• 한국임상수의학회지
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• 제37권6호
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• pp.360-362
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• 2020

A 12-year-old intact female Pomeranian dog was presented with vulvar discharge, lethargy, polyuria, and polydipsia. A complete blood count revealed leukocytosis and anemia. The serum biochemical analyses showed elevated serum alkaline phosphatase activity and blood urea nitrogen. Survey abdominal radiography revealed an enlarged left kidney. Abdominal ultrasonography identified multiple rounded hypoechoic subcapsular lesions in the left kidney. The bilateral uterine horn was enlarged, and contained echogenic fluid. Percutaneous ultrasonographic-guided aspiration of the renal subcapsular lesions was performed on the left kidney. Cytological examination revealed bacterial cocci, degenerated neutrophils, and suppurative inflammation. Bacterial culture produced growth of Escherchia coli. Left nephrectomy and ovariohysterectomy were performed. Dilated uterine fluid was also evaluated for bacterial culture, and showed growth of E. coli. Urine was examined by bacterial culture, and showed negative results. The treatment consisted of antibiotic therapy according to the antibiotic sensitivity test. Based on these findings, the diagnosis was renal subcapsular abscess associated with pyometra. This study suggests that pyometra should be considered as the cause of renal abscess.

• 대한한방내과학회지
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• 제19권2호
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• pp.438-450
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• 1998

Pleural effusion means the inflammation of pleura which has a majority of respiratory disease. The main clinical manifestation is pleural effusional pain, dyspnea, cough, fever, etc. and at present the Tuberculous pleural effusion has the most frequency in which exists exudate in our country. And during studying oriental medical treatment about Tuberculous exudative pleural effusional patient, we found the clinical case about The Combination therapy of Chinese traditional and Western medicine at journal of traditional Chinese Medicine and considered it would be help in oriental medical treatment, so we adjust and report now. This study was performed by analyzing the six papers reported centering around the clinical case of The Combination therapy of Chinese traditional and Western medicine in journal of traditional Chinese Medicine published between 1990-1996. As these papers have no mistakes on diagnosis because it obtained pleurocentesis, tuberculin test positive reaction on choicing clinical case, definite results on X-ray, ultrasound as well as clinical basis, so it considers an apt conclusion. The results were as follows: 1. Western medical treatment uses chemical remedy same with pulmonary tuberculosis, and in case of tubercular pleuritis, it needs thoracic duct pyorrhea, and according to simple exudation also operates therapheutic pleural paracentesis. 2. In case of hydrothorax absorption about tuberculous pleural effusion, prescription of purge the heat accumulated in the lung and eliminate the retention of fluid with powerful purgatives shows considerable effects. 3. The latter period treatment of tuberculous pleural effusion needs Supplement qi and active the collaterals, Nourishing yin and clearing heat in addition to Supporting healthy energy to eliminate evils. 4. In case of curing tuberculous pleural effusion, The Combination therapy of Chinese traditional and Western medicine shows more considerable effect than single western medical treatment in absorption of hydrothorax. 5. In case of curing tuberculous pleural effusion, The Combination therapy of Chinese traditional and Western medicine shows more considerable effect than single western medical treatment in prevention of disease reappearance. 6. In case of curing tuberculous pleural effusion, The Combination therapy of Chinese traditional and Western medicine shows more considerable effect than single western medical treatment in vitality recovery at the latter period of disease.

• 대한수의학회지
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• 제46권4호
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• pp.395-398
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• 2006

A 2-month-old female Shih-tzu dog was referred because of lameness, exercise intolerance, depression, elbow and stifle joint swelling. Physical examination, complete blood counts, serum-chemistry, radiography, synovial fluid analysis, antinuclear antibody test, and rheumatoid factor measurement were initiated. On radiography, soft tissue swelling of elbow and stifle joints without erosiveness were founded. The results of synovial fluid analysis revealed severe neutrophilic pleocytosis (nondegenerative), decreased viscosity, increased turbidity, positive on mucin-clot test, and negative on bacterial culture. The results of rheumatoid factor measurement and antinuclear antibody test were negative and below 1 : 40, respectively. Based on all tests, we diagnosed this case as juvenile onset type I immune-mediated polyarthritis. Azathioprine (1 mg/kg body weight, per os q 24 h, for 4 weeks) was then administered and clinical signs improved gradually. Four weeks after azathioprine administration, clinical signs were disappeared. This report describes the clinical findings, imaging characteristics, synovial fluid findings, and other laboratory results of type I immune-mediated polyarthritis and successful management with azathioprine therapy.

