• 제목/요약/키워드: Clinical Manifestation

검색결과 480건 처리시간 0.029초

술후 감염조절이 어려웠던 환자의 증례보고 (A CASE REPORT OF UNCONTROLLED INFECTION IN POSTOPERATIVE PATIENT)

  • 김수민;여환호;김영균;김수관;서재훈;박인순;박인수;김용욱
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제19권1호
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    • pp.87-92
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    • 1997
  • Treatment of infected mandibular fracture is confronted with various difficult problem, e.g. nosocomial wound infection, non-union of fracture, osteomyelitis. Recently, nosocomial infection has become a major health problem because of excessive morbidity, personal distress, and cost. Frequently, isolated causative microorganisms of nosocomial infection were staphylococcus aureus, pseudomonas aeruginosa, klebsiella species. The various manifestation of the disease related to the pathogenesis and the clinical course tend to give a bad prognosis after operation. This is a report of case that post-operative infected mandibular fracture in 53-year-old man was not healed even through aggressive I & D and antibiotic treatment.

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퇴행성 슬관절염에 관련요인연구 (A Study on Osteoarthritis of The Knee And Associated Factors)

  • 강점덕
    • 대한정형도수물리치료학회지
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    • 제14권2호
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    • pp.34-40
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    • 2008
  • Purpose: We defined osteoarthritis of the knee as knee pain and crepitus in over 40 years old. The usual clinical manifestation include pain, stiffness, crepitus and loss of function. Methods: We studied 40 cases of the degenerative arthritis of knee clinically. The body mass index(BMI, weight(kg)/height($m^2$) was used as a measure of obesity. Pain self assessment scale by Million Index in according to age, occupation, BMI. Results: Gender by pain self assessment scale was 6.5 in male and 6.6 in female(P<0.05). The prevalence rates obese was 40%. Occupation by pain self assessment scale was 7.0 in Sitting and 5.7 in Standing(P<0.05). Prevalence was increased with age by pain self assessment scale in aged 40-69 years. Conclusion: It has been known that the obesity is one of the predispsing factors of the primary degenerative arthritis of knee. A flexion weight bearing view of the knee obtained at $30^{\circ}$ to $40^{\circ}$ of the joint flexion may be more sensitive in assessing damages to hyaline cartilage because the knee flexion is an important component of the stance phase.

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Rapid Atypical Progression of Neuro-Behçet's Disease Involving Whole Brainstem and Bilateral Thalami

  • Lee, Sang-Kook;Choi, Sung-Jae;Kim, Sang-Dae;Lim, Dong-Jun
    • Journal of Korean Neurosurgical Society
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    • 제50권1호
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    • pp.68-71
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    • 2011
  • We present a case of Neuro-Behçet's disease with an unpredictable clinical course. A 47-year-old man was admitted to the neurosurgery department of our hospital with a mild headache. Three days after admission, his consciousness suddenly decreased and respiratory distress progressed rapidly. A brain MRI revealed that the previously observed abnormal signal had extended markedly to both the thalamic areas and the entire brain stem, and the surrounding brain parenchyma were compressed by cerebral edema. Based on the patient's symptoms of recurrent oral and genital ulcers, skin lesions, and uveitis, a rheumatologist made a diagnosis of Behçet's disease with CNS involvement. The patient was treated with high-dose methylprednisolone with respiratory assistance in the intensive care unit for 9 days and his neurologic symptoms improved remarkably. Neuro-Behçet's disease must be considered in the differential diagnosis in rapidly deteriorated young neurological patients along with a stroke, low-grade glioma, multiple sclerosis, and occlusive venous disease.

부신의 종괴로 처음 발현한 전이성 간세포암: 증례보고 (Adrenal Mass as Initial Presentation of Metastatic Hepatocellular Carcinoma: A Case Report)

  • 김환용;박철희;김민지;김여은;이동훈;황호경;신동규
    • Investigative Magnetic Resonance Imaging
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    • 제17권4호
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    • pp.321-325
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    • 2013
  • 간세포암은 부신을 포함하여 여러 장기에 전이를 일으킬 수 있다. 그러나, 간의 병변 없이 부신으로 전이된 간세포암의 예는 매우 드물다. 저자들은 부신의 종괴로 처음 발현한 전이성 간세포암의 전산화 단층촬영 (CT), 자기공명영상 소견을 보고하고자 한다. 간세포암의 전이로 인한 부신 종괴는 MRI에서 간세포암과 유사한 신호강도와 조영증강 양상을 보이고 있었다.

Henoch-Schönlein 자반증에서 발생된 단백소실장증 1례 (A Case of Protein Losing Enteropathy Associated with Henoch-Schönlein Purpura)

  • 김기대;오창환;이은영;김재영
    • Clinical and Experimental Pediatrics
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    • 제48권2호
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    • pp.224-227
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    • 2005
  • Henoch-$Sch{\ddot{o}}nlein$ 자반증에서 복통과 혈변이 가장 흔한 위장관계 침범 증상이며, 주요 위장관계 합병증은 발생빈도가 매우 낮다. 특히 국내 소아에서 단백소실장증이 합병된 보고 예는 아직까지 없다. 저자들은 Henoch-$Sch{\ddot{o}}nlein$ 자반증에서 경과 중에 단백소실장증이 합병된 6세 여아를 경험하였기에 문헌고찰과 함께 보고한다.

