• 제목/요약/키워드: Ascites Fluid

검색결과 81건 처리시간 0.022초

C 반응성 단백질이 사람 Macrophage 탐식 기능에 미치는 영향 (Modulation of Human Macrophage Phagocytic Activity by C-reactive Protein)

  • 김용호;강신원
    • 대한의생명과학회지
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    • 제4권1호
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    • pp.35-42
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    • 1998
  • 치료목적으로 채취한 사람 복수에서 C반응성 단백질 (CRP)을 분리 정제하여 사람 대식세포 탐식활성에 미치는 영향에 대하여 연구하였다. CRP는 p-diazonium phenyl-phosphoryl choline 혹은 C-polysaccharide coupled sepharose 4B와 hydroxylapatite affinity chromatography법으로 분리 정제 시켰다. 대식 세포는 ficoll hypaque 밀도 원심 구배법으로 분리시킨 다음 부착법으로 정제시키고 탐식 시험을 이용하여 확인하였다. CRP가 대식 세포의 시험 관내 미생물 탐식 활성에 미치는 영향은 촉진 혹은 억제시키는 경향을 보였다. 즉, CRP와 대식세포 미생물 탐식능과의 관계는 반응시킨 시간, 반응계에 가해준 CRP량, 미생물ㆍ탐식세포 및 CRP상호간 반응시킨 순서에 따라서 다르게 나타났다. 대식세포의 시험관내 탐식활성에 미치는 CRP 자극의 특성은 한계자극 특성을 보였다.

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Miniature Schnauzer에서 발생한 장간막 염전 1증례 (Mesenteric torsion in a Miniature Schnauzer)

  • 최지혜;김현욱;김진경;장재영;김준영;윤정희
    • 대한수의학회지
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    • 제48권1호
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    • pp.125-130
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    • 2008
  • Mesenteric torsion was diagnosed in a 2-year-old, spayed female Miniature Schnauzer. The patient was presented with acute depression, vomiting, lethargy and hematochezia. On physical examination, severe dehydration, tachycardia, tachypnea, weak femoral pulse, delayed capillary refill time and pale mucous membrane were found and the dog was in shock. Radiography and ultrasonography revealed intestines distended with gas, ascites and the "C" shaped distended intestine. Medical treatments including fluid therapy, analgesics, antibiotics and lidocaine for reducing reperfusion injury were applied. And then, the mesenteric torsion was definitively diagnosed through exploratory laparotomy and intestinal resection and anastomosis were performed. The dog made an uneventful recovery and was free of clinical sign one week after surgery. Mesenteric torsion is an unusual and life-threatening disease in dogs. It has usually been described in the middle and large breed dogs, especially German Shepherds. However, the mesenteric torsion should be included in the differential diagnostic lists for acute abdomen even in small breed dog. The mortality rate of mesenteric torsion can be reduced through prompt diagnosis, proper preventive therapy for shock and reperfusion injury and emergency surgery.

Production of Monoclonal Antibodies Specific to FimA of Porphyromonas gingivalis and Their Inhibitory Activity on Bacterial Binding

  • Koh, Eun-Mi;Kim, Ju;Lee, Jin-Yong;Kim, Tae-Geum
    • IMMUNE NETWORK
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    • 제9권5호
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    • pp.203-207
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    • 2009
  • Background: The FimA of Porphyromonas gingivalis is a crucial pathogenic component of the bacteria and has been implicated as a target for vaccine development against the periodontal diseases. Methods: In this study, the purified fimbriae (FimA subunit polymers) protein was used for immunization in their native form and B hybridoma clones producing antibodies specific to FimA were established. Results: The monoclonal antibodies prepared from selected two clones, designated #123 (IgG2b/ kappa) and #265 (IgG1/kappa), displayed different patterns of binding activity against the cognate antigen. Both antibodies reacted with conformational epitopes expressed by partially dissociated oligomers, but not with monomer as elucidated by Western blot analysis. Ascites fluid containing the monoclonal antibodies showed the inhibitory activity against P. gingivalis to saliva-coated hydroxyapatite beads, an in vitro model for the pellicle-coated tooth surface. Conclusion: These results suggest that the monoclonal antibodies could be used as vaccine material against the periodontal diseases through passive immunization.

