• Title/Summary/Keyword: 항생제 치료

Search Result 676, Processing Time 0.036 seconds

A Case of Cystitis with Bilateral Hydronephrosis Presenting with Gross Hematuria (양측성 수신증과 육안적 혈뇨를 보인 위축성 방광염 1례)

  • Lee, Min Jung;Kwak, Byung Ok;Song, Min Kyung;Chung, Sochung;Kim, Kyo Sun
    • Childhood Kidney Diseases
    • /
    • v.16 no.2
    • /
    • pp.146-149
    • /
    • 2012
  • Gross hematuria is uncommon, and rarely associated with hydronephrosis in healthy children. We describe a 3-year-old boy who complained of gross hematuria and dysuria. He was diagnosed as cystitis with bilateral hydronephrosis, and treated with antibiotics and conservative therapy. Our experience suggests that cystitis with hydronephrosis can occur in healthy children presenting with gross hematuria.

Result of Surgical Treatment for Infective Endocarditis (심내막염 환자의 수술적 치료성적)

  • Choe, Sun-Ho;Yang, Hyeon-Ung;Lee, Sam-Yun
    • Journal of Chest Surgery
    • /
    • v.29 no.2
    • /
    • pp.157-163
    • /
    • 1996
  • Between January 1986 and June 1994, 23 patients underwent surgical intervention for infective endocarditis at Wonkwang University Hospital. There were 13 male and 5 female, ran ing in age from 13 to 67(mean 43.7 $\pm$ 5.8) years. 21 had native valve endocarditis and 2 had prosthetic valve endocardits. The most common causative organism was streptococci in 9 patients, and the others were staphylococci in 7 patients and unknown in 7 patients. The infection was in the mitral valve in 10 patients, the aortic valve in 6 patients, the aortic and mitral In 5 patients, 2 in tricuspid. Surgical indications for surgery were intractable congestive heart failure, giant growing vegetation and severe valvular insufficiency. There were 3 perioperative death (13%) and no late death. The main causes of death were cerebral embolism in 2 due to recurrent endocarditis and low cardiac output in 1. By NYHA functional classification, all patients were in class III or IV preoperatively, and all patients were improved postoperatively with HYHA functional classification in class I or II. In conclussion, early operative intervention is life-salving in patients with persistent or progres ive congestive heart failure, irrespective of the activity of the infectious process or the duration of antibiotic therapy.

  • PDF

TREATMENT OF PALATAL ABSCESS OF ODONTOGENIC ORIGIN IN CHILDREN: CASE REPORTS (소아에서 발생한 치성 기원 구개 농양의 치험례)

  • Ryu, Jae-Ryang;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.38 no.4
    • /
    • pp.421-426
    • /
    • 2011
  • Most of the intraoral infections origin in odontogenic infection. Odontogenic infection spreads out along the least resistant path. In maxilla, the thickness between periapical area and cortical bone is narrower on the buccal side than the palatal side. So infection usually spreads out along the buccal side rather than the palatal side. The failure of root canal treatment more frequently occurs on the buccal root compared to the palatal root. So the palatal abscess is rarer than the buccal abscess. It is difficult to differential diagnosis palatal abscess from salivary gland tumors, benign neural tumors and cysts on the palate. Therefore, when the palatal swelling is observed in children, you need to prevent the systemic spread of infection by early diagnosis of the odontogenic palatal abscess. In these cases, the patient who complained of the pain in deciduous teeth and the palatal swelling was diagnosed with odontogenic palatal abscess. The patient was treated with extraction and antibiotic medication. The palatal abscess was resolved, and we report after treatments.

Thermographic Evaluation of Beating Process of Experimentally Induced Infectious Arthritis in Horses (실험적으로 유발한 말 감염성 관절염의 치유경과에 대한 체열학적 평가)

  • Yang Young-Jin;Nam Tchi-Chou
    • Journal of Veterinary Clinics
    • /
    • v.23 no.1
    • /
    • pp.22-30
    • /
    • 2006
  • This study was carried out to assess the usefulness of thermography for diagnosis and healing process of musculoskeletal disorder in horses. Horses with experimentally induced infectious arthritis were treated with bee venom or antibiotics for 5 weeks from 24 hours after inoculation of Staphylococcus aureus, the effectiveness of the 2 therapeutic drugs treatment was similar to each other. Thermographic evaluation was similar to any other tests, because the thermal pattern tend to return to normal with declining similar to those of clinical signs, laboratory experiments and healing of the lesion. This ability to assess inflammatory change noninvasively make thermography an ideal imaging tool to aid in the diagnosis of certain lameness condition or musculoskeletal disease in horses. These results suggested that thermographic evaluation in horses with musculoskeletal disorders were useful for diagnosis and helpful for monitoring of healing process.