항핵항체 양성을 보인 아급성 괴사성 림프절염 1례 (A Case of Subacute Necrotizing Lymphadenitis with ANA)

  • 박혜영;박병수;심준용;박석원;김황민;김종수;송지선;박광화
    • Pediatric Infection and Vaccine
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    • 제8권1호
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    • pp.118-122
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    • 2001
  • 저자들은 이전의 보고와 달리 알레르기의 과거력이 없으면서 ANA 양성을 보인 6세된 여아에서 아급성 괴사성 림프절염 1례를 경험하였기에 주로 자가 면역 질환과의 관련성에 대한 최근의 문헌 고찰과 함께 보고하는 바이다.

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Mixed Infection of Mycobacterium abscessus subsp. abscessus and Mycobacterium tuberculosis in the Lung

  • Sohn, Sungmin;Wang, Sungho;Shi, Hyejin;Park, Sungrock;Lee, Sangki;Park, Kyoung Taek
    • Journal of Chest Surgery
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    • 제50권1호
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    • pp.50-53
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    • 2017
  • A mixed infection of Mycobacterium abscessus subsp. abscessus (Mab) and Mycobacterium tuberculosis (MTB) in the lung is an unusual clinical manifestation and has not yet been reported. A 61-year-old woman had been treated for Mab lung disease and concomitant pneumonia, and was diagnosed with pulmonary tuberculosis (PTB). Despite both anti-PTB and anti-Mab therapy, her entire left lung was destroyed and collapsed. She underwent left pneumonectomy and received medical therapy. We were able to successfully treat her mixed infection by pneumonectomy followed by inhaled amikacin therapy. To the best of our knowledge, thus far, this is the first description of a mixed Mab and MTB lung infection.

Genetic Variations Leading to Familial Dilated Cardiomyopathy

  • Cho, Kae Won;Lee, Jongsung;Kim, Youngjo
    • Molecules and Cells
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    • 제39권10호
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    • pp.722-727
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    • 2016
  • Cardiomyopathy is a major cause of death worldwide. Based on pathohistological abnormalities and clinical manifestation, cardiomyopathies are categorized into several groups: hypertrophic, dilated, restricted, arrhythmogenic right ventricular, and unclassified. Dilated cardiomyopathy, which is characterized by dilation of the left ventricle and systolic dysfunction, is the most severe and prevalent form of cardiomyopathy and usually requires heart transplantation. Its etiology remains unclear. Recent genetic studies of single gene mutations have provided significant insights into the complex processes of cardiac dysfunction. To date, over 40 genes have been demonstrated to contribute to dilated cardiomyopathy. With advances in genetic screening techniques, novel genes associated with this disease are continuously being identified. The respective gene products can be classified into several functional groups such as sarcomere proteins, structural proteins, ion channels, and nuclear envelope proteins. Nuclear envelope proteins are emerging as potential molecular targets in dilated cardiomyopathy. Because they are not directly associated with contractile force generation and transmission, the molecular pathways through which these proteins cause cardiac muscle disorder remain unclear. However, nuclear envelope proteins are involved in many essential cellular processes. Therefore, integrating apparently distinct cellular processes is of great interest in elucidating the etiology of dilated cardiomyopathy. In this mini review, we summarize the genetic factors associated with dilated cardiomyopathy and discuss their cellular functions.

토혈이 동반된 멕켈 게실에 의한 회회맹장형 장중첩증 1례 (A Case of Ileoileocolic Type Intussusception Presented with Hematemesis Due to Meckel's Diverticulum)

  • 배순호;권영대;강호석;황수경;고준태
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제8권1호
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    • pp.56-59
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    • 2005
  • 저자들은 7세의 여아가 구토, 미만성 복통과 복부 팽만, 혈성 설사 후 토혈이 있어 검사한 복부 초음파 검사상 장중첩증이 발견되었고, 개복수술 시 멕켈 게실이 발견된 증례를 경험하였다. 장중첩증이나 멕켈 게실이 있는 소아에서 토혈이 동반되는 경우는 드물기에 이를 보고하는 바이다.

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Acquired facial lipoatrophy: A report of 3 cases with imaging features

  • Lee, Chena;Kim, Jo-Eun;Yi, Won-Jin;Heo, Min-Suk;Lee, Sam-Sun;Han, Sang-Sun;Choi, Soon-Chul;Huh, Kyung-Hoe
    • Imaging Science in Dentistry
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    • 제50권3호
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    • pp.255-260
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    • 2020
  • Acquired facial lipoatrophy is a rare disease with an unclear etiology and pathological pathway. The distinct causative factors of this disease have been not elucidated, but it is suspected to be associated with immune system-related diseases, most notably AIDS. Although the management of facial lipoatrophy is very important for patients' social life and mental health, no treatment framework has been developed due to the unknown nature of the disease manifestation. The present case report was designed to provide sequential imaging to visualize the disease progression. The clinical backgrounds of the patients are also introduced, helping characterize this disease entity more clearly for maxillofacial specialists.