체강 삼출액의 진단에 있어서 $PLC-{\gamma}1$ 면역 염색의 유용성 ([ $PLC-{\gamma}1$ ] for Differentiating Adenocarcinoma from Reactive Mesothelial Cells in Effusions)

  • 우영주;김성숙
    • 대한세포병리학회지
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    • 제8권2호
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    • pp.115-119
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    • 1997
  • Cytologic diagnosis of reactive or malignant effusion is sometimes difficult. Especially, differentiation of benign reactive mesothelial cells from malignant cells in body effusion is more difficult. Recently, immunohistochemistry has been used to diagnose difficult cases. Phospholipase $C(PLC)-{\gamma}1$ is one of the isoenzyme of the PLC which plays central role in signal transduction involving cellular growth, differentiation and transformation by phosphorylating many protein component. Increased expression of $PLC-{\gamma}1$ in human breast carcinoma, colorectal carcinoma and stomach cancers are reported. To evaluate the efficacy of positive $PLC-{\gamma}1$ immunostaining in the diagnosis of malignancy in effusions, paraffin-embedded cell blocks of pleural fluid and ascites from 10 patients(5 metastatic adenocarcinomas, and 5 reactive mesothelial cells) were immunostained with a monoclonal antibody to $PLC-{\gamma}1$. $PLC-{\gamma}1$ immuostained all the adenocarcinomas in cell block(5/5) with intense membrane pattern, however, none of the reactive mesothelial proliferations stained with the diagnostic membrane pattern. Thus, our study strongly supports the conclusion that $PLC-{\gamma}1$ immunopositivity is likely to become a useful adjunct for the diagnosis of malignancy in effusions.

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선천성 매독에 의한 비면역성 태아수종 1례 (A Case of Non-immune Hydrops Fetalis due to Congenital Syphilis)

  • 정지선;박상우;김천수;이상락;권태찬
    • Neonatal Medicine
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    • 제15권2호
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    • pp.207-211
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    • 2008
  • 저자들은 산전 진찰을 받지않아 매독에 감염되었는지 모르고 지내던 산모에서 태어나, 빈혈, 혈소판 감소증, 자반, 간비종대와 다량의 늑막삼출과 복수가 동반된 미숙아에서 선천성 매독에 의한 비면역성 태아수종으로 진단하여 적절한 치료 후 생존된 1례를 경험하였기에 보고하는 바이다.

난소에서 발생한 내배엽동 종양의 복수의 세포학적 소견 - 1례 보고 - (Cytologic Features of Endodermal Sinus Tumor of Ovary in the Ascitic Fluid - Report of a Case -)

  • 정은선;김영신;강창석;심상인
    • 대한세포병리학회지
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    • 제6권2호
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    • pp.204-208
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    • 1995
  • The cytologic findings of endodermal sinus tumor of the ovary are reported. The cytologic preperations were obtained from ascitic specimens. The findings on Papanicolaou-stained smears included a clean background and poorly preserved atypical cells loosely arranged in irregular or papillary groups. At high magnification, the cells had ill-defined and microvacuolated cytoplasms, with an increased nuclear-cytoplasmic ratio and prominent nucleoli. Hyaline globules characteristic of the alpha-fetoprotein (AFP)-synthesizing cells of endodermal sinus tumor were observed within the cells with periodic-acid-Schiff(PAS) stain. The presence of PAS-positive hyaline globules can be regarded, therefore, as a diagnostic clue to endodermal sinus tumor in an appropriate clinical setting and in the presence of AFP production. The cytologic findings in a cell block is important, in addition to smears, to obtain more diagnostic clues. A preliminary cytomorphologic diagnosis of this highly malignant tumor is valuable as a guide in planning further immunocytochemical and serologic studies.

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소아의 범발성 복막염을 동반한 천공성 충수염에서 복강경하 충수절제술 후 대량 흔들기 세척법 및 배액술의 역할 (The Role of Massive Shaking Irrigation and Abdominal Drainage After Laparoscopic Appendectomy for Panperitonitis Secondary to Perforated Appendicitis in Children)

  • 김우연;정재희
    • Advances in pediatric surgery
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    • 제17권1호
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    • pp.51-57
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    • 2011
  • Use of laparoscopic appendectomy (LA) for perforated appendicitis (PA) in children remains controversial because of the development of postoperative intra-abdominal abscess formation. We developed the irrigation method for the prevention of abscess formation after LA performed for PA in children with severe panperitonitis. We called it 'the shaking irrigation'. The object of this study was to analyze the efficacy of this irrigation method. All cases of PA with severe panperitonitis in children that underwent LA with massive shaking irrigation and drainage between June 2003 and December 2007 were studied retrospectively. We included only PA with panperitonitis and large amounts of purulent ascites throughout the abdomen as well as an inflamed small bowel with ileus. Thirty-four children were involved in this study. The mean patient age was eight years. The mean amount of irrigation fluid was 8.2 L (range: 4-15 L), The mean operative time was 89.5 min. The mean length of the hospital stay was 5.1 days. There were no postoperative intra-abdominal abscesses. There was no conversion to open surgery. In conclusion, Use of LA in PA with severe panperitonitis in children is safe and effective. Massive shaking irrigation and abdominal drainage appears to prevent intra-abdominal abscesses after LA for PA with panperitonitis.

