• 제목/요약/키워드: Septic

검색결과 393건 처리시간 0.028초

초음파에서 단순 심경부 감염증으로 오인하여 흡인치료를 시도한 내경정맥 혈전정맥염 (레미에르 증후군) 1례 (A Case of Lemierre's Syndrome, Misdiagnosed as a Simple Deep Neck Infection on Initial Ultrasonography Followed by an Abscess Aspiration Trial)

  • 이동연;김상빈;반명진
    • 대한두경부종양학회지
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    • 제35권2호
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    • pp.31-34
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    • 2019
  • Lemierre's syndrome is rare disease characterized by anaerobic sepsis, internal jugular vein thrombosis, septic emboli that resulted from head and neck infection. Lemierre's syndrome has significant morbidity, so immediate, accurate diagnosis and treatment is needed. It is necessary to perform contrast-enhanced computed tomography (CT) for diagnosis. Systemic antibiotics is recommended, and surgical interventions, anticoagulation may beis considered for treatment. We report misdiagnosed case as a simple deep neck infection on initial ultrasonography with simultaneous abscess aspiration but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre's syndrome) on CT scan. We report a case of a 45-year-old patient, who was diagnosed with a simple deep neck infection and treated with simultaneous abscess aspiration, but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre's syndrome) on CT scan.

흉부식도 파열에 대한 외과적 치험 - 4례 보고 - (Surgical managements of Thoracic Esophageal Rupture - 4 Cases Reports -)

  • 진웅;박재길;이선희;곽문섭
    • 대한기관식도과학회지
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    • 제5권1호
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    • pp.14-21
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    • 1999
  • Perforating injury of the thoracic esophagus leads to an almost Immediate exposure of the mediastinum to both oral secretions and refluxed gastric contents. And necrotizing inflammatory response developed inevitably. So, without proper managements, mediastinitis results in severe dehydration or septic conditions, and consequently the life of the patient can be threaten. We experienced recently 4 cases of esophageal perforation. Three cases were Boerhaave's syndromes and the other one was instrumental perforation in patient with corrosive esophageal stricture. Curative surgical procedures were done in 3 cases and the drainage procedure was only possible in the other one due to hepatic failure. And the patient with the drainage management was dead.

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침습성 폐 아스페르길루스증을 동반한 급성 간질성 폐렴 1예 (A Case of Acute Interstitial Pneumonia with Invasive Pulmonary Aspergillosis)

  • 이영민;윤혜경;김주인
    • Tuberculosis and Respiratory Diseases
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    • 제52권1호
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    • pp.62-69
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    • 2002
  • 저자들은 호흡곤란을 주소로 내원한 환자에서 미만성 간질성 폐질환 의심하에 고용량의 부신 피질 호르몬제 투여도중 폐병변 악화로 흉강경을 이용한 폐생검을 실시하여 침습성 폐 아스페르길루스증을 동반한 급성 간질성 폐렴을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Community-Acquired Acinetobacter 폐염 1예 (A Case of Community-Acquried Acinetobacter calcoaceticus Pneumonia)

  • 유병무;임병성;최완영;신동호;박성수;이정희;최태열
    • Tuberculosis and Respiratory Diseases
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    • 제38권1호
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    • pp.53-58
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    • 1991
  • Acinetobacter calcoaceticus var anitratus, a non-fermentative gram negative bacillus, has been infrequently reported as a cause of community-acquired pneumonia. Bacteremic community-acquired pneumonia caused by Acinetobacter is a fulminant disease with a high mortality (above 40 per cent in the reported case). The onset of the illness is rapid but nonspecific with fever, productive cough, pleuritic pain and rapid prostration. And the patients frequently present with respiratory distress, severe hypoxemia, leukopenia and septic shock. We experienced a case of community-acquired Acinetobacter pneumonia who underwent respiratory support with mechanical ventilator for about 4 weeks and survived. We report the case with review of literature.

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소장의 국한적 원발성염전 2례 보고 (Primary Segmental Volvulus of the Small Bowel -Report of 2 Cases-)

  • 이명덕
    • Advances in pediatric surgery
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    • 제2권1호
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    • pp.46-52
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    • 1996
  • 일부 국가에서만 발병 예가 보고된 바 있는 신생아의 국한적인 원발성소장염전을 수술하여 생존시킨 2예를 보고하였다. 진단적인 소견은 갑자기 발병한 신생아 소장폐쇄 소견과 패혈증 및 1예에서만 보인 장관출혈 외에는 특기할 만 한 것이 없었으나 이러한 질환의 가능성을 염두에 두고 신속히 개복술을 시행함이 환자를 살리기 위하여 가장 중요한 점으로 판단되었다.

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화상감염 소아환자에서 분리된 주요 균종에 대한 항생제의 내성률 (Antimicrobial Resistance of Clinically Important Bacteria Isolated from Burn Wound Infections in Children)

  • 강주연;신혜순
    • 한국임상약학회지
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    • 제23권1호
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    • pp.20-25
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    • 2013
  • Background & Objectives: Burn injury mortality and septic complication are frequent and well-known in burned pediatric patients. The overuse of antibiotics is the base for development of wound infection by resistant microorganisms as well as opportunist agents. Methods: We have carried out a study of the bacterial profile and antimicrobial resistance clinically important bacteria isolated from burn wound infections in children patients. The most common isolate from burn wound cultures was Pseudomonas aeruginosa (26.8%), followed by Staphylococcus aureus (25.4%), Acinetobacter baumannii (12.7%), coagulase negative staphylococcus (12.0%), Enterococcus faecium (7.7%), Escherichia coli (4.9%), Enterococcus faecalis (3.7%), Burkholderia cepacia (3.0%), Enterobacter cloacae (2.3%) and Klebsiella pneumonia (2.3%). Colistin was very significantly effective drug in gram negative organism, such as Pseudomonas aeruginosa and Acinetobacter baumannii. Results & Conclusion: The resistance rates were 65% and 98% to piperacillin, 63% and 97% to ceftazidime, 28% and 50% to levofloxacin. The most effective antibiotic in gram positive organism, such as Staphylococcus aureus, coagulase negative staphylococcus were moxifloxacin. The resistance rates were 83% and 64% to ciprofloxacin, 80% and 17% to clindamycin.

