• Title/Summary/Keyword: Causative organism

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Two Cases of Surgical and Medical Treatment of Infectious Intracranial Aneurysms - Case Report - (감염성 두개강내 동맥류의 수술 및 내과적 치험 2례 - 증 례 보 고 -)

  • Ban, Sung Soo;Ahn, Chi Sung;Jung, Myung Hun;Choe, Il Seung;Choi, Sun Wook;Song, Kwan Young;Kang, Dong Soo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.1
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    • pp.73-77
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    • 2001
  • Object : To determine whether to use surgical or medical therapy in treatment of infectious intracranial aneurysms, we reviewed two recent cases of infectious intracranial aneurysms and others known previous reports of aforementioned cases. Hence, we attempted to compare the validity and effectiveness of surgical and medical treatment. Method : Recently, we treated two cases of ruptured infectious intracranial aneurysms. In former case, the aneurysm was located distal to the middle cerebral artery in a patient with mild mitral regurgitation of the heart. In latter case, the aneurysm was multiple with varying hemorrhage. The hemorrhage was located bilaterally and a moderate mitral regurgitation and infective endocarditis were accompanied in this patient. Result : Due to the large size of the intracranial hematoma, stable medical condition, and easy resectability, we treated the former patient surgically. And, because of successive hemorrhage by multiple aneurysmal rupture, and the risk of heart failure, we treated the latter patient medically with serial follow-up angiography. Both patients are at present in good health. Conclusion : Because of the variability in associated factors, such as the patient's health, the number of lesions, location, anatomy of the aneurysms and the causative organism, each patient's care must be individualized and tailored to the patient's particular clinical situation.

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Risk Factors of Nosocomial Bacteremia of Extended-spectrum ${\beta}$-Lactamase Producing Escherichia coli (병원획득 Extended-spectrum ${\beta}$-Lactamase 생성 Escherichia coli 균혈증의 위험인자)

  • Ko, Daisik;Moon, Song Mi;Lee, Ji Sung;Park, Yoon Soo;Cho, Yong Kyun
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.83-89
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    • 2013
  • Background: The prevalence of extended-spectrum ${\beta}$-lactamase (ESBL)-producing Escherichia coli is increasing rapidly worldwide. Treatment options for ESBL-producing E. coli are limited, and infections caused by this organism are associated with improper antibiotic use, a long hospital stay, and increased mortality. Thus, the assessment and early recognition of the risk factors of nosocomial infections due to ESBL-producing E. coli are important for the infection control and proper treatment. Methods: A case-control study was performed that included nosocomial episodes of ESBL-producing E. coli bacteremia at a tertiary care hospital from January 2004 to December 2007. For each case patient, three controls were randomly selected and data on predisposing factors were collected. Results: Fifty-five cases of nosocomial ESBL-producing E. coli bacteremia were studied. Carbapenem usage (OR: 11.3, 95% CI: 1.1-115.9, p=0.041), quinolone usage (OR: 4.5, 95% CI: 1.1-18.8, p=0.042), biliary obstructive disease (OR: 11.8, 95% CI: 3.0-46.7, p<0.001) and the APACHE II score (OR: 1.3, 95% CI: 1.2- 1.5, p<0.001) were analyzed as independent risk factors of nosocomial ESBL-producing E. coli bacteremia. Conclusion: Our results showed that physicians caring for patients with risk factors of nosocomial bacteremia should consider ESBL-producing E. coli as the causative organisms of the disease.

Studies on disease of catfish, Silurus asotus, in Korea. III. Edwardsiella ictaluri infection. (한국산 메기(Silurus asotus)의 질병에 관한 연구 III. Edwardsiella ictaluri 감염증)

  • Park, Sung-Woo;Kim, Young-Gill
    • Journal of fish pathology
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    • v.7 no.2
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    • pp.105-112
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    • 1994
  • A new bacterial infection occurred among the cultured Korean catfish, Silurus asotus, in Chunbuk prefecture, Korea, 1993. This disease produced about 30% mortality in the fish for 4 months. The diseased fish was swimming listless at the water surface with head up and tail down, sometimes spinnig in circles. The most outstanding clinical sign was ulceration on the skull and at the base of the pectoral fins. The causative organism was isolated from the brain, kidney, spleen and liver of diseased fish, and identified as Edwardsiella icaluri by the biochemical and biophysical characteristics. After intraperitoneal innoculaton of the isolate, the pathogenicity was proved positive for Korean catfish, S. asotus, and channel catfish, Ictalurus punctatus, but negative for carp, Cyprinus carpio.