• Clinical and Experimental Pediatrics
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• 제51권11호
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• pp.1172-1178
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• 2008

목 적: 선천성 유미흉은 림프관의 발달이상이나 분만시 외상으로 림프관에 손상이 가해져 유미가 흉관에 새어 나와 흉강 내에 고이는 것으로 설명되지 않는 태아수종의 흔한 원인이 되기도 한다. 본 연구에서는 산전 진단된 태아수종 중 원인질환이 유미흉으로 밝혀진 6예에 대해서 주산기내력, 임상양상, 진단, 치료 및 결과에 관하여 살펴보고, 장간막 혈류를 줄이는 효과를 갖고 있는 somatostatin 유사체인 octreotide의 사용이 치료에 미치는 영향에 대하여 알아보고자 하였다. 방 법: 2004년 1월부터 2007년 7월까지 3년 6개월간 관동대학교 의과대학 제일병원에서 출생한 27,907명의 신생아 중 태아수종을 동반한 선천성 유미흉으로 진단된 6명의 환아들의 의무기록을 후향적으로 조사하였다. 모유 또는 조제분유 수유전과 후의 흉강천자액을 분석하여 유미흉으로 확진하였고 금식, MCT milk, 인공환기기, 흉관삽입 등의 보존적 치료로 완치되었던 3예와 유미흉이 지속되어 octreotide를 사용했던 3예의 분만 형태, 진단시 검사 소견, 치료 방법, 합병증 및 임상경과를 조사하였다. 결 과: 선천성 유미흉은 0.021%의 발생률을 보였으며, 6예 모두 산전검사에서 양수 과다, 흉막 삼출 및 복수가 관찰되어 태아수종으로 진단되었다. 재태 연령은 33주에서 36주 4일이었고 평균체중은 $3,057{\pm}557g$ (2,200-3,805 g), 아프가 점수 1분 $3.0{\pm}1.1$점(1-4점), 5분 $5.7{\pm}2.0$점(5-7점)으로 모두 제왕절개로 분만하였으며, 흉막삼출은 양측성이 6예, 여아에서 4예가 관찰되었다. 흉강천자액의 분석에서 6예 모두 림프구는 92% 이상이었고, TG는 출생직후 삼출액에서 경관수유 후 유미액으로 바뀌면서 200 mg/dL 이상으로 상승되었다. 인공호흡기, 보존적 치료와 흉관삽입으로 치료하여 이중 3예(50%)가 $26.3{\pm}6.4$일(19-30일) 동안 치료받고 퇴원하였고, 나머지 3예(50%)는 유미흉이 지속되어 octreotide로 치료하였으며 평균 입원기간은 $57.7{\pm}16.2$일(39-68일)이었다. Octreotide는 평균 $18{\pm}9$일 동안 1-10 mcg/kg/hr 주입속도로 정맥내 주사하였으며, 3명 모두 완치 후 퇴원하였다. 외과적 치료가 필요하였던 환아는 없었으며, 치료 중 기흉 1명, 저알부민혈증 2명이 관찰되었고, octreotide 사용시에 1예에서 경한 구토증상만 보였지만 다른 부작용은 관찰되지 않았다. 결 론: 본 연구결과와 같이 octreotide는 보존적 치료에 잘 치료되지 않는 선천성 유미흉에 대해서 좋은 치료약제로 고려될 수 있을 것이다. 그러나, octreotide 치료의 주입방법, 용량, 치료시작 및 사용기간 등에 대한 정확한 가이드라인이 정립되어 있지 않으므로 이에 대한 연구가 더 필요할 것이며, 또한 octreotide의 좀 더 빠른 치료시작시기가 치료결과에 어떤 영향을 끼치는지에 대해서도 더 많은 연구가 필요할 것으로 사료된다.

• Advances in pediatric surgery
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• 제4권2호
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• pp.131-136
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• 1998

Lymphangioma is a congenital malformation of the lymphatic system that expands into the surrounding tissues in a manner similar to a malignant tumor. Surgical excision has been the treatment of choice, but the results are often unsatisfactory due to incomplete resection, fluid collection and recurrences. Intralesional injection of OK-432(lyophilized incubation mixture of Group A Streptococcus pyogenes of human origin) was employed in treating 24 patients with lymphangiomas between 1992 and 1997. The method was used in 21 patients as a primary therapy, and in 3 patients for unresectable or recurrent cases as a secondary treatment. The results were excellent in 8 patients (33.3%), good in 7 patients (21.8 %) and poor in 7 patients (21.8 %). The side effects were fever under $39^{\circ}C$ and local inflammation. However these symptoms subsided in a few days without serious sequelae. These results suggest that intralesional injection of OK-432 is safe and effective treatment for primary lymphangioma as well as a secondary therapy for unresectable or recurrent cases.

