• 한국임상수의학회지
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• 제15권1호
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• pp.171-173
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• 1998

A case of peritonitis caused by Actinomycotic spp is reported in a 12-year-old male Siberian tiger. Grossly, the mesentery was markedly thickened and contained numerous 1 to 3 mm diameter, white to yellowish foci. Fibrous adhesion showing tumorous thickening was also noted between the mesentery and abdominal organs. Histologicallyi the thickened mesentery and masses consisted of necrotic center with bacterial colonies surrounded by eosinophilic club (Splendore-hoeppli), neutrophils, macrophages, a few Iymphocytes and fibrosis. The bacterial colonies stained positvely with Gram's stain but were negative on acid-fast and periodic acid-Schifr method. Howeverr since the bacterial culture was not availablei the definitive causative agent was not able to specified.

• Journal of Yeungnam Medical Science
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• 제12권1호
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• pp.135-140
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• 1995

Acute cavitating pulmonary infection with a mycetoma is sometimes occur in immunocompromised patient. Most mycetoma lesions are due to Aspergillus species, and lesion caused by Candida species is rare. So we report an experienced case that pulmonary and rib infection caused by Candida species in AML patient and complete remission with previous reports.

• Journal of Chest Surgery
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• 제12권1호
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• pp.1-8
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• 1979

Pulmonary aspergillosis is being recognized with increasing frequency in recent years and the-rising incidence of this infection parallels certain medical advances in antibiotics, chemotherapeutic and immunosuppressive therapy. The cavities of lungs resulting from tuberculosis, histoplasmosis or neoplasm are apt, to be infected by one of the species of the genus Aspergillus and eventually mycetomas are formed within the cavities. Authors have experienced 6 cases of pulmonary aspergillosis forming mycetoma in Dept. of Thoracic Surgery, Catholic Medical Center from Aug. 1976 to Feb. 1979. Hemoptysis or blood tinged sputum, the predominant symptom, occurred in all cases. All patients underwent pulmonary resection, 1 pneumonectomy, 3 lobectomies, 1 lobectomy with segmental resection and 1 segmental resection and survived well without death or complication. Primary aspergillosis was in 2 cases and underlying diseases were present in 4 cases: 3 pulmonary tuberculosis, 1 bronchiectasis. The common diagnostic study of intracavitary mycetoma was the posterioanterior chest roentgenogram; in cavities suspected of being diseased or in doubtful cases, tomography was most available to find fungus ball with air-meniscus shadow.

• 대한수의학회지
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• 제22권1호
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• pp.67-74
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• 1982

만성(慢性) 소화기장애(消化器障碍)로 수술(手術)을 받고 폐사한 3세의 개를 부검(剖檢)하여 복강(腹腔)에서 커다란 균종(菌腫)을 발견하였다. 이 개의 품종(品種)은 Labrador Retriever 종(種)이고 프랑스에서 난소적출(卵巢摘出) 수술(手術)을 하여 한국(韓國)에 데려왔다. 균종(菌腫)은 직경(直徑) 8~15cm, 두께 2~6cm에 달하는 종류(腫瘤)로서 비미부(脾尾部)의 복면(腹面), 공장(空腸), 회장(廻腸), 맹일결장(盲一結腸)의 일부 장벽(腸壁) 및 좌측 횡격막(橫隔膜)과 단단한 유착(癒着)을 일으키고 있었다. 균종(菌腫)의 단면(斷面)에서는 회갈색(灰褐色)에 육아조직(肉芽組織)에 율립대(栗粒大)의 황백색(黃白色) 농양과립(膿瘍顆粒)이 밀발(密發)해 있는 것을 알 수 있었다. 병소부위(病巢部位)의 조직학적(組織學的) 검사(檢査)에서 장벽(腸壁)의 내수주근층(內輸走筋層)의 극심한 대상성비대(代償性肥大), 균강(菌腔)과 관련된 복강장기(腹腔臟器)에서의 광범한 hemosiderin 침착(沈着) 및 비주동맥(脾柱動脈)의 혈전증(血栓症)과 그 중막(中膜)의 atheroma 성(性) 비후(肥厚)등을 관찰하였다. 이와 같은 만성병변(慢性病變)으로 인하여 이 개는 정상개의 반 밖에 자라지 않고 있었다. 균종(菌腫)내의 균괴(菌塊)를 현미경 관찰하여 균사(菌絲)와 후막포자(厚膜胞子)의 특징으로써 Ailescheria boydii 의 감염(感染)이 추정되었다.

• Journal of Chest Surgery
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• 제51권2호
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• pp.138-141
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• 2018

Herein, we describe the case of a 67-year-old female patient who presented with cough and haemoptysis. Chest computed tomography revealed destruction of the left lower lobe and multiple fungus balls in a bronchiectatic cavity. A left lower lobectomy was performed via thoracotomy. Histopathological examination of the lung showed a concomitant aspergilloma and multiple tumourlets in the large bronchiectatic cavity. Pulmonary intracavitary aspergilloma and concomitant tumourlets are quite rare. Our report presents this interesting case that manifested with haemoptysis.

