• 제목/요약/키워드: Disseminated

검색결과 521건 처리시간 0.032초

속립성 폐결절로 발현된 파종성 콕시디오이데스 진균증 (Disseminated Coccidioidomycosis Presenting with Miliary Nodules)

  • 김정하;허규영;정기환;정혜철;박대원;이승룡;이상엽;김제형;손장욱;신철;심재정;인광호;강경호;유세화
    • Tuberculosis and Respiratory Diseases
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    • 제60권1호
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    • pp.97-101
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    • 2006
  • Coccidioidomycosis is a rare systemic fungal infection in Korea. However, the incidence of coccidioidomycosis has recently begun to increase due to the increasing incidence of people traveling overseas to endemic areas. In previously reported cases of coccidioidomycosis in Korea, the radiographic findings usually showed a solitary pulmonary nodule, pleural effusion, cavitation, and hilar lymphadenopathy, but no miliary nodules. We report a case of disseminated coccidioidomycosis with miliary nodules in an immunocompetent patient. A 32 year old male, who had traveled in Corona, New Mexico, USA, was admitted for an evaluation of persistent cough with fever. Chest radiography revealed initially diffuse multiple small nodules that appeared to be miliary tuberculosis. However, a subsequent evaluation revealed that he had disseminated coccidioidomycosis.

홍등탕(紅藤湯)이 내독소로 유발된 파종성혈관내응고증에 미치는 영향 (The Effect of Hongdeung-tang on Endoxotin-induced Disseminated Intravascular Coagulation)

  • 임은미;조영래
    • 대한한방부인과학회지
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    • 제19권1호
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    • pp.139-154
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    • 2006
  • Objective : This experimental study was carried out to investigate anti-coagulation effects and mechanism of Hongdeung-tang on the dissentimenated intravascular coagulation Methods : Each 10 rats were classified as normal gorup, control group and treated group. The control group was given a 0.5mg/ml endotoxin intra-vein injection and was occurred Disseminated Intravascular Coagulation(DIC). The treated group were orally administrated 1ml Hongdeung-tang concentration once a day for 6 days and then it was treated the same as the control group. We took the blood from heart and were investigated number of Platelet and white blood cell(WBC), fibrinogen concentration, prothrombin time(PT), activated partial thromboplastin time(APTT), interleukin-6(IL-6), Tumor Necrosis $Factor-{\alpha}(TNF-{\alpha})$, Prostaglandin $E2(PGE_2)$ from them. Results : There were a statistically significant increase of platelet and fibrinogen concentration in the treated group compared to the treated group. The PT was a significantly reduced in treated group compared to the control group. There was no significant change in numbers of WBC and APTT between control and treated group. On the contrary, the number of PT, IL-6, $TNF-{\alpha}$, $PGE_2$ were significantly decreased in treated group compared to the control group. Conclusion : DIC which was occurred by endotoxin intravenous injection seems to related to the increase of IL-6, $TNF-{\alpha}$, $PGE_2$ and Hongdeung-tang has an effect that supress those factors. we can assume Hongdeung-tang has an anti-coagulation effect by those supressing effect.

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항GT1a 및 항GM1강글리오시드항체 동시 양성을 보인 길랭-바레증후군과 급성파종뇌척수염의 병발 (Co-occurrence of Guillain-Barré Syndrome and Acute Disseminated Encephalomyelitis with Dual Positive of Anti-GT1a and Anti-GM1 Antibodies)

  • 이주영;유진혁;강동국;김예림;윤별아;김종국;배종석
    • 대한신경과학회지
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    • 제35권4호
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    • pp.211-214
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    • 2017
  • Acute disseminated encephalomyelitis (ADEM) and Guillain-$Barr{\acute{e}}$ syndrome (GBS) are both rare post-infectious neurological disorders. The co-existence of these conditions has often been reported despite of low incidence. We describe a 20-year-old male, who presented with acute flaccid paralysis and encephalopathy. The patient showed reversible MRI lesions suggesting ADEM. This case showed anti-GT1a IgG and anti-GM1 IgM antibodies positivity. We suggest that certain immunogenicity within central and peripheral nervous system may share a common autoimmune process during the disease course.

면역 저하 환자에서 발생한 파종성 Mycobacterium intracellulare 감염 1예 (A Case of Disseminated Mycobacterium intracellulare Infection in an Immunocompromised Host)

  • 김선영;오동욱;유지희;김동회;노세희;노재형;정상수;유동준;심태선
    • Tuberculosis and Respiratory Diseases
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    • 제67권1호
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    • pp.32-36
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    • 2009
  • 본 증례는 AIDS가 아닌 면역저하 환자에서 M. intracellulare에 의하여 관절염 및 흉수가 발생한 파종성 질환의 예로 국내에서 두 번째로 보고되는 바이다.

