• 한국임상수의학회지
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• 제38권4호
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• pp.169-173
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• 2021

A 10-year-old castrated male Shih-tzu dog presented with a history of generalized demodicosis, refractory to conventional therapy with ivermectin and amitraz for a year. The patient was also diagnosed with concurrent deep pyoderma, Malassezia dermatitis, and otitis externa. Treatment with amoxicillin-clavulanate, antifungal drugs (itraconazole, miconazole), and milbemycin oxime resulted in a good response for 90 days. Approximately 4 months later, the first relapse of demodicosis occurred and the miticidal therapy was changed to ivermectin. Additional diagnostic tests were performed to investigate an underlying cause for the recurrence of demodicosis, and endocrinopathies and allergic dermatitis were excluded based on the results. Although ivermectin therapy was sustained for 440 days, a second relapse occurred and amitraz baths were added to the therapy. Despite this therapy, the demodicosis persisted, and the miticidal therapy was changed to oral fluralaner, which led to rapid resolution. Demodicosis did not recur again before death approximately 920 days after administration of oral fluralaner. This case report describes the complete resolution of refractory demodicosis using oral fluralaner in a dog.

• 한국미생물·생명공학회지
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• 제50권4호
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• pp.488-500
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• 2022

Most fungal infections by opportunistic yeast pathogens such as Candida spp. are the major causes of morbidity and mortality in patients with lowered immune. Previous studies have reported that some strains of Candida secret secondary metabolites play an important role in the decreasing of immunity in the infected patient. In this study, 110 Candida spp. were isolated from different clinical specimens from Baghdad hospitals. Candida isolates were identified by conventional methods, they were processed for Candida speciation on CHROMagar. The results of identification were confirmed by internal transcribed spacer (ITS) sequencing. Phylogenetic trees were analyzed with reference strains deposited in GenBank. Antifungal susceptibility testing was evaluated by the disc diffusion method and performed as recommended by the Clinical and Laboratory Standard Institute (CLSI) M44-A document. Candida isolates investigated produce secondary metabolites gliotoxin with HPLC technique and quantification. Out of 110 Candida isolates, C. albicans (66.36%) was the most frequent isolate, followed by the isolates of C. tropicalis (10.9%) and C. glabrata (6.36%) respectively. Concerning the antifungal susceptibility test, Candida isolates showed a high level of susceptibility to Miconazole (70.9%), Itraconazole (68.2%), and Nystatine (64.5%). The ability of obtained isolates of Candida spp. to produce gliotoxin on RPMI medium was investigated, only 28 isolates had the ability to secret this toxin in culture filtrates. The highest concentrations were detected in C. albicans (1.048 ㎍/ml). Gliotoxin productivity of other Candida species was significantly lower. The retention time for gliotoxin was approximately 5.08 min.

• 한국임상수의학회지
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• 제29권1호
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• pp.1-7
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• 2012

54 마리의 외이염에 이환된 개에서 하이드로코티손 아세포네이트-겐타마이신-미코나졸 국소 혼합제제인 이소틱($Easotic^{(R)}$, Virbac, Carros, France)의 효과를 평가하였다. 외이염 환자들은 이소틱을 하루 1번 적용하여 5일 동안 치료 받았고 2일 동안 휴약 하였으며 처음 적용일로부터 7일 후 평가되었다. 적용 후에 외이염이 지속되는 경우 추가적으로 이소틱을 하루 1번 5일 동안 사용하고 2일 휴약 후에 처음 적용일로부터 14일 후 평가되었다. 이소틱의 효과를 평가하기 위해 8항목의 임상증상을 증상의 심한 정도로 등급을 매겨 점수화하였고 귀의 도말 표본에서 감염인자들을 준정량적으로 등급을 매겨 점수화하였다. 임상증상점수와 감염인자점수의 합을 전체임상점수로 정의하였다. 이소틱을 5일 동안 적용하였을 때 전체임상점수는 76% 감소하였다. 이소틱을 10일 동안 적용하였을 때 처음 5일 동안 전체임상점수는 46.6% 감소하였다. 추가적인 5일간 적용 후 처음 적용할 때와 비교하여 전체임상점수는 82.2% 감소하였다. 모든 케이스에서 실험 기간 동안 치료제와 관련된 부작용은 나타나지 않았다. 따라서 5일 간 이소틱 치료 및 10일 간 이소틱 치료는 개의 외이염을 치료하는데 있어서 효과적이고 안전한 방법으로 생각된다.

