• Title/Summary/Keyword: Chlamydia

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Identification of Chlamydia trachomatis from the Urethral Specimens by McCoy Cell Culture and Enzyme-Linked Immunosorbent Assay (비뇨생식기로부터 Chlamydia trachomatis의 세포배양 및 효소면역학적동정)

  • Lee, Jae-Sang;Lee, Yun-Tai
    • The Journal of the Korean Society for Microbiology
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    • v.21 no.2
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    • pp.261-270
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    • 1986
  • A total of 339 urethral, vaginal swab and eye discharge materials from the out-patients in the hospitals of Seoul area was microbiologically collected for the detection of Chlamydia trachomatis infection during May through August, 1985. McCoy cell culture system (MCC) and enzyme-likned immunosorbent assay (EIA) methods were employed in this study as the tools for the detection of C. trachomatis, and the detectabilities of two methods were compared. The results obtained in this study are summarized as follows: 1. The positive rate of C. trachomatis in 339 swab specimens was 18.6%, and the rate in females (20.1%) was much higher than that in males (7.1%). 2. The positive rate of C. trachomatis infection the prostitutes was the highest (24.2%), and the rate in the eye discharge specimens obtained from the new barns was 12.8%. 3. The positive rates of C. trachmoatis infection detected in the specimens from the patients with vaginitis and leucorrhea, with infertility, with cystitis and with nongonococcal urethritis were 17.2%, 21.9%. 18.0% and 7.1%, respectively. 4. The positive rate of C. trachomatis infection in 20-25 age group was 30.5%. This rate was the highest among the other age groups. 5. The positive rate of C. trachomatis infection in the randomly screened 89 swab specimens by EIA (30.3%) was much higher than the rate detected by MCC (18.6%). 6. The positive rate of C. trachomatis infection in females detected by EIA was also much higher than in males, and the 20-25 age group showed the highest positive rate as compared to the other age groups. 7. Sensitivity and specificity of EIA for the detection on C. trachomatis were 100% and 88.6%, respectively, in case that MCC was regarded as perfect method. In summarizing the above results, it is known that considerable cases with genital diseases and with eye discharges were associated with C. trachomatis, and that EIA method is recommendable for the detection of C. trachomatis especially in the specimens swabed from the genital tracts.

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Analysis of Five Years of US Immigration Medical Exams (5년간의 미국 이민 비자 신체검사 결과 분석)

  • Lim, Juwon
    • Korean journal of aerospace and environmental medicine
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    • v.31 no.3
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    • pp.77-81
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    • 2021
  • Purpose: The United States of America have pre-migration screening program are mandated through legislation. The one of purpose of this program is to prevent the importation of certain communicable diseases. Examinations of migration applicants are performed by panel physicians who are licensed physicians in the countries of origin that have agreements with the government departments of the country of destination to undertake this activity. In recent decades, the number of US migrants has increased, however COVID-19 impacted this trend of international migrants. The Aim of this study is to examine trends of US applicants and outcomes of tuberculosis and sexual transmitted infections (STIs) screening in South Korean applicants for US visa. Methods: A total of 4,442 applicants participated in US visa health check-up in 2016 to 2020. Results: The numbers of applicant for US visa in males and females was 1,814 and 2,628. The positive results in tuberculosis and STIs screening was noted with 0.66% in nontuberculous mycobacteria (NTM), 0.03% in tuberculosis, 0.03% in gonorrhea, 0.08% in syphilis, and 0.74% in chlamydia. The age groups of 2 to 14 years showed higher positive rate (13.89%) in tuberculin skin test (TST) tests compared to the rate of interferon gamma release assay (IGRA) tests (0.44%, P<0.001). The positive ratio of NTM and abnormal chest X-ray (CXR) which required sputum tests among the applicants over 15 years old has trends to increase with age. The age groups of over 70 years showed high positive rate in NTM and abnormal CXR (4.10%, 20.51%). However, ages 15 to 49 years groups showed 0.00% to 0.30% in NTM and 1.08% to 3.91% in abnormal CXR. In the study population, the positive rates of STIs were 0.03%, 0.08%, and 0.74% in gonorrhea, syphilis, and chlamydia, respectively. Among the participants who underwent sputum smears and cultures were just 1 case of active tuberculosis (0.03%) and 25 cases of NTM infection (0.66%). Conclusion: This study found that rate of positivity in tuberculosis and STIs screening among South Korean applicants for US visa in 2016 to 2020. Regarding tuberculosis, the positivity of CXR among the aged 15 to 59 years applicants was lower than that among over 60 years old. Among 2 to 14 years, positivity of IGRA was very low. And IGRA test can reduce effort of further evaluation compared to TST test in South Korea, so IGRA test among young adults can be useful. High positive rates in STI among young adult could result in high active sexuality, especially chlamydia infection is most common. Therefore Chlamydia polymerase chain reaction should be considered formal protocol among the Korean applicant for US visa.