• 한국임상수의학회지
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• 제12권1호
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• pp.853-860
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• 1995

Two cases of guttural pouch mycosis in race horses were observed for clinical and pathological aspects of the disease to investigate etiology and pathogenesis of dysphagia and epistaxis of the horse. In case 1 showing prolonged dysphagic sign a diphtheritic membrane was confined to the guttural pouch involved with neuritis of the glossopharyngeal nerve due to fungal penetration. The other horse showing fatal recurrent epistaxis had lesion of mycetoma invading the internal carotid artery to provoke erosion of the artery. An Aspergillosis sp. was isolated from the guttural pouches of the two horses and identified as A nidulans.

• Journal of Chest Surgery
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• 제17권2호
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• pp.269-274
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• 1984

Since tuberculosis was a common pulmonary disease in Korea, Aspergillosis was easily misdiagnosed as tuberculosis and an acute form of Aspergillosis was misinterpreted as pneumonia because of their similarities in the X-ray findings. This investigation is designed to illustrate the clinical features and preoperative diagnosis and surgical role in the management of this disease. In a retrospective review of operative cases from Jan. 1963 through Dec. 1983, 36 cases were analyzed. Peak age incidence lies in the 3rd decade [41.7%]. All cases had a history of treatment with antituberculous drugs under diagnosis of pulmonary tuberculosis and the most common chief complaint was hemoptysis [69.5%]. Only nine cases [25%] showed cavitary lesions with mycetoma and preoperative sputum study for fungus showed low positive valve [42.3%]. Anatomical location of lesion was located mainly upper lobe [66.7%] and most of cases were managed by lobectomy. We experienced 7 cases of complication; they were postoperative empyema, hepatic failure, esophageal varix bleeding. Postoperative pathologic findings showed that 29 cases [80.5%] were combined with tuberculosis 3 cases were combined with bronchiectasis and 4 cases were not combined with other disease. In conclusion, when the patient has a longstanding history of pulmonary tuberculosis and has a hemoptysis, he must be suspected fungus super infection. Resectional surgery is the treatment of choice for symptomatic localized disease and needed resection in asymptomatic patient to prevent possible fatal sequelae in the future.

• Journal of Korean Neurosurgical Society
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• 제46권2호
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• pp.156-160
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• 2009

Solitary extramedullary plasmacytomas are isolated plasma cell tumors of soft tissue that typically do not metastasize. They are rare and account for 4% of all plasma cell tumors. To our knowledge, only 14 cases of solitary extramedullary plasmacytomas in the sphenoid sinus have been reported. A 32-year-old man presented to our department with complaint of ocular pain in the right eyeball and diplopia. Physical and neurological examinations revealed intact and prompt direct and indirect light reflexes in both pupils and limitation of extraocular muscle movement seen with the lateral gaze of the right eyeball. Magnetic resonance imaging suggested the presence of mucocele or mycetoma, therefore surgical resection was performed with endoscopic endonasal transsphenoidal approach. Histopathology was consistent with plasmacytoma. Systemic work-up did not show any evidence of metastasis and the sphenoid sinus was the sole tumor site, and therefore the diagnosis of solitary extramedullary plasmacytoma was confirmed. We report a rare case of solitary extramedullary plasmacytoma in the sphenoid sinus with successful treatment using the endoscopic endonasal transsphenoidal resection and adjuvant radiotherapy.

• Journal of Chest Surgery
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• 제30권9호
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• pp.936-940
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• 1997

43세 남자 환자가 기침,각혈 등의 심한 호흡기 증상을 주소로 내원하였다. 술전 단순 흉부 X-선 촬영과 단층 촬영에서 좌폐의 213를 차지하는 공동과 균종(mycetoma)을 발견할 수 있었다. 첫 수술에서 공동벽의 심한 유착과 박리증의 공동벽 파열,술전 환자의 호흡 기능을 감안하여 공동 절개술 (cavemostomy)과 흉곽 성형술(thoracoplasty)을 시행하였고 잔존하는 공간과 기관지 늑막루의 완전한 폐쇄를 흉벽 근육성형술(myoplasty)와 대망 충진술(omentoplasty)를 2차로 시행하여 추적 관찰중 좋은 결과를 보였다. 본 증례로 저자등은 심한 호흡 증상으로 전신 상태가 양호하지 못하고 만성쇠약에 빠진 좌폐의 213이상 차지할 만큼 큰 공동을 가진 폐국균증의 경우 대망이나 근육을 이용한 공동 절개술(cavemostomy)를 충분히 고려해 볼만한 수술적 방법임을 알게 되었다.