• Title/Summary/Keyword: 삼출

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양식 해수 어류에서 분리한 Vibrio harveyi이 특성

  • 이창훈;김수미;원경이;한현자;김도형;박수일
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2000.05a
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    • pp.451-452
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    • 2000
  • 1999년 여름철 우리 나라의 몇몇 해수 어류 양식장과 종묘 배양장에서 Vibrio harveyi가 원인균으로 생각되는 질병이 발생하였다. 어종별 특징적인 증상으로는 넙치의 탈장, 복부팽만, 장충혈, 장액 삼출 및 간출혈과 조피볼락의 체표 궤양 및 간울혈을 들 수 있었으며 같은 시기에 감염증을 나타낸 turbot에서는 체표 출혈과 장출혈이 특징적인 증상이었다. 이 중에서도 특히 넙치의 병징은 에드와드병으로 추정되기 쉬운 특징이 있기 때문인지 각 양어장에서는 간단히 에드와드병으로 진단하고 그에 대한 치료가 실시되고 있었으나 치료 효과가 비교적 낮아서 피해가 증가되고 있는 실정이었다. (중략)

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A Case of Hypereosinophilic Syndrome Presenting with Bilateral Pleural Effusions & Recurrent Bilateral Pneumothoraces (양측성 흉막 삼출과 재발성 기흉으로 발현된 과호산구증후군 1예)

  • Shim, Jae Min;Moon, Jin Wook;Hwang, Sang Yun;Do, Mi Young;Park, Moo Suk;Chung, Jae Ho;Kim, Young Sam;Chang, Joon;Kim, Sung Kyu;Cho, Sang Ho;Kim, Se Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.5
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    • pp.470-475
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    • 2004
  • Idiopathic hypereosinophilic syndrome (HES) is a disorder characterized by prolonged eosinophilia without an identifiable cause and eosinophil related tissue damage in multiple organs including heart, lung, skin, gastrointestinal tract, liver, and the nervous systems. Pulmonary involvement occurs in about 40% of HES cases, but pleural effusion due to pleuritis and bilateral pneumothoraces are very rare manifestations. We report a case of hypereosinophilic syndrome presented with bilateral pleural effusions and recurrent bilateral pneumothoraces in a 44 year-old male with brief review of the literature.

Successful Management of Feline Infectious Peritonitis with Human Recombinant Interferon-alpha and Pentoxifylline in a Cat (재조합 인간 인터페론 알파와 Pentoxifylline을 이용한 고양이 전염성 복막염의 치료 증례)

  • Kang, Min-Hee;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.28 no.4
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    • pp.427-430
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    • 2011
  • A 6-month-old intact female, domestic short hair cat was presented with dyspnea and anorexia for 2 days. Physical examination revealed muffled heart sound with labored breaths. Hyperproteinemia and hyperglobulinemia with polyclonal gammapathy was revealed. Pleural effusion was non-septic exudates, it also had hyperglobulinemia with decreased albumin: globuline ration. In addition, effusion RT-PCR for feline coronavirus was positive in this cat. Feline infectious peritonitis (FIP) was strongly suspected and aggressive treatments with human interferon-alpha, pentoxifylline, and glucocorticoids were initiated. The cat remained healthy without recurrence of pleural effusion during 5 months follow-up periods. To the author's knowledge, this is the first case report describing successful management of FIP with human interferon-alpha and pentoxifylline in Korea.

Incomplete Kawasaki Disease in a 5-Month-Old Girl Associated with Cerebrospinal Fluid Pleocytosis and Epidural Fluid Collection (뇌척수액세포증가증과 경막외 삼출액이 동반된 비정형 가와사키병 1례)