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Misdiagnosis of fetus-in-fetu as meconium peritonitis

  • Kim, Yoon-Joo;Sohn, Se-Hyung;Lee, Ju-Young;Sohn, Jin-A;Lee, Eun-Hee;Kim, Ee-Kyung;Choi, Chang-Won;Kim, Han-Suk;Kim, Beyong-Il;Choi, Jung-Hwan
    • Clinical and Experimental Pediatrics
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    • 제54권3호
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    • pp.133-136
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    • 2011
  • Fetus-in-fetu (FIF) is a rare congenital condition in which a fetiform mass is detected in the host abdomen and also in other sites such as the intracranium, thorax, head, and neck. This condition has been rarely reported in the literature. Herein, we report the case of a fetus presenting with abdominal cystic mass and ascites and prenatally diagnosed as meconium pseudocyst. Explorative laparotomy revealed an irregular fetiform mass in the retroperitoneum within a fluid-filled cyst. The mass contained intestinal tract, liver, pancreas, and finger. Fetal abdominal cystic mass has been identified in a broad spectrum of diseases. However, as in our case, FIF is often overlooked during differential diagnosis. FIF should also be differentiated from other conditions associated with fetal abdominal masses.

Right to Left Atrial Septum Defect Compounded with Patent Ductus Arteriosus in a Maltese Dog

  • Ahn, Sung-Taek;Kim, Myung-Jun;Yoon, Won-Kyoung;Suh, Sang-il;Hyun, Changbaig
    • 한국임상수의학회지
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    • 제34권2호
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    • pp.90-93
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    • 2017
  • A nine-month-old intact female Maltese dog (body weight: 1.5 kg) presented with frequent syncopal episodes (1-2/day), exercise intolerance, and dyspnea. Cardiomegaly with marked dilation of right and left atria along with ascites was indicated on radiography. Tricuspid regurgitant jets (4.36 m/s), pulmonary regurgitant jets (3.4 m/s), left-to-right shunting flow at the ductus arteriosus, and an atrial septal defect were observed on echocardiography. A bubble study with agitated saline found right-to-left shunting at the interatrial septum. Based on diagnostic studies, the dog was diagnosed with right-to-left atrial septum defect (ASD) compounded with patent ductus arteriosus (PDA). The treatment was directed to reduce the pulmonary hypertension, improve cardiac performance, and lower fluid retention. Despite medical treatment for 2 months, the dog died of sudden cardiac arrest. Herein, we describe a very rare case of right-to-left ASD compounded with PDA.

Paraneoplastic Hypereosinophilia in a Dog with Intestinal T-Cell Lymphoma

  • Ji-Seon Yoon;Hyeona Bae;Hee-Chun Lee;Dong-In Jung;Sang-Ki Kim;Dae Young Kim;DoHyeon Yu
    • 한국임상수의학회지
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    • 제40권1호
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    • pp.62-67
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    • 2023
  • Paraneoplastic hypereosinophilia, characterized by the infiltration of eosinophils into systemic organs, has rarely been reported in dogs with intestinal lymphoma. A 12-year-old spayed female Maltese with eosinophilia in the peripheral blood and ascites was found to have muscular layer thickening in the small intestine. Histologically, there was transmural infiltration of small to intermediate sized neoplastic lymphocytes that were immunohistochemically CD3-/CD79a-. PCR for antigen receptor rearrangement demonstrated clonal T cell receptor gene population. A moderate number of eosinophils were present along with neoplastic lymphocytes in the small intestine, and eosinophil infiltration was also noted in the abdominal lymph nodes and spleen. The present case reports intestinal T-cell lymphoma with generalized paraneoplastic hypereosinophilia. Clinicians should be aware that hypereosinophilia can be found in the organs, body cavity fluid, and peripheral blood of dogs with intestinal lymphoma.