stay in the ED, his symptoms disappeared without any specific management.