• Title/Summary/Keyword: Hospital medicine

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An Imported Case of Disseminated Echinococcosis in Korea

  • Shin, Dong Hoon;Jo, Hae Chan;Kim, Jeong-Han;Jun, Kang Il;Park, Wan Beom;Kim, Nam-Joong;Choi, Min-Ho;Kang, Chang Kyung;Oh, Myoung-don
    • Parasites, Hosts and Diseases
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    • v.57 no.4
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    • pp.429-434
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    • 2019
  • A complicated case of echinococcosis with multiple organ involvement is reported in a 53-year-old businessman who frequently traveled overseas, including China, Russia, and Kazakhstan from 2001 to 2007. The patient was first diagnosed with a large liver cyst during a screening abdomen ultrasonography in 2011, but he did not follow up on the lesion afterwards. Six years later, dizziness, dysarthria, and cough developed, and cystic lesions were found in the brain, liver and lungs. The clinical course was complicated when the patient went through multiple surgeries and inadequate treatment with a short duration of albendazole without a definite diagnosis. The patient visited our hospital for the first time in August 2018 due to worsening symptoms; he was finally diagnosed with echinococcosis using imaging and serologic criteria. He is now on prolonged albendazole treatment (400 mg twice a day) with gradual clinical and radiological improvement. A high index of suspicion is warranted to early diagnose echinococcosis in a patient with a travel history to endemic areas of echinococcosis.

Proximal Tibia Fracture after Proximal Tibia Autograft Harvest

  • Kim, Jin-Kak;Song, Jong-Hyeop;Lee, Kyungbum;Cho, Jae-Woo;Moon, Ki-Ho;Yeo, Do-Hyun;Kim, Beom-Soo;Oh, Jong-Keon
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.247-252
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    • 2017
  • Bone-grafting procedures are common in orthopedic trauma surgeries. There are only few reports on the morbidity after proximal tibia harvesting. Here, we report an experience of complication after proximal tibia harvesting while treating subtrochanteric femoral osteomyelitis.

Clinical Usefulness of Dopamine Transporter Imaging (도파민운반체 영상의 임상적 유용성)

  • Kim, Jong-Min;Kim, Yu-Kyeong;Kim, Sang-Eun;Jeon, Beom-S.
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.2
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    • pp.152-157
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    • 2007
  • Imaging of the dopamine transporter (DAT) provides a marker for the integrity of presynaptic nigrostriatal dopaminergic system. DAT density is reduced in Parkinson disease, multiple system atrophy, and progressive supranuclear palsy. In patients with suspicious parkinsonism, normal DAT imaging suggests an alternative diagnosis such as essential tremor, vascular parkinsonism, or drug-induced parkinsonism. DAT imaging is a useful tool to aid clinician's differential diagnosis in parkinsonism.

MYH9 nephropathy

  • Oh, Taehoon;Seo, Hyun Jung;Lee, Kyu Taek;Kim, Han Jo;Kim, Hwi Jun;Lee, Ji-Hye;Cheong, Hae Il;Lee, Eun Young
    • Kidney Research and Clinical Practice
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    • v.34 no.1
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    • pp.53-56
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    • 2015
  • MYH9-related disorder is an autosomal dominant disease caused by a mutation in the MYH9 gene, which encodes nonmuscle myosin heavy chain IIA (NMMHC-IIA). This disease is characterized by giant platelets, thrombocytopenia, granulocyte inclusion bodies, proteinuria, and high-pitch sensorineural deafness. Nephropathy has been observed in 30% of patients with MYH9-related disorder. The characteristic features are early onset proteinuria and rapidly progressing renal disorder. However, the prognosis of MYH9 nephropathy remains unclear. Herein, we describe a 36-year-old woman who presented with proteinuria and was diagnosed with MYH9 nephropathy via renal biopsy and gene analysis. Her proteinuria improved after administration of an angiotensin II receptor blocker, but was aggravated after changing to a calcium channel blocker.