• 제목/요약/키워드: internal medicine

검색결과 15,666건 처리시간 0.038초

Malignant Mesothelioma Diagnosed by Bronchoscopic Biopsy

  • Park, Yeon-Hee;Choi, Jae-Woo;Jung, Sang-Ok;Cho, Min-Ji;Kang, Da-Hyun;Chung, Chae-Uk;Park, Dong-Il;Moon, Jae-Young;Park, Hee-Sun;Jung, Sung-Soo;Kim, Ju-Ock;Kim, Sun-Young;Lee, Jeong-Eun
    • Tuberculosis and Respiratory Diseases
    • /
    • 제78권3호
    • /
    • pp.297-301
    • /
    • 2015
  • Malignant mesothelioma is a rare malignant neoplasm that arises from mesothelial surfaces of the pleural cavity, peritoneal cavity, tunica vaginalis, or pericardium. Typically, pleural fluid cytology or closed pleural biopsy, surgical intervention (video thoracoscopic biopsy or open thoracotomy) is conducted to obtain pleural tissue specimens. However, endobronchial lesions are rarely seen and cases diagnosed from bronchoscopic biopsy are also rarely reported. We reported the case of a 77-year-old male who was diagnosed as malignant mesothelioma on bronchoscopic biopsy from obstructing masses of the endobronchial lesion.

Pulmonary Toxocariasis Mimicking Invasive Aspergillosis in a Patient with Ulcerative Colitis

  • Park, Eun Jin;Song, Joon Young;Choi, Min Ju;Jeon, Ji Ho;Choi, Jah-Yeon;Yang, Tae Un;Hong, Kyung Wook;Noh, Ji Yun;Cheong, Hee Jin;Kim, Woo Joo
    • Parasites, Hosts and Diseases
    • /
    • 제52권4호
    • /
    • pp.425-428
    • /
    • 2014
  • A 45-year-old-male who had underlying ulcerative colitis and presented with fever and dry cough. Initially, the patient was considered to have invasive aspergillosis due to a positive galactomannan assay. He was treated with amphotericin B followed by voriconazole. Nevertheless, the patient deteriorated clinically and radiographically. The lung biopsy revealed eosinophilic pneumonia, and ELISA for Toxocara antigen was positive, leading to a diagnosis of pulmonary toxocariasis. After a 10-day treatment course with albendazole and adjunctive steroids, the patient recovered completely without any sequelae. Pulmonary toxocariasis may be considered in patients with subacute or chronic pneumonia unresponsive to antibiotic agents, particularly in cases with eosinophilia.

Early Stage Loeffler's Endocarditis Detected by Transthoracic Echocardiography

  • Kang, Min Kyu;Park, Won Jong;Jung, Sung Yun;Kim, Su Mi;Kwon, Tae Hun;Ryu, Young Ha;Son, Jang Won;Shin, Dong Gu
    • Journal of Yeungnam Medical Science
    • /
    • 제29권2호
    • /
    • pp.118-120
    • /
    • 2012
  • Loeffler's endocarditis involves progressive eosinophilic infiltration of the endocardium, which leads to apical thrombotic obliteration of the ventricle and endomyocardial fibrosis, that may finally represent a characteristic feature of restrictive cardiomyopathy. This paper presents a case of a 44-year-old male with symptoms of dyspnea and peripheral hypereosinophilia, who was diagnosed with early stage Loeffler's endocarditis via multicardiac imaging modalities.

  • PDF

The Need for a Well-Organized, Video-Assisted Asthma Education Program at Korean Primary Care Clinics

  • Kim, Yee Hyung;Yoo, Kwang Ha;Yoo, Jee-Hong;Kim, Tae-Eun;Kim, Deog Kyeom;Park, Yong Bum;Rhee, Chin Kook;Kim, Tae-Hyung;Kim, Young Sam;Yoon, Hyoung Kyu;Um, Soo-Jung;Park, I-Nae;Ryu, Yon Ju;Jung, Jae-Woo;Hwang, Yong Il;Lee, Heung Bum;Lim, Sung-Chul;Jung, Sung Soo;Kim, Eun-Kyung;Kim, Woo Jin;Lee, Sung-Soon;Lee, Jaechun;Kim, Ki Uk;Kim, Hyun Kuk;Kim, Sang Ha;Park, Joo Hun;Shin, Kyeong Cheol;Choe, Kang Hyeon;Yum, Ho-Kee
    • Tuberculosis and Respiratory Diseases
    • /
    • 제80권2호
    • /
    • pp.169-178
    • /
    • 2017
  • Background: The purpose of this study was to assess the effect of our new video-assisted asthma education program on patients' knowledge regarding asthma and asthma control. Methods: Adult asthmatics who were diagnosed by primary care physicians and followed for at least 1 year were educated via smart devices and pamphlets. The education sessions were carried out three times at 2-week intervals. Each education period lasted at most 5 minutes. The effectiveness was then evaluated using questionnaires and an asthma control test (ACT). Results: The study enrolled 144 patients (mean age, $56.7{\pm}16.7years$). Half of the patients had not been taught how to use their inhalers. After participating in the education program, the participants' understanding of asthma improved significantly across all six items of a questionnaire assessing their general knowledge of asthma. The proportion of patients who made errors while manipulating their inhalers was reduced to less than 10%. The ACT score increased from $16.6{\pm}4.6$ to $20.0{\pm}3.9$ (p<0.001). The number of asthmatics whose ACT score was at least 20 increased from 45 (33.3%) to 93 (65.3%) (p<0.001). The magnitude of improvement in the ACT score did not differ between patients who received an education session at least three times within 1 year and those who had not. The majority of patients agreed to the need for an education program (95.8%) and showed a willingness to pay an additional cost for the education (81.9%). Conclusion: This study indicated that our newly developed education program would become an effective component of asthma management in primary care clinics.

