• Title/Summary/Keyword: Intravenous Therapy

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A Case of CRPS Treated with Implantable Port System -A case report- (Implantable Port System을 이용한 복합부위통증증후군 치험 1예 -증례 보고-)

  • Shin, Sung-Shick;Kim, Tae-Sam;Yang, In-Sook
    • The Korean Journal of Pain
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    • v.10 no.2
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    • pp.274-277
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    • 1997
  • The complex regional pain syndrome(CRPS) exhibit symptoms such as: abnormal skin color, temperature change, abnormal pseudomotor activity, edema. If CRPS is not treated appropriately at acute stage, then the affected extremity may become a useless, painful appendage. Treatment of CRPS by sympathetic blockade may be achieved by repeated intravenous regional guanethidine blocks, repeated anesthetic sympathetic blocks, surgical sympathectomy or oral sympatholytic therapy. We treated 29-year-old male patient with CRPS of left upper extremity by continuous cervical epidural blockade. Due to wound infection and dislocation of the epidural catheter, we inserted an implantable port system to inject the mixture of local anesthetics and small amount of morphine. After 10 months of treatment, patient was cured of symptoms and signs of CRPS and was able to resume a normal life.

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Administration of Vitamin C in a Patient with Herpes Zoster - A case report -

  • Byun, Sung-Hye;Jeon, Young-Hoon
    • The Korean Journal of Pain
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    • v.24 no.2
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    • pp.108-111
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    • 2011
  • Herpes zoster as a result of reactivated varicella-zoster virus is characterized by vesicular eruptions on skin and painful neuralgia in the dermatome distribution. Pain during an acute phase of herpes zoster has been associated with a higher risk of developing postherpetic neuralgia. The current therapies for herpes zoster including analgesics and sympathetic nerve block as well as antiviral agents are important to alleviate pain and prevent postherpetic neuralgia. However, in some cases, the pain does not respond well to these treatments. We had a case in which a patient with herpes zoster did not respond to conventional therapy so we attempted to administer intravenous infusion of vitamin C which resulted in an immediate reduction in the pain.

Acute kidney injury caused by administration of zaltoprofen in a cat

  • Baek, Woon-Bum;Kim, Hak-Hyun;Kang, Byeong-Teck;Kang, Ji-Houn;Yang, Mhan-Pyo
    • Korean Journal of Veterinary Research
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    • v.57 no.1
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    • pp.55-57
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    • 2017
  • A 5-year-old, 2.7 kg, spayed female Scottish Fold cat presented with hematemesis after administration of oral zaltoprofen, a non-steroidal anti-inflammatory drug, by the owner. Diagnostic imaging and blood analyses indicated development of acute kidney injury (AKI) resulting from zaltoprofen ingestion. To correct dehydration and anemic conditions, the cat received intravenous fluid therapy with whole blood transfusion and peroral N-acetylcysteine. Clinical signs resolved, but persistent azotemia was unresolved indicating that AKI could progress to chronic kidney disease. This case suggests that although zaltoprofen may have low adverse effects on humans, administration of zaltoprofen in cats can have serious adverse effects.

Effect of Vibramycin Precon PT-122M in urogenital infections (비뇨기과 영역에서의 Vibramycin Precon PT-122M의 효과)

  • Lim J.K.;Shin S.G.;Park C.W.;Shin S.G.
    • The Korean Journal of Pharmacology
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    • v.13 no.1 s.21
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    • pp.23-27
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    • 1977
  • To investigate the efficacy, tolerance of Vibramycin Precon PT-122 M and to determine the nature, incidence and severity of side effects of this formulation, 19 patients with urogenital infections were studied. 1. Vibramycin Precon PT-122 M reduced the signs and symptoms of various urogenital infections so as to determine the overall efficacy as good or satisfactory. 2. Intravenous injection of PT-122 M was generally well tolerated in all patients except 2 case of discontinuation because of adverse effect. 3. PT-122 M showed mild to moderate side effects but clinical features ana response to therapy were not influencea by those side effects.

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A Case of Acute Motor Axonal Guillain-Barré Syndrome combined with Acute Cervical-Upper Thoracic Transverse Myelitis (급성 운동축삭성 길랑-바레 증후군과 동반된 급성 경수-상흉수 횡단성 척수염 1예)

  • Lee, Dong-Kuck
    • Annals of Clinical Neurophysiology
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    • v.3 no.2
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    • pp.172-175
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    • 2001
  • Guillain-$Barr{\acute{e}}$ syndrome(GBS) is a common demyelinating disease of the peripheral nervous system. But recently, the axonal types are also reported. Acute transverse myelitis(ATM) is also a common inflammatory disease of the spinal cord. Generally, it is difficult to identify the etiology of GBS and ATM. I guess the occurrence of the 2 diseases at once is hard to take the place. A 63-year-old woman showed an acute motor axonal GBS and a cervical-upper thoracic ATM occurring at the same time. She was treated by intravenous immunoglobulin and solumedrol therapy. Her sensory symptoms were improved rapidly but motor symptoms showed only mild improvement.