전류검출 방식의 심정 펌프 센서리스형 다기능 컨트롤러 개발 (Development of a Sensorless Deep Well Pump Multi-function Controller using Current Detection Method)

  • 이인재;바스넷 버룬;천현준;방준호
    • 전기학회논문지
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    • 제66권7호
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    • pp.1149-1154
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    • 2017
  • In this paper, we propose a sensorless multi-function controller applicable for deep well water pumps using current detection method. The proposed system overcomes various drawbacks of existing sensored system and additional features like Over current protection function due to overload, Under current protection function for idling at low water level and Relay function for starting single phase motors and acts as a level indicator to detect water lever in real time by the current detection method. A prototype of the multi-function controller system is designed and all of its functions are tested in the laboratory. The application of the proposed controller ensures reduction in the power consumption and maintenance cost in the facilities like water and septic tanks, drainage and waste water system, oil and chemical tanks where deep well pumps are used.

개 고립 결절 형태의 소화기계 림프종에 대한 진단영상 1례 (Diagnostic Imaging for Solitary Nodular Form of Alimentary Lymphoma in a Dog)

  • 최지혜;김현욱;장재영;김혜진;김준영;윤정희
    • 한국임상수의학회지
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    • 제24권3호
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    • pp.467-472
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    • 2007
  • Alimentary lymphoma accounts for approximately 5% of neoplasm and diffuse lesion is more common than solitary nodular form in dogs. An eleven year-old male Yorkshire terrier was examined because of nonspecific gastrointestinal symptoms such as anorexia and vomiting for 10 days. An abdominal mass was palpated, which was originated from small intestinal wall in abdominal ultrasonography. Small intestine was obstructed by hypoechoic mass and lost normal layering and measured 24.5m. After fine-needle aspiration, septic peritonitis due to intestinal rupture occurred and emergency surgery was performed. Solitary mass was found in small intestine and diagnosed as alimentary lymphoma through histopathologic examination. Conclusively, abdominal ultrasonouaphy could verify the thickened bowel, loss of wall layering and decrease of motility and percutaneous ultrasound-guided fine-needle aspiration is considered as useful diagnostic technique, especially in nodular form of alimentary lymphoma.

사람 급성치수염에서 분리된 Streptococcus gordonii KCOM 1506의 유전체 염기서열 해독 (Complete genome sequence of Streptococcus gordonii KCOM 1506 isolated from a human acute pulpitis lesion)

  • 박순낭;노한성;임윤경;국중기
    • 미생물학회지
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    • 제53권2호
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    • pp.129-130
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    • 2017
  • Streptococcus gordonii는 그람 양성이면서, 통성 혐기성, 및 비운동성 구균이다. S. gordonii는 사람의 구강 내 정상세균 총의 하나이고, 치면 생체막 형성의 선구적 세균 종이다. S. gordonii는 감염성 심내막염과 패혈성관절염 뿐만 아니라 유치의 치수염에 연관이 있다. S. gordonii KCOM 1506 (= ChDC B679) 균주가 사람 급성치수염 병소에서 분리되었으며 그 유전체 염기서열을 해독하여 보고한다.

경구투여한 V. vulnificus 백신의 면역원성 및 감염방어효능 (Immunogenicity and Protective Efficacy of an Oral Vaccine against Vibrio vulnificus Infection)

  • 이나경;정상보;안보영;김영지;이윤하
    • Biomolecules & Therapeutics
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    • 제6권2호
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    • pp.191-198
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    • 1998
  • Vsrio vulnificus is an estuarine gram-negative human pathogen that affects people with chronic hepatitis, alcoholic cirrhosis, diabetes mellitus or other underlying diseases. V. vulnificus infection is mediated primarily by consumption of raw fish or by exposure of pre-existing wounds to seawater, causing permanent tissue damages or fatal septic shock. We have been developing a vaccine against V. vulnificus composed of whole cell Iysate of a V. vulnificus O-antigen serotype 4 strain. Oral administration of the V. vulnificus;oral vaccine;immunogenicity;protective efficacy vaccine elicited a high serum antibody response in rabbits. The induced antibodies were reactive not only to the homologous strain but also to heterologous O-antigen serotype strains, indicating cross-reactivities among serotypes. Western blot analysis revealed that the antibodies are mainly specific for outer membrane proteins (OMPs) and reacted equally well with OMPs purified from 9 O-antigen serotypes. The rabbit antisera showed opsonophagocytic killing activity against heterologous strains as well as the homologous strain. Passively transferred rabbit antisera into mice were protective against a lethal V. vulnificus infection. These data demonstrate that oral administration of the V. vulnificus vaccine induced a systemic antibody response which had a protective efficacy against V. vulnificus infections, suggesting that this vaccine preparation could be used to develop an oral vaccine against V. vulnificus.

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