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Clinicostatical & Bacteriological Studies of Otofuruncle (이절 (Otofuruncle)의 임상통계학적 및 세균학적 고찰)

  • 차인숙;이계실;김정중;김광수
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.14.1-14
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    • 1982
  • The Clinicostatical and Bacteriological studies on the otofuruncles were carried out on 297 pts who had visited OPD of ENT depart of St. Benedict Hospital during the 2 years from Jan. 1980, Until Dee, 1981. The results obtained were as follows; 1) The otofuruncle ratio to the whole ENT visiting cases was 27,149:991. (3.6%) 2) The age distribution showed the highest incidence in 0-10 years. (63%) 3) The ratio, male vs female was 180:133 (1.3:1). 4) The seasonal incidence showed the highest incidence in July and August. 5) The side of otofuruncle was left side (56.7%). 6) The site of otofuruncle was posterior (21%), anterior (19%), multiple (13%). 7) Average duration of illness on first visiting was 4.7 days. 8) The numbers of cases who performed I&D was 103 pts. (35%). 9) The most common causative organism was Staph. aureus (88%). 10) Average duration of treatment was 5.3 days.

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Analysis of total oral microorganisms in saliva using real-time PCR and colony forming unit (Real-time PCR과 Colony forming unit법을 이용한 타액 내 2종의 구강미생물 총량분석)

  • Yoo, Su-Min;Jeong, Seong-Kug;Yoo, Hyun-Jun;Jang, Jong-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.1
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    • pp.13-25
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    • 2017
  • Objectives: The purpose of this study was to compare colony forming unit (CFU) method and multiplex real-time polymerase chain reaction (MRT-PCR) method for accurate quantitative analysis of bacteria. Methods: We compared the CFU method and the MRT-PCR method, which are still used in Korea, for Prevotella intermedius (P. intermedius), a periodontal disease pathogen selected by MRT-PCR, and Streptococcus mutans (S. mutans), a dental caries causative organism. The subjects of this study were 30 patients who visited the C dental hospital. Results: Total microorganisms in MRT-PCR method were significantly higher in both types of bacteria (p<0.05), since DNA of dead bacteria was also analyzed. This was because the periodontal dise(-) anaerobes, and even dead bacteria contain large amounts of toxic substances called LPS in the extracellular membrane, and fimbriae and pili, which are motility structures, still remain as a strong toxic substance in periodontal tissue. Conclusions: Therefore, in terms of the total amount of bacteria found, the MRT-PCR method will be a useful technique for searching all the bacteria in the oral cavity including live bacteria, as well as sterilization.

Studios on the Diagnosis of Subclinical Mastitis in Dairy Cows by the Measurement of the Electrical Conductivity 2. Factors Influencing Electrical Conductivity Value (전기전도도측정에 의한 유우준임상형 유방염의 진단에 관한 연구 2. 전기전도도치의 변동요인)

  • Kang Byong-Kyu;Shin Chong-Bong
    • Journal of Veterinary Clinics
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    • v.2 no.1
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    • pp.115-120
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    • 1985
  • To probe the subclinical mastitis in a herd of cows in Chonnam district, the electrical conductivity(EC) of 825 foremilk samples were measured for 2 years. Normal (n=487) and mastitic(n=110) foremilk samples were classified by the California mastitis test (CMT) and direct somatic cell count(DSCC) and investigated the relations between the changes of the EC value and the calving history, age, days of postpartum, estrus and causative organism isolated. Obtained results are summarized as follows. 1. In the normal foremilk samples, positive correlation, though not significant, was found between the EC value and calving history (r=0.573) and age (r=0.247). 2. In the normal foremilk samples, the EC values were lowered at 30~120 days of postpartum through the whole lactation period and revealed a tendencies to higher values following the day of postpartum increased untill to the drying off (r=0.823), and the days of postpartum was recognized as one of a influencing factor on the EC value(p<0.05). 3. In the mastitic foremilk samples, significant correlation between EC value and resazurin reduction test (RRT) were observed (r=0.904, p<0.05). 4. In the mastitic foremilk samples, EC values were obtained in the E. coli infection as 63.9mM-NaCl, in the Streptococcus spp. infection as 60.5mM-NaCl and in the Staphylococcus spp. infection as 57.0mM-NaCl. 5. At day 0 of estrus, the mean EC values of normal and mastitic foremilk samples were 41.2mM-NaCl and 68.3mM-NaCl respectively and the EC value of day 0 of estrus was higher than that of days before and after estrus.

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Mass Mortality Caused by Nocardial Infection in Cultured Snakehead, Channa arga in Korea (Norcardia 감염증에 의한 양식 가물치의 대량 폐사)

  • Park, Myoung-Ae;Lee, Deok-Chan;Cho, Mi-Young;Choi, Hee-Jung;Kim, Jin-Woo
    • Journal of fish pathology
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    • v.18 no.2
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    • pp.157-165
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    • 2005
  • A new disease causing mass mortality of farmed snakehead (Channa arga) has emerged in Korea over the summer of 2005. The affected fish showed no specific external signs with the exception of a distended abdomen and hemorrhaging around the anus. After opening the abdomen, the visceral organs, liver, spleen and kidney, present numerous white nodular structures. Histopathological examination revealed these nodules to be evidence of granulomas in the visceral organs. A Gram-positive, filamentous bacterium was isolated from all of the affected fish. Development of primers for a genus-specific peR assay for Nocardia, following analysis of the sequences of the complete 16S rRNA genes from Nocardia spp. and non-Nocardia bacterial genes, allowed identification of the causative organism as Nocardia. This is the first report of a nocardial infection of fish in Korea.