간이식 환자에서 발생한 Nocardia farcinia 폐렴 및 패혈성 쇼크 1예 (A Case of Pneumonia with Septic Shock Due to Nocardia farcinia in Liver Transplant Patient)

  • 이수환;박병훈;손지영;정지예;김은영;임주은;이지훈;현신영;이상훈;이상국;김송이;이경종;강영애;김영삼;김세규;장준;서유경;이경원;박무석
    • Tuberculosis and Respiratory Diseases
    • /
    • 제69권6호
    • /
    • pp.469-473
    • /
    • 2010
  • Nocardia farcinia, an aerobic, gram-positive bacilli actinomycetes of the genus Nocardia, is an uncommon pathogen found in humans. The most common Nocardia infection sites are the lung, central nervous system, and skin. Even though hematogenous dissemination can occur, isolation of the organism from blood cultures is very rare. We report a case of Nocardia infection that was isolated on blood cultures. A 59-year-old male with a medical history that includes a liver transplantation 6-years prior due to hepatocellular carcinoma secondary to chronic hepatitis B, developed pneumonia and was transferred to Severance Hospital. At the time of admission, the patient's initial exam showed hypothermia, tachypnea, and hypotension. His chest radiograph showed severe pneumonia and a large abscess on left upper lobe. Under the presumptive diagnosis of bacterial pneumonia or other opportunistic infection, we started broad spectrum antibiotics. However, he developed Nocardia sepsis, rapidly deteriorated, and subsequently died.

한약 투여후 발생한 급성담즙정체성(약제유인성)간염 치험 1례 (One Case Report of Acute Cholestatic-Hepatitis(Drug Induced Hepatitis) After Taking Herbal-Medicine)

  • 이지연;김관식;정용준;김형균;이언정;최우정;한상칠;오명진;오로사;양재훈
    • 대한한방내과학회지
    • /
    • 제22권2호
    • /
    • pp.251-256
    • /
    • 2001
  • In western medicine, there are some reports about herbal medicine induced hepatitis, but in oriental medicine, there are few reports about that. We experienced one case of drug acute cholestatic-hepatitis in the treatment of oriental medicine for HNP. We treated the patient with acupuncture, physical therapy and herb medicine. The patient's symptoms improved after two weeks of treatment. In the course of treatment, the patient intermittently complained of general weakness, nausea, yellowish urin, dyspepsia, and abdominal discomfort. We recognized that total bilirubin(7.2mg/dl), direct bilirubin(5.5mg/dl), serum transaminase(AST 360U/L, ALT 354U/L), alkaline phosphatase(16.6 K/A), urobilinogen(++) and bilirubin(++) were elevated. We diagnosed drug induced hepatitis. We stopped giving herb medicine and began giving Saeng gan gunbi-tang and Injin-oryung-san. Saeng gan gunbi-tang and Injin-oryung-san have been used to treat hepatic disease and have been known to have beneficial effects. After 3weeks on medication, the clinical symptoms and liver function improved. So, we report this case to bring more attention to the safety and toxicity of herbal medicine.

  • PDF

소적정원산(消積正元算)으로 호전된 적증(積證)환자 1례 보고 (A Case Report of a Jeock-Jeung patient Treated with Sojeockjeongwonsan)

  • 허진일;조동희;김동우;임희용;오중한;김대준;변준석;최빈혜
    • 대한한방내과학회지
    • /
    • 제26권2호
    • /
    • pp.482-488
    • /
    • 2005
  • This study was designed to evaluate the effects of the oriental medicine(Sojeockjeongwonsan) on a Jeock-Jeung patient. The clinical data was analyzed on a patient with Jeock-Jeung, deemed due to Gangiulgyul(肝氣鬱結) and Junggiheoyak(正氣虛弱). The patient’s main symptoms were abdominal pain and abdominal mass. The patient was admitted to Dae-Gu Hanny University Dae-Gu Oriental Medicine Hospital. Clinical symptoms, including abdominal pain, abdominal mass and general condition, improved after treatment. This study suggests that Sojeockjeongwonsan is significantly effective in treatment of a Jeock-Jeung.

  • PDF

정상압 수두증 환자 1예에 대한 임상적 고찰 (A case of Normal pressure hydrocephalus with dementia, gait disturbance and urinary incontinence)

  • 김행진;김성진;정수미;유형천;전상윤;홍석;김방울
    • 대한한방내과학회지
    • /
    • 제25권2호
    • /
    • pp.314-319
    • /
    • 2004
  • Objective : This study was designed to evaluate the effects of oriental medicine therapy on a normal pressure hydrocephalus patient. Methods : The clinical data was analyzed on a patient with normal pressure hydrocephalus whose main symptoms were dementia, gait disturbance and urinary incontinence. The patient was admitted to the internal medicine department of Dong-shin University Oriental Hospital from December 7, 2002, and remaind until January 20, 2003. He was treated with herbal medicine(Yukmijiwhangtang), acupuncture and moxa therapy. Results : After treatment, improvement was seen in dementia, gait disturbance, and urinary incontinence. Conclusions : The study suggests that oriental medicine therapy is significantly effective on the treatment or normal pressure hydrocephalus.

  • PDF