• 동의생리병리학회지
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• 제16권2호
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• pp.389-396
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• 2002

In the present work, we examined the mechanism of vasorelaxant effect of scopoletin, an active constituent of Artemisia capillaris on rat thoracic descending aortic rings. Scopoletin induced a concentration-dependent relaxation in rat thoracic descending aortic rings pre-contracted with phenylephrine (EC/sub 50/ = 238.94±37.4 μM), while it was less effective in rat thoracic descending aortic rings precontracted with high potassium solution (KCI 30 mM). Vasorelaxation by scopoletin was significantly inhibited after endothelial removal, but recovered at high concentration. Pretreatment of rat thoracic descending aortic rings with N/sup G/-nitro-L-arginine (100 μM), a nitric oxide synthase inhibitor, and atropine (1 μM), a muscarinic receptor antagonist, significantly inhibited scopoletin-induced relaxation of rat thoracic descending aortic rings. Neither indomethacin (3 μM), an inhibitor of cydooxygenase, nor propranolol (1 μM), a β -adrenoceptor antagonist, modified the effect of scopoletin. The combination of N/sup G/ -nitro-L-arginine (100 μ M) and miconazole (10 μ M), an inhibitor of cytochrome P 450, did not modify the effect of scopoletin, when compared with pretreatment with N/sup G/-nitro-L-arginine(100 μM) alone. Vasorelaxant effect of scopoletin was inverted by pretreatment with diltiazem (10 μM), a Ca/sup 2+/-channel blocker, at low concentration, while restored at high concentration. Apamin (K/sub ca/-channel blocker, 1 μM), 4-aminopyridine (4-AP, K/sub v/-channel blocker, 1 mM), and tetrodotoxin (TTX, Na/sup +/-channel blocker 1 μM) potentiated the vasorelaxant effect of scopoledn, but glibendamide (K/sub ATP/-channel blocker, 10 μM), tetraetylammonium(TEA, non-selective K-channel blocker, 10 mM) did not affect the relaxation of scopoletin. Free radical scavengers (TEMPO, catalase, mannitol) did not modify vascular tone. These results suggest that nitric oxide, Ca/sup 2+/ -channels play a role in endothelium-dependent relaxations to scopoletin in rat aortas, that apamin, 4-AP, TTX but not glibenclamide, TEA potentiated relaxation to scopoletin mediated by these channels, and that free radicals do not concern to the vasorelaxant effect of scopoletin.

• The Korean Journal of Physiology and Pharmacology
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• 제4권6호
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• pp.471-477
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• 2000

In the rabbit renal artery, acetylcholine $(ACh,\;1\;nM{\sim}10\;{\mu}M)$ induced endothelium-dependent relaxation of arterial rings precontracted with norepinephrine $(NE,\;1\;{\mu}M)$ in a dose-dependent manner. $N^G-nitro- L-arginine$ (L-NAME, 0.1 mM), an inhibitor of NO synthase, or ODQ $(1\;{\mu}M),$ a soluble guanylate cyclase inhibitor, partially inhibited the ACh-induced endothelium-dependent relaxation. The ACh-induced relaxation was abolished in the presence of 25 mM KCl and L-NAME. The cytochrome P450 inhibitors, 7- ethoxyresorufin $(7-ER,\;10\;{\mu}M),$ miconazole $(10\;{\mu}M),$ or 17-octadecynoic acid $(17-ODYA,\;10\;{\mu}M),$ failed to inhibit the ACh-induced relaxation in the presence of L-NAME. 11,12-epoxyeicosatrienoic acid $(11,12-EET,\;10\;{\mu}M)$ had no relaxant effect. The ACh-induced relaxation observed in the presence of L-NAME was significantly reduced by a combination of iberiotoxin $(0.3\;{\mu}M)$ and apamin $(1\;{\mu}M),$ and almost completely blocked by 4-aminopyridine (5 mM). The ACh-induced relaxation was antagonized by $P_{2Y}$ receptor antagonist, cibacron blue $(10\;and\;100\;{\mu}M),$ in a dose-dependent manner. Furthermore, 2-methylthio-ATP (2MeSATP), a potent $P_{2Y}$ agonist, induced the endothelium-dependent relaxation, and this relaxation was markedly reduced by either the combination of iberiotoxin and apamin or by cibacron blue. In conclusion, in renal arteries isolated from rabbit, ACh produced non-NO relaxation that is mediated by an EDHF. The results also suggest that ACh may activate the release of ATP from endothelial cells, which in turn activates $P_{2Y}$ receptor on the endothelial cells. Activation of endothelial $P_{2Y}$ receptors induces a release of EDHF resulting in a vasorelaxation via a mechanism that involves activation of both the voltage-gated $K^+$ channels and the $Ca^{2+}-activated\;K^+\;channels$. The results further suggest that EDHF does not appear to be a cytochrome P450 metabolite.

• 한방안이비인후피부과학회지
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• 제16권1호
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• pp.77-93
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• 2003