Effect of ionizing radiation on cultured submandibular gland (SG) cells of mouse (전리 방사선 조사에 의한 마우스 배양 악하선 세포의 변화)

  • Lee, Song-Jae
    • The Journal of Korean Society for Radiation Therapy
    • /
    • v.4 no.1
    • /
    • pp.71-77
    • /
    • 1990
  • The present study was undertaken to investigate effects of ionizing radiation on DNA synthesis and chromosomal abnormality in cultured submandibular gland(SG) cells. SG cells from C57BL/6N Crj mice were cultured in Dulbecco's modified Eagle's medium (DME) supplemented with $10\%$ fetal bovine serum, antibiotics and fungizone. The cultured SG cells were irradiated with graded doses of gamma ray ($^{60}Co$) at a dose rate of 58.4rad/min. The effect of irradiation of $^{60}Co$ on DNA synthesis in cultured cells was evaluated by measuring the incorporation of 3H-TdR. Using conventional chromosome techniques and Giemsa staining methods, chromosomal abnormalities in cultured SG cells, induced by irradiation of $^{60}Co$ werw examined. Cytological observations were carried out by a light microscope with high resolving power. The results obtained were as follows : 1. DNA synthesis of SG cells was quantitatively dependent on a radiation dose compare to control. 2. A polyploids and few chromosome-type break, such as single and double breaks, deltions and triradial figures were more predominantly in irradiated SG cells than in control. This increase of chromosomal abnormality was in the proposition to the irradiation doses.

  • PDF

RECONSTRUCTION COMBINED WITH HBO THERAPY AND ILIAC BONE GRAFT IN MANDIBULAR FRCTURE SITE OSTEOMYELITIS (하악골 골절후 이차감염으로 인한 골수염시 유리 장골 이식술과 고압산소 요법을 이용한 재건 치험례)

  • Kim, Su-Nam;Lee, Dong-kuen;Lim, Chang-Joon;Yun, Seong-Pill
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.13 no.1
    • /
    • pp.110-116
    • /
    • 1991
  • Fracture site osteomyelitis begins rarely with an acute event but rather has a subacute onset. It develops almost exclusively in the mandibular region. The treatment principles of mandibular fracture site osteomyelitis are complete removal of inflammatory tissue and drainage, rigid fixation with or without autogenous bone bone graft and specific antibiotic therapy. But hyperbaric oxygen used as a modality in the treatment of intractable osteomyelitis. In this paper, we reported that the three patients who have osteomyelitis accompying secondary in fection after mandibular fracture.

  • PDF

A Case of Segmental Nectotizing Jejunitis (분절성 괴사성 공장염(Segmental necrotizing jejunitis) 1례)

  • Yoo, Jee-Hyung;Kim, Hyo-Shin;Kim, Je-Woo;Chung, Ki-Sup;Han, Suk-Joo;Kim, Ho-Kun
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.2 no.2
    • /
    • pp.222-226
    • /
    • 1999
  • Segmental necrotizing jejunitis is characterized by severe abdominal pain of acute onset, bilious vomitings and foul smelling loose stools containing blood. Pathologic features include circumferential intestinal wall inflammation ranging from edema with minimal congestion to severe congestion, hemorrhage with necrosis, ulceration, and gangrene with perforation. Early diagnosis and suitable supportive measures prevent unnecessary laparatomy and complications. There was no report of this disease entity in children in Korea. We experienced a case of segmental necrotizing jejunitis with fever, abdominal pain and bloody stools, which was diagnosed by exploration and was treated successfully by antibiotics and supportive measures.