Blooms of the woloszynskioid dinoflagellate Tovellia diexiensis sp. nov. (Dinophyceae) in Baishihai Lake at the eastern edge of Tibetan Plateau

  • Zhang, Qi;Zhu, Huan;Hu, Zhengyu;Liu, Guoxiang
    • ALGAE
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    • v.31 no.3
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    • pp.205-217
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    • 2016
  • Freshwater red tides due to dinoflagellates have caused spectacular and regular “summer reddening” in recent years in Baishihai Lake, a temperate, meromictic, meso- or oligotrophic, high-altitude, landslide-dammed, deep lake located at the eastern edge of Tibetan Plateau in China. Based on morphological and molecular analyses, the causative organism has been identified as a new woloszynskioid dinoflagellate, Tovellia diexiensis Q. Zhang et G. X. Liu sp. nov. The vegetative cells are 20-32 μm long and 16-24 μm wide. They have a hemispherical episome and a broadly rounded hyposome with a short characteristic antapical spine. Usually cells are bright red due to the presence of numerous red-pigmented bodies, which often masked the yellowish green discoid chloroplasts. The amphiesma of motile cells comprise mainly quadrilateral, pentagonal or hexagonal thin plates, arranged in 4-5 latitudinal series on the episome, 1 in the cingulum and 4 on the hyposome. Molecular phylogenies based on small subunit ribosomal DNA and large subunit ribosomal DNA (LSU) indicate T. diexiensis from Baishihai Lake to belong to the family Tovelliaceae, which was monophyletic in our LSU phylogenies. During the bloom-forming period in 2005, cell density of T. diexiensis reached 9.15 × 105 cells L−1. Astaxanthin and its diester were found to be the major pigments in T. diexiensis, resulting in a characteristic blood-red color of the water in Baishihai Lake.

Free Flap and Osteocutaneous Flap Transfer in the Treatment of Infected Wound (감염 창상 치료에 있어 유리 피부 및 생골 피부편 이식)

  • Lee, Kwang-Suk;Kim, Sang-Bum;Lee, Dae-Hee;Jeon, Woo-Joo;Baek, Jong-Ryoon
    • Archives of Reconstructive Microsurgery
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    • v.13 no.2
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    • pp.136-143
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    • 2004
  • Purpose : We analyse retrospectively the clinical result of consecutive free flap and osteocutaneous flap transfer in the chronic osteomyelitis, nonunion combined with infection and soft tissue defect with infection. Materials and Methods : From December 1989 to Jun 2003, free flap and osteocutaneous flap transfer was performed in 225 patients with osteomyelitis or infected non-union. 44 cases of these patients had revealed antibitotics resistant organism in wound culture, and these 44 cases were investigated in the mechanism of the injury, recurrence of infection, radiographic union, follow-up clincal results, and postoperative complications. Results : Among the 44 cases, consecutive procedures of osteocutaneous flap transfers(26 cases) and free flaps(18 cases) were performed. Causative organisms were MRSA(20 cases), Pseudomonas aeruginosa(18 cases), acinetobacter(2 cases), and so forth. Initial bony union was obtained in the average 6.3 months. Recurrence of infection in free flap and osteocutaneous free flap were occurred in 3 and 4 cases respectively. Eventually, all the cases attained successful subsidence of the inflammation. Conclusion : Free flap and osteocutaneousflap transfer have provided the greatest improvement of surgical results in infected non-union, chronic osteomyelitis and soft tissue defect with infection. Further clincal studies maybe required to minimize failure rate.

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The biological and biochemical characteristics of a Vibrio sp., causative agent of intestinal necrosis of flounder larvae (Paralichthys olivaceus) (넙치, Paralichthys olivaceus 자어(仔魚)에서 분리(分離)한 장관백탁증(腸管白濁症)의 원인균(原因菌)인 Vibrio sp.(INFL group)의 생물학적(生物學的) 및 생화학적(生化學的) 특성(特性))

  • Lee, Jung-Baik;Rho, Sum;Song, Choon-Bok
    • Journal of fish pathology
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    • v.8 no.2
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    • pp.99-109
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    • 1995
  • The diseased larvae of the flounder, Paralichthys olivaceus, were sampled several times from a fish hatchery located in Cheju Island between December, 1991 and April, 1992. They turned out to be infected with Vibrio sp. and diagnosed as intestinal necrosis of flounder larvae(INFL) based on morphological, biological, and biochemical examinations. INFL was known to be caused by the live food organism infected with Vibrio sp. The optimal growth conditions of the isolates for temperature, pH, and NaCl concentration were $20\sim30^{\circ}C$, 6~8, and 2~4%, respectively. In the drug sensitivity test, the isolates were sensitive to oxytetracycline, nalidixic acid, kanamycin, and novobiocin, but resistant to ampicillin, erythromycin, spiramycin and sulfa-drug.

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