This experimental study was performed to investigate the antifungal effects of mixture of Sophorac Subprostratae Radix, Aconti Radix, and Hibisci Syriaci Cortex by the three types of extraction in the dermatophytes such as Trichophyton rubrum, Trichophyton mentagrophytes, and Epidermophyton floccosum. The following results were obtained by using Minimum Inhibition Concentration(MIC) and Inhibition Zone. 1. MIC on Trichophyton mentagrophytes in Sample S-2, Sample S-3, and Sample-Y were 10${\mu}l$, respectively, showing the highest antifungal effect. 2. MIC on Epidermophyton floccosum in Sample S-2, Sample S-3, and Sample-Y were 10㎕ respectively, showing the highest antifungal effect. 3. MIC on Trichophyton rubrum in Sample S-3, Sample-Y were 10${\mu}l$ respectively, showing the highest antifungal effect. 4. The size of inhibition zone on Trichophyton mentagrophytes for Sample S-3 were 22.3mm in 10${\mu}l$, showing the highest antifungal effect. 5. The size of inhibition zone on Epidermophyton floccosum for Sample S-3 was 34.3mm in 10${\mu}l$, showing the highest antifungal effect. 6. The size of inhibition zone on Trichophyton rubrum for Sample-Y was 26.5mm in 10${\mu}l$, showing the highest antifungal effect. Whereas. in extractions, that of Sample S-3 was 12.5mm in 10${\mu}l$, showing the highest antifungal effect. 7. From the above results, Sample S-3 on Trichophyton mentagrophytes, Epidermophyton floccosum and Sample-Y on Trichophyton rubrum showed the highest antifungal effects. This results suggests that vinegar extraction excels other extraction method using water or ethanol to measure the antifungal effect on dermatophytes. In addition, the result shows that the extract of herbal medicines can be used to tinea pedis and if further study is performed, the use of the extract of herbal medicines will be valuable and beneficial in the clinical medicines. [NOTE] · S-S2 : 12-13w/v$\%$ Vinegar extract of mixture of Sophorae Subprostratae Radix, Aconti Radix, and Hibisci Syriaci Cortex. · S-S3 : 18-19w/v$\%$ Vinegar extract of mixture of Sophorae Subprostratae Radix, Aconti Radix, and Hibisci Syriaci Cortex. · S-Y : Miconazole nitrate

• Tuberculosis and Respiratory Diseases
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• 제41권6호
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• pp.624-631
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• 1994

연구배경: 1729년 Micheli가 Aspergillus genus를 처음 기술하였고, Sluyter가 이 진균에 의한 인체감염을 최초로 보고한 이래 국균증에 대한 많은 보고가 있었다. 국균증은 폐결핵, 기관지확장증 등 만성 폐질환에 속발하거나, 장기간 항생제나 항암제투여, 부신피질호르몬제 사용 및 악성종양 등 면역기능이 약화된 환자에서의 기회감염이 대부분이다. 최근 국내에서도 각종 항생제 및 부신피질호르몬제의 남용으로 진균의 기회감염이 증가하고 있는 추세이며, 국균증의 진단에 있어서 임상증상과 증후, 흉부 방사선소견 및 객담소견에 의존하여 조기진단이 어려운 경우가 많고, 타 질환으로 진단되어 장기간 불필요한 치료를 한 예가 많았다. 방법: 1980년부터 1994년까지 한양대학교병원에 입원하였던 폐 국균증환자 52예를 후향적으로 검토하여 다음과 같은 결과를 얻었다. 결과: 1) 대상환자의 평균연령은 45.6세이었고, 연령분포는 19세에서 78세 사이였으며, 30대와 40대가 50%를 차지하였다. 남여비는 1.1:1 이었다. 2) 주증상은 객혈이 22예로 가장 많았고, 농성객담, 혈담, 발열, 호흡곤란, 및 흉통 등의 순이었다. 3) 흉부 방사선소견상 전형적인 균구(fungus ball)를 보인 경우는 28예로 가장 많았고 나머지는 비특이적인 소견을 보였다. 4) 객담 배양검사에서 국균이 배양된 경우는 객담 배양검사를 시행하였던 37예중 8예이었으며, 21예에서 경피적 폐 세침흡인검사와 기관지내시경을 이용한 폐 조직생검을 실시하였으며 이들 모두에서 국균이 검출되었다. 진균혈청검사는 국균종형에서 시행한 17예중 15예에서 양성반응을 보였고, 침윤형에서 시행한 3예중 1예에서 양성반응을 보였다. 5) 대상환자중 36예가 폐결핵으로 진단받고 항결핵 화학요법을 받은 경력이 있었고, 이들의 평균 치료기간은 27.3개월이었으며, 객담도말검사와 술후 병리조직검사상 결핵을 증명할 수 있었던 경우는 14예였다. 6) 호발부위는 우상엽 18예, 좌상엽 10예 등이었으며, 수술은 폐엽절제술을 시행한 경우가 21예로 가장 많았다. 7) 선행질환으로는 폐결핵이 23예로 가장 많았고 기관지확장증, 항암 화학요법, 당뇨병, 부신피질호르몬제 사용, 기관지폐렴과 폐암이 있었다. 8) 52예의 환자중 폐절제술을 시행한 환자는 37예이었고, 4예에서는 Amphotericine-B 정주요법으로 치료받았으며, Miconazole 정주요법과 기관지동맥색전술을 각각 1예에서 시행하였고, 1예는 도판을 이용한 공동내 Amphotericine-B 주입을 시행하였으며 8예는 치료를 받지 않았다. 결론: 이상의 결과로 국균종형의 국균증은 결핵균음성 개방성 공동에 속발하는 경우가 많았으며, 결핵병변이 있는 환자가 객혈을 한 경우에 폐결핵의 재발로 생각하여 재치료를 시행한 경우가 많았는데, 이 경우 폐 국균증의 가능성을 고려하여야 할 것으로 사료된다.