  • PDF

A Case of Tuberculous Otitis Media in Children (소아에서 결핵성 중이염 1례)

  • Kim, Eun Ah;Ham, Se Chang;Kim, Young Kyoun;Park, Yong Won;Kang, Yun Kyung
    • Pediatric Infection and Vaccine
    • /
    • v.9 no.1
    • /
    • pp.110-116
    • /
    • 2002
  • Tuberculous otitis media is a very rare disease in extrapulmonary tuberculosis and in chronic otitis media nowadays. The characteristic signs seem to have altered from the past ones. And the suspicion index is very low that there is often a considerable delay prior to diagnosis. This might result in irreversible complications such as hearing loss, facial nerve paralysis and labyrinthitis. It is difficult to be defined by culture, so many patients with tuberculous otitis media are subjected to have surgery without a correct etiologic diagnosis. Therefore bacteriologic study of secretion and pathologic examinations of biopsied tissue are mandatory. We report one year and 11 months old boy with tuberculous otitis media having painful otorrhea and perforated tympanic membrane diagnosed by histologic finding and polymerase chain reaction(PCR). And we would like to emphasize the fact that tuberculous otitis media must be considered in the differential diagnosis of persistent suppurative otitis media despite appropriate antibiotic therapy considering the increasing tendency in incidence of Tuberculosis in Korea these days.

  • PDF

First Case of Urinary Tract Infection by Lactococcus garvieae in Korea (우리나라에서 Lactococcus garvieae에 의한 요로감염의 사례)

  • Park, Sang-Hyun;Lee, Young-Hyeon;Yeo, Min-Ho;Chang, Kyung-Soo
    • Korean Journal of Clinical Laboratory Science
    • /
    • v.53 no.3
    • /
    • pp.277-283
    • /
    • 2021
  • The genus Lactococcus is a gram-positive, catalase-negative, non-motile bacterium. It is a facultative anaerobe and can be cultured at 10~40℃. The genus Lactococcus consists of 16 species, of which Lactococcus garvieae and Lactococcus lactis are known to cause disease in humans. This study reports the first case in which L. garvieae was identified in the urine culture of a 74-year-old woman. The patient confirmed the findings of acute urinary tract infection through blood tests, microbial identification tests, antibiotic susceptibility tests, and computed tomography performed at a hospital. The patient was admitted to the nephrology ward and was treated with IV fluids and erythromycin antibiotics and discharged 5 days later. This is the first case in Korea in which L. garvieae was isolated from the urine of a patient with a urinary tract infection and is expected to be useful in treating patients with L. garvieae infection in the future.

A Child of Severe Mycoplasma pneumoniae pneumonia with Multiple Organ Failure Treated with ECMO and CRRT

  • Hwang, Woojin;Lee, Yoonjin;Lee, Eunjee;Lee, Jiwon M.;Kil, Hong Ryang;Yu, Jae Hyeon;Chung, Eun Hee
    • Pediatric Infection and Vaccine
    • /
    • v.26 no.1
    • /
    • pp.71-79
    • /
    • 2019
  • Mycoplasma pneumoniae (MP) is the most common causative agent of community-acquired pneumonia in school-aged children. An 8-year-old boy who had been diagnosed with autism looked severely ill when he presented to our hospital due to dyspnea and lethargy. He had fever and cough 7 days prior to hospitalization. He had signs and symptoms of severe respiratory distress. The percutaneous oxygen saturation was 88% at high oxygen supply. Chest radiography showed diffusely increased opacity with moderate pleural effusion. He was intubated immediately and admitted to the intensive care unit. Under the clinical impression of mycoplasmal pneumonia, intravenous clarithromycin was started. Laboratory findings showed leukocytosis, hepatitis, decreased renal function, and presence of serum MP immunoglobulin (Ig) M (+) IgG (+) and sputum MP polymerase chain reaction (+). On hospital day 2, the patient developed multiple organ failure with acute respiratory distress syndrome (ARDS). Veno-venous extracorporeal membrane oxygenation (ECMO) was performed with continuous renal replacement therapy (CRRT) and was weaned successfully. This is the first reported case of an ARDS due to MP infection complicated by multiple organ failure that was successfully treated with ECMO and CRRT in South Korea.