  • Kim, Jung-Ok;Lee, Hyeon Ju;Han, Kyoung Hee
    • Pediatric Infection and Vaccine
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    • v.22 no.1
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    • pp.40-44
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    • 2015
  • Cases of incomplete Kawasaki disease (KD), wherein the patient does not fulfill the full diagnostic criteria for KD, are often detected in infants younger than 6 months of age. The clinical manifestations in infants with incomplete KD may resemble other infectious diseases, including meningitis. For this reason, clinicians may have difficulty differentiating incomplete KD from other infectious diseases in this population. Various neurological features are associated with KD, including aseptic meningitis, subdural effusion, facial nerve palsy, cerebral infarction, encephalopathy, and reversible corpus callosum splenial lesions on magnetic resonance imaging. We report a case of a 5-month-old girl with incomplete KD, associated with cerebrospinal fluid pleocytosis and an epidural fluid collection. Echocardiography indicated dilatation of the main coronary arteries. The girl made a complete recovery, with resolution of both the epidural fluid collection and coronary artery aneurysms. In this case, the child is well, and showed normal developmental milestones at the 7-month follow-up.

A Case of Angiosarcoma Presenting Pleural Effusion (흉막삼출을 동반한 맥관육종 1예)

  • Kyung, Kwae-Soo;Jung, Sung-Kwang;Lee, Hye-Kyung;Jeon, Woo-Ki;Yum, Ho-Kee;Kim, Dong-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.1
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    • pp.36-41
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    • 1994
  • Angiosarcoma is a very rare malignant tumor of endothelial cell origin. We experienced a case of angiosarcoma presented with massive pleural effusion, which was considered as a metastasis from right kidney. A 44-year-old male patient was admitted due to dyspnea for one month. He had a history of transient hematuria 3 months before admission, which disappeared spontaneously. Chest roentgenography showed total haziness in left hemithorax with multiple nodular shadows in right lung. Abdominal ultrasonogram showed a single heterogeneous hyperechoic mass, measuring about $7.3{\times}7.1{\times}6.5cm$ in size in the upper and mid-pole of the right kidney, involving renal sinus. Computed tomography of the chest revealed highly enhanced multiple pulmonary and subpleural nodules with loculated pleurisy. In bronchoscopic finding, a fungating, hypervascular tumor mass was noticed at the orifice of anterior basal segment of left lower lung after removal of tenaceous mucus. Pleural and bronchoscopic biopsies showed findings of angiosarcoma confirmed by immunochemical stains with factor VIII related antigen(+), laminin(+) and vimentin(+), and by characteristic electronmicroscopic findings. Massive pleural effusion was controlled with several times of pleurodesis in both pleural spaces.

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A Case of Traumatic Pancreatic Transection with Main Duct Disruption and Pleural Effusion in a Child (소아에서 늑막 삼출액을 동반한 외상성 췌장 절단 및 췌장 주관 손상 1예)

  • Lee, Ga-Yeun;Yoo, Hye-Soo;Lee, Jee-Hyun;Choe, Yon-Ho;Heo, Jin-Seok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.10 no.1
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    • pp.98-103
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    • 2007
  • An 8-year-old boy presented with abdominal pain and poor oral intake for two months. Serum amylase and lipase levels were elevated. CT of the abdomen and chest X-ray showed two pseudocysts at the pancreatic uncinate process, pancreatitis with a parenchymal defect, a large amount of ascites, and a right pleural effusion. MR cholangiography and endoscopic retrograde cholangiopanreaticography revealed a pancreatic duct disruption. The patient was successfully treated with a chest tube placement and percutaneous drainage. After surgery, his general condition improved; the serum level of amylase normalized and the pleural effusion resolved. Pancreatic injuries are rare in pediatric blunt trauma; however, diagnostic difficulty is common with isolated blunt trauma. Therefore, a high index of suspicion should follow such an injury. We report the case of an 8-year-old boy with pancreas transection, ductal disruption, ascites, and pleural effusion who was successfully treated.

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MUCOCELE CAUSED BY UNREMORED SUTURE SILK : A CASE REPORT (잔존 봉합사에 의해 발생한 점액종)

  • Seo, Won-Gun;Choi, Byung-Jai;Choi, Hyung-Jun;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.4
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    • pp.664-668
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    • 1999
  • Mucocele is clinical term used to describe swelling caused by the pooling of saliva at the site of a severed or obstructed minor salivary gland duct. Mucoceles are categorized into two subgroups, extravasation type and retention cyst type. The etiology of extravasation type mucocele is related to mechanical trauma to the minor salivary gland excretory duct, resulting in extravasation of mucus into the fibrous connective tissue so that a cyst-like cavity is produced, but the epithelial lining is absent. Retention cyst type mucocele results from obstruction of minor salivary gland excretory duct, and cystic cavity is lined by epithelial cells. This case report presents a mucocele occurred on the lower lip, and caused by suture silk unremoved for 3 years. Suture silk penetrated and tore the minor salivary gland duct on the lower lip with subsequent extravasation of mucus into the fibrous connective tissue.