고립성 폐결절로 발현한 파종성 림프절 외 변연부 B-세포 림프종 1예 (A Case Report of Disseminated Extranodal Marginal Zone B-Cell Lymphoma of MALT Manifested by Solitary Pulmonary Nodule)

  • 조준현;정종필;차희정;박창률;김성률;김혁;박진우;우순주;엄은아;이기영;제갈양진
    • Tuberculosis and Respiratory Diseases
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    • 제61권2호
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    • pp.171-177
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    • 2006
  • MALT림프종은 질병의 진행이 느리고, 진단 당시 국소적인 병변이 대부분이며, 폐와 위장관을 동시에 침범하는 경우는 매우 드물다. 저자들은 흉부 단순촬영에서 고립성 폐결절이 발견된 73세 남자 환자에서 위, 폐, 골수를 침범한 파종성 MALT림프종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

상지 구획 증후군 이후 발생한 치명적인 뇌출혈 (A Fatal Intracerebral Hemorrhage Complicated by Compartment Syndrome of the Upper Arm)

  • 한인보;정영선;신동은;허륭;정상섭;안정용
    • Journal of Trauma and Injury
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    • 제19권2호
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    • pp.178-182
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    • 2006
  • Compartment syndrome has a wide spectrum from muscle pain to a life- threatening condition, such as acute renal failure and disseminated intravascular coagulation (DIC). Intracerebral hemorrhage (ICH) due to compartment syndrome has not been reported. We report a patient who presented with ICH leading to death. A 25-year-old female with no significant past history developed extensive compartment syndrome followed by rhabdomyolysis, acute renal failure, DIC, and ICH. Although the patient underwent a fasciotomy and hemodialysis and received aggressive resuscitation with massive transfusions of blood and intravenous fluids, she died. This case stresses the importance of early diagnosis and prompt treatment of compartment syndrome to prevent devastating complications.

Immunoactivity of Ginsenosides Re and Rg1 that Enhances Resistance of Mice Against Experimental Disseminated Candidiasis

  • Han, Yong-Moon;Jin, Byung-Suk;Ko, Sung-Kwon;Lee, Jue-Hee
    • Natural Product Sciences
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    • 제10권3호
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    • pp.134-139
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    • 2004
  • In this study, an immunoactivity of panaxtriol ginsenosides Re and Rg1 against infection due to Candida albicans was investigated. The ginsenosides were extracted from Red Ginseng with 85% ethanol and heat-treatment and were analyzed by HPLC on water-acetonitrile as a mobile phase. The HPLC analysis revealed that the extract contained ginsenosides Re and Rg1, which were eluted as a combined peak. By agar diffusion susceptibility, the mixture of Re and Rg1 had no growth-inhibitory activity on C. albicans yeast cells. However, in animal tests BALB/c mice given the mixture of Re and Rg1 intraperitoneally (Lp.) before intravenous (Lv.) infection with live C. albicans yeast cells had longer mean survival times (MST) than MST of control mice groups that received only buffer solution instead of Re and Rg1. In experiments 60% of the ginsenosides-treated mice survived the entire duration of the 50-day observation. The Re and Rg1 mixture induced production of nitric oxide when interacted with RAW 264.7 macrophage cell line. In addition, the mixture caused morphological change of the macrophages. These data indicate that immunostimulation by the Re and Rg1 may be responsible for the protection of mice against disseminated candidiasis.

익수 후 발생한 흡인성 폐렴에서 유발된 파종성 Scedosporium apiospermum 감염 1예 (Disseminated Scedosporium apiospermum Infection Induced from Aspiration Pneumonia after Near-Drowning)

  • 원호연;김형래;김동환;오재원;기정혜;한창훈;이선민;김정주
    • Tuberculosis and Respiratory Diseases
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    • 제69권4호
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    • pp.298-302
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    • 2010
  • Scedosporium apiospermum, the anamorph of Pseudallescheria boydii, is a ubiquitous saprophytic fungus. S. apiospermum can cause life-threatening infections usually in immunocompromised patients or after near-drowning incidents. Here, we report the first case of disseminated infection caused by S. apiospermum after near-drowning in Korea. A 44-year-old healthy man developed aspiration pneumonia, followed by multiple brain abscesses, and endopthalmitis, after a near-drowning incident in a septic tank. S. apiospermum infection was diagnosed on the 33rd day after the incident had occurred. The patient died from the progressive renal failure 255 days after incident, although he had been treated with voriconazole.