• 대한한방내과학회지
• /
• 제40권2호
• /
• pp.279-285
• /
• 2019

Objective: This study presents the case of a 74-year-old male patient with basal ganglia calcification suggestive of Fahr's disease and the effectiveness of Korean medicinal treatment. Methods: We treated this patient with traditional Korean medicine and measured symptom severity using the Numeral Rating Scale (NRS). Results: After treatment, most pathological symptoms had decreased, and there was a gradual decline in the NRS of patient's symptoms. Conclusions: Korean medicinal treatment can be a solution for patients with basal ganglia calcification.

• 대한한방내과학회지
• /
• 제40권1호
• /
• pp.136-144
• /
• 2019

Objective: The purpose of this study was to report on the alleviation of symptoms of a myasthenia gravis (MG) patient after Korean medicine treatment. Methods: A 39 year-old male patient who suffered from MG was examined. The patient was treated with herbal medicine, acupuncture, and pharmacopuncture. The Myasthenia Gravis Composite (MGC) scale and Myasthenia Gravis Activities of Daily Living (MG-ADL) profile were used to assess the change of MG symptoms after Korean medicine treatment. Results: The MGC and MG-ADL scores indicated significant improvement after 14 days of treatment. In addition, the degrees of fatigue, dyspepsia, vomiting, sweating, and dizziness were decreased. Conclusion: This study may suggest that Korean medicine treatment could be effective in treating the symptoms of MG.

• Journal of Trauma and Injury
• /
• 제34권1호
• /
• pp.70-74
• /
• 2021

There are many possible causes of duodenal obstruction, such as congenital anomalies and various acquired conditions associated with space-occupying lesions. However, hemorrhage or retroperitoneal hematoma is a rare cause of duodenal obstruction. Here, we report the case of a 55-year-old man who developed duodenal obstruction due to a large retroperitoneal hematoma after acupuncture therapy. The patient experienced abdominal discomfort along with vomiting and nausea. Considering the size of the hematoma, emergency surgery could have been performed, but conservative treatment was continued because the patient's vital signs were stable. With spontaneous resolution of the hematoma, the symptoms of duodenal obstruction improved. The patient was eventually discharged without any complications associated with the hematoma. Our findings suggest that even when a hematoma is large, a conservative approach can be maintained until improvement of the symptoms of duodenal obstruction if the vital signs of the patient remain stable.

• Journal of Chest Surgery
• /
• 제55권2호
• /
• pp.168-170
• /
• 2022

A 58-year-old female patient was diagnosed with hypopharyngeal cancer with extension to the invasion of the upper esophagus. After 2 cycles of durvalumab as neoadjuvant therapy, total laryngo-esophagectomy using a single-port (SP) system via a subcostal incision was done. The operation was completed within 41 minutes, and the patient recovered without esophagectomy-related complications. The patient received total laryngectomy and esophagectomy using a robotic SP system via a 3-cm-long subcostal incision and gastric pull-up under laparotomy. During the postoperative period, the patient suffered from anastomotic leakage, but recovered with vacuum therapy