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Spontaneous Rupture of Mediastinal Teratoma into Adjacent Tissues (주위 조직으로 파열된 종격동 기형종 1예)

  • Jeon, Jeong-Bae;Chung, Chung-Hwan;Moon, Tai-Hoon;Cho, Jae-Wha;Ryu, Jeong-Seon;Kwak, Seung-Min;Lee, Hong-Lyeol;Cho, Chul-Ho;Han, Hye-Seung;Kim, Kwang-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.3
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    • pp.400-405
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    • 1999
  • Mediastinal teratomas are rare and represent less than 10 per cent of all mediastinal tumors. Almost all arise in the anterosuperior mediastinal compartment, and most symptoms, when present, result from compression of adjacent structures. They contain different tissues derived from all three germinal layers, with the prevalence of ectodermal elements which can include hair, teeth and sebaceous material. Benign teratomas may rupture into adjacent organs. Up to 36% of all mediastinal teratomas rupture, most frequently into the lung and bronchial tree, followed by the pleural space, pericardial space, or great vessels. The signs and symptoms of a ruptured teratoma vary with the structures involved. We report a case of mediastinal teratoma ruptured spontaneously in a 18 year old female who experienced 4 or 5 times of hemoptysis for 1 year and sudden onset of pleural effusion, pericardial effusion and pneumonia.

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Ovarian Papillary Adenocarcinoma in a Yorkshire Terrier Dog (요크셔테리어에서 발생한 난소 유두모양샘암종)

  • Cho, Sue-Kyung;Kang, Byeong-Teck;Park, Chul;Yoo, Jong-Hyun;Jung, Dong-In;Lim, Chae-Young;Lee, Jong-Hwan;Woo, Eung-Je;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.251-254
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    • 2007
  • A 10-year-old intact female Yorkshire terrier dog was referred for evaluation of marked abdominal distension and hemorrhagic effusion. Abdominal radiography and ultrasonography demonstrated abdominal effusion and intraabdominal mass with anechoic cystic components. On ascites cytology, neoplastic epithelial cells with vacuolated cytoplasm and prominent nucleoli were identified. Magnetic resonance imaging (MRI) showed the well-defined, heterogeneous, and large mass filled the intraabdominal cavity. At necropsy, a large mass arising from the right ovary was observed. Histopathologically, the mass was composed of papillary structures lined by neoplastic epithelial cells. The dog was definitively diagnosed as malignant ovarian adenocarcinoma with papillary pattern based on clinical and histopathological findings.

A Case of Pulmonary Paragonimiasis with Chronic Abdominal Pain and Erythematous Rash in a 6-year-old Girl (만성 복통과 발진을 주소로 내원한 6세 여아에서 진단된 폐흡충증 1예)

  • Kim, Ju Young;Park, Min Kyu;Lee, Yong Ju;Huh, Sun;Cho, Ky Young
    • Pediatric Infection and Vaccine
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    • v.25 no.1
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    • pp.54-59
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    • 2018
  • Pleural paragonimiasis is uncommon in the pediatric population and therefore can be challenging to diagnose. This is a case of a 6-year-old girl with pleural effusion who had been having intermittent persistent epigastric pain and erythematous rash on the face, hands, and arms for 6 months. Exudative pleural effusion with prominent eosinophils and serum eosinophilia were observed. As patient showed high immunoglobulin M (IgM) titers against Mycoplasma pneumoniae, she was treated with antibiotics; however, the pleural effusion did not improve during hospitalization. Despite showing negative stool ova and cyst results, patient's serum and pleural effusion were positive for Paragonimus westermani-specific IgGs on enzyme-linked immunosorbent assay. Respiratory symptoms, pleural effusion, and skin symptoms improved after praziquantel treatment.