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A Case of Treatment with QRS Widening in Electrocardiogram after Glyphosate Herbicide Poisoning (글리포세이트 제초제 중독 후 심전도에서 QRS파 확장을 보여 치료한 1례)

  • Lee, Joo Hwan
    • Journal of The Korean Society of Clinical Toxicology
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    • v.17 no.1
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    • pp.28-31
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    • 2019
  • Glyphosate herbicides, which are widely used worldwide, are known to have low toxicity. However, excessive intake may cause serious life-threatening complications; therefore, caution is needed when using them. A 51-year-old man visited the hospital after ingesting glyphosate herbicide. At the time of admission, his vital signs were 80/60 mmHg-115/min-20/min-$37.3^{\circ}C$. Electrocardiogram (ECG) showed QRS widening and corrected QT (QTc) prolongation, and blood tests showed metabolic acidosis. Treatment with gastric lavage, activated charcoal, sodium bicarbonate and intravenous lipid emulsion therapy was performed. After 2 hours, his blood pressure increased to 130/90 mg, and no QRS widening was observed on ECG.

Delayed treatment-free response after romiplostim discontinuation in pediatric chronic immune thrombocytopenia

  • Lim, Hyun Ji;Lim, Young Tae;Hah, Jeong Ok;Lee, Jae Min
    • Journal of Yeungnam Medical Science
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    • v.38 no.2
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    • pp.165-168
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    • 2021
  • We report the case of a 16-month-old patient with chronic immune thrombocytopenia (ITP) patient who experienced delayed treatment-free response (TFR) after romiplostim treatment. He received intravenous immunoglobulin every month to maintain a platelet count above 20,000/µL for 2 years. Thereafter, he received rituximab and cyclosporine as second-line therapy, with no response, followed by romiplostim. After 4 weeks of treatment, the platelet count was maintained above 50,000/µL. Following 7 months of treatment, he discontinued romiplostim, and the platelet count decreased. His platelet counts remained above 50,000/µL, without any bleeding symptoms, 2 years after romiplostim discontinuation. This is the first report of TFR after romiplostim treatment in pediatric chronic ITP.

Case reports of amniotic membrane derived-cell treatment for feline chronic renal failure

  • Noh, Seul Ah;Kim, Taeho;Ju, Junguk
    • Journal of Animal Reproduction and Biotechnology
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    • v.36 no.2
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    • pp.116-120
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    • 2021
  • Three different cats who had chronic kidney disease (CKD) were treated for more than one month with fluid therapy in an animal clinic. Although this long-term treatment and hospitalization, there was no clinical improvement in clinical signs as well as serum biochemical indexes including blood urea nitrogen (BUN), creatinine (CREA), and phosphate (PHOS). All cases were then injected three times with allogeneic stem cells through an intravenous route for treatment on Day 0, 7, and 14 or 30. On the same day, clinical observation and blood tests for serum biochemistry were conducted together. Upon administrating stem cells to the CKD cats, clinical conditions and the indexes of BUN and CREA were clinically improved within normal ranges. Additionally, one of the cats who had the renal cysts presented clinical improvement with showing decreased cysts size than before.

Adult-onset Leigh syndrome due to m.9176T>C mutation with cortical involvement

  • Lee, Hyuk-je;Lee, Myungah;Lee, Jung Hwan
    • Annals of Clinical Neurophysiology
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    • v.24 no.2
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    • pp.107-110
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    • 2022
  • We describe the case of a 22-year-old female complaining of ophthalmoplegia, which deteriorated with seizure. Leigh syndrome (LS) was diagnosed by identifying the m.9176T>C mutation. She improved with vitamin cocktail therapy plus intravenous methylprednisolone, and had an excellent prognosis. This was the first case of an adult patient with LS presenting with the m.9176T>C mutation and reporting cortical symptoms, which in this case comprised cortical vision loss, and cortical, basal ganglia, and brainstem signal changes on magnetic resonance imaging.

Single Dose Topical Application of Clotrimazole for the Treatment of Otomycosis: Is This Enough?

  • Dundar, Riza;Iynen, Ismail
    • Korean Journal of Audiology
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    • v.23 no.1
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    • pp.15-19
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    • 2019
  • Background and Objectives: To determine the efficacy of filling the external auditory meatus with 1% clotrimazole at a single visit for the treatment of otomycosis. Subjects and Methods: This prospective study included 40 patients who were referred to our clinic with complaints of ear itching, pain, and fullness, and were diagnosed with unilateral otomycosis. After cleaning the mycotic hyphae from the external auditory meatus, the ear canal was filled with 1% clotrimazole, using an intravenous catheter and syringe. The patients received follow-up examinations on post-treatment days 7, 15, and 45. Results: The follow-up otomicroscopic examinations revealed that 95% of the ear canals were entirely clean and that all symptoms had resolved. The post-treatment scores of pain, aural fullness and itching were significantly lower than the pre-treatment scores (p<0.01). Conclusions: Filling the external auditory meatus with 1% clotrimazole at a single visit is an easy, efficient, and cost-effective treatment for otomycosis. Additionally, high patient compliance makes this treatment superior to long-term topical therapy.