• 한국임상수의학회지
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• 제30권6호
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• pp.473-477
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• 2013

중성화한 수컷 7년 령의 Maltese가 요도결석으로 인한 요도루조성술 후에 3일 동안 지속된 빈혈 증상으로 충남대학교 동물병원에 진료 의뢰되었다. 수혈 후 복수 소견을 발견 하였다. 복수 검사 결과 Candida albicans 이 검출되었다. Candida albicans 에 의한 복막염으로 진단하여 항진균제로 fluconazole을 정맥 주사 하였다. 임상증상이 호전된 후 경구제로 전환 하였으며 진료 의뢰 후 37일후에 완전히 회복이 되었다. Candida albicans 복막염을 조기에 진단하고 치료를 하여 좋은 예후를 보인 증례였다.

• 대한한방내과학회지
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• 제26권4호
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• pp.946-953
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• 2005

Ileus is blockage of the intestine that prevents the contents of the intestine from passing to the lower bowel. In western medical treatment, surgery is mandatory for severe cases such as strangulation ileus. However more generally, conservative management is used for treatment. Examples of conservative management are decompression with tube, fluid treatment, enema and fasting cure. Until now, many oriental medical studies have been conducted on chronic ileus, but almost none on acute ileus. The results for the case in this report suggest that oriental medical treatment such as acupuncture, moxibustion, herbal medicine is effective in treating acute ileus. We think that further studies should be conducted on a combination therapy with other oriental medical treatment such as retention enema.

• 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.

• Journal of Yeungnam Medical Science
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• 제3권1호
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• pp.375-382
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• 1986

We studied the effects of the acute intermittent peritoneal dialysis in severe acute renal failure of 1 newborn infant and 2 young infants during 18 months period from February 1985 to April 1986. The predisposing illnesses were severe acute gastroenteritis with dehydration. Reye's syndrome, and bilateral nephrolithiasis with hyperuricemia. The concomittent illnesses were severe hypernatremia, hyponatremia, hyperkalemia, hypocalcemia, hypoglycemia, DIC(disseminated intravascular coagulopathy), paralytic ileus, metabolic acidosis and gastrointestinal bleeding. As a dialvsate, Imperinol $solution^R$, 1.5% was used in all cases. The cycles of dialysis were 8, 16, and 41 times in each cases. Observed complications during dialysis were leakage, and abdominal wall and scrotol swelling in 2 cases, hyperglycemia in 1 case, and peritonitis in 1 case. Acinetobacter calcoaceticus was cultured in peritoneal fluid of peritonitis. These complications were treated by stopping dialysis in leakage and abdiminal wall swelling, insulin therapy in hyperglycemia, and intraperitoneal and systemic antibiotics therapy in peritonitis. We experienced improvements of severe acute renal failure with variable concomittant illnesses by acute intermittent peritoneal dialysis despite of the treatable complications of dialysis in all cases.

• Journal of Korean Neurosurgical Society
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• 제46권2호
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• pp.161-164
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• 2009

Plasma cell granuloma is a tumor-like disease characterized by non-neoplastic polyclonal proliferation of plasma cells and other mononuclear cells. This disease occurs most frequently in the lung and upper respiratory tract, while the involvement of the central nervous system is very rare. A 44-year-old female patient presented with nausea and progressive visual disturbance. Brain magnetic resonance imaging (MRI) revealed the mass along the right tentorium with low signal intensity in the T2 weighted image (T2WI) and fluid-attenuated inversion recovery (FLAIR) sequence, and an isosignal intensity in T1 weighted image (T1WI), the latter of which was enhanced after administration of gadolinium-diethylenetriamine penta-acetic acid (Gd-DTPA). The thickest portion of the tentorium was partially excised via the combined suboccipital and infratentorial approach. The histopathological examination indicated a diagnosis of plasma cell granuloma. Postoperative steroid therapy was administered for remnant tumor control. Although a follow up MRI scan taken 20 months after the operation showed a slight decrease in tumor size, the lesion had extended to the falx and left frontal convexity along with parenchymal edema at 32 months after the operation and the clinical status was aggravated. The mass was removed from the left frontal convexity. Radiation therapy was given, together with steroid administration.