The First Isolation of Chalamydia pneumoniae from a Korean Patient (한국인에서 처음 분리된 Chlamydia pneumoniae)

  • Lee, Seung-Joon;Jung, He-Hyeok;Kim, Suk-Kyeong;Choi, Dae-Hee;Han, Seon-Suk;Nam, Eui-Cheol;Won, Jun-Yeon;Park, Weon-Seo;Lee, Myung-Goo;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.5
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    • pp.569-576
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    • 2002
  • Background : Chlamydia pneumoniae is one of common causes in upper and lower respiratory infections. Isolating C. pneumoniae from clinical specimens is very difficult due to the characteristics of the organism. Recently, we succeeded in isolating C. pneumoniae from a Korean patient, who suffered from acute pharyngitis. This is the first isolate from a clinical specimen in Korea. Methods : We attained a nasopharyngeal swab from a 22-year-old female patient, and inoculated it on a monolayer of the Hep-2 cell line. After 8 passages, we found the inclusion bodies of C. pneumoniae by an immunofluorescence(IF) test. The species-specific monoclonal antibody IF staining and species-specific PCR were done to confirm the species of the isolate, and electron microscopy was used to characterize the morphology. Results : The isolated was confirmed to be C. pneumoniae by species-specific IF and PCR, and the strain was named LKK-1. The shape of the elementary body was round and with a narrow periplasmic space, as shown by electron microscopy, which is similar to the Japanese strain, but not the Western strain. Conclusion : We succeeded in isolating C. pneumoniae from a 22-year-old patient with acute pharyngitis, which is the first isolate in Korea. In the future, this Korean strain will be useful to the study of C. pneumoniae.

Gill Tissue Reactions to an Epitheliocystis Infection in Cultured Red Seabream, Pagrus major

  • Syasina, Iraida;Park, In-Seok;Kim, Jong Min
    • Journal of fish pathology
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    • v.17 no.2
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    • pp.105-111
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    • 2004
  • Tissue reactions in gills of cultured red seabream, Pagrus major, toan epitheliocystis infection are described. Basophilic intracellular inclusions in gills contained prokaryotes, most probably a Chlamydia-like organisms according to morphological characteristic. A few types of tissue reaction were found around the inclusions: encapsulation, epithelial hyperplasia, lamellar fusion, and inflammation. It was considered that eosinophilic granule cells and macrophages might take part in defense reactions against this prokaryotic organism.

Epidemiological Trends of Sexually Transmitted Infections Among Women in Cheonan, South Korea, 2006-2012

  • Kim, Jae Kyung
    • Journal of Microbiology and Biotechnology
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    • v.23 no.10
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    • pp.1484-1490
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    • 2013
  • A lack of investigation in specific regions has impeded the understanding of epidemiological trends in the prevalence of sexually transmitted infections (STIs) in South Korea. To help fill this research gap, this study used multiplex polymerase chain reaction (mPCR) to determine the prevalence of STIs detected in clinical specimens collected from women in Cheonan, South Korea between August 2006 and November 2012, and analyzed the prevalence of STIs according to age, bacterial pathogen, and time period. Of the 1,618 specimens collected from 1,523 patients, 536 (35.2%) tested positive for at least 1 pathogen, with 407 (25.2%) testing positive for 1 pathogen, 103 (6.4%) for 2 pathogens, 20 (1.2%) for 3 pathogens, and 6 (0.4%) for 4 pathogens (n = 697 pathogens total). The median ages of all patients and of STI-positive patients were 37.8 and 33.3 years, respectively, and both decreased annually over the study period. Mycoplasma hominis (MH) was detected in 62.1% of the positive specimens, Ureaplasma urealyticum (UU) in 28.4%, Chlamydia trachomatis (CT) in 23.1%, Trichomonas vaginalis (TV) in 7.8%, Mycoplasma genitalium (MG) in 6.5%, and Neisseria gonorrhoeae (NG) in 2.1%. Whereas the prevalence of MH, MG, and TV infection did not vary greatly over the study period, that of UU decreased by one-fifth and that of both CT and NG increased 4-fold. The results indicate great variability in the rates of infection with each pathogen and a decreasing trend in overall STI prevalence, age of patients seeking STI testing, and age of STI-positive patients.

A Prospective Study for Comparing the Effects of Macrolide and Second-generation Cephalosporin on the Treatment of Pneumonia among Combat Policemen (전투경찰에서 발생한 폐렴에 있어서 Macrolide와 2세대 Cephalosporin의 치료 효과에 대한 전향적 비교 연구)

  • Lee, Jae Il;Yang, Byeong Yoon;Moon, Chang Ki;Jeong, Jae Hyeok;Kim, Jong Su;Lee, Jung Min;Ahn, Seok Jin;Jung, Jun-Oh;Park, Sang-Joon;Kim, Yun Kwon;Kim, So Yon;Kim, Young Jung;Cho, Min Koo;Lee, Gwon Jun;Lee, Gyeong In
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.3
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    • pp.257-266
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    • 2005
  • Background : The study of pneumonia among young men living in a group is rare. prospective study was conducted to determine the etiology, and compare the effects of macrolide and second-generation cephalosporin on the treatment of pneumonia among combat policemen. Patients and Methods : From January 2003 to April 2004, Fifty-two patients with pneumonia were treated with either azithromycin(n=25) or cefuroxime(n=27). In order to determine the cause of the pneumonia, culture studies and serologic tests for antibodies to Mycoplasma pneumoniae and Chlamydia pneumoniae were carried out. During the two weeks of medication, the Chest X-rays, blood tests and culture studies(if necessary) were followed weekly. A serologic study was followed at the end of the second week. Results : The main pathogens for pneumonia among combat policemen were Mycoplasma pneumoniae(50.0%), Chlamydia pneumoniae(10.8%), and Streptococcus pneumoniae(3.8%). The treatment was successful in most cases(51/52 cases, 98.1%). The effects of azithromycin and cefuroxime were similar (96.0% vs 100%, p>0.05). In one patient who had taken azithromycin, the clinical and radiological findings did not improved until intravenous second generation ce phalosporin had been infused. Conclusion : Atypical pathogens were the main causes of the pneumonia in the combat policemen, and the effects of macrolide and second generation cephalosporin for pneumonia were similar. However, further studies will be needed to determine if single therapy with macrolide is possible.

A case of reactive arthritis after Salmonella enteritis in in a 12-year-old boy

  • Chun, Peter;Kim, Young-Jin;Han, Young-Mi;Kim, Young-Mi
    • Clinical and Experimental Pediatrics
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    • v.54 no.7
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    • pp.313-315
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    • 2011
  • Reactive arthritis comprises a subgroup within infection-associated arthritides in genetically susceptible hosts. Researchers and clinicians recognize two clinical forms of reactive arthritis which occurs after genitourinary tract infection and after gastrointestinal tract infection. Chlamydia infection has been implicated as the most common agent associated with post-venereal reactive arthritis. Studies have proposed Shigella infection, Salmonella infection, or Yersinia infection as the microorganisms responsible for the post-dysenteric form. The human leukocyte antigen (HLA)-B27 antigen is the best-known predisposing factor. We report a case of HLA-B27-associated reactive arthritis after Salmonella enteritis at Pusan National University hospital.

Effects of infections with five sexually transmitted pathogens on sperm quality

  • Kim, Sung Jae;Paik, Doo-Jin;Lee, Joong Shik;Lee, Hyo Serk;Seo, Ju Tae;Jeong, Mi Seon;Lee, Jae-Ho;Park, Dong Wook;Han, Sangchul;Lee, Yoo Kyung;Lee, Ki Heon;Lee, In Ho;So, Kyeong A;Kim, Seon Ah;Kim, Juree;Kim, Tae Jin
    • Clinical and Experimental Reproductive Medicine
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    • v.44 no.4
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    • pp.207-213
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    • 2017
  • Objective: This study investigated the prevalence of infections with human papillomavirus, Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, and Mycoplasma genitalium in the semen of Korean infertile couples and their associations with sperm quality. Methods: Semen specimens were collected from 400 men who underwent a fertility evaluation. Infection with above five pathogens was assessed in each specimen. Sperm quality was compared in the pathogen-infected group and the non-infected group. Results: The infection rates of human papillomavirus, C. trachomatis, U. urealyticum, M. hominis, and M. genitalium in the study subjects were 1.57%, 0.79%, 16.80%, 4.46%, and 1.31%, respectively. The rate of morphological normality in the U. urealyticum-infected group was significantly lower than in those not infected with U. urealyticum. In a subgroup analysis of normozoospermic samples, the semen volume and the total sperm count in the pathogen-infected group were significantly lower than in the non-infected group. Conclusion: Our results suggest that infection with U. urealyticum alone and any of the five sexually transmitted infections are likely to affect sperm morphology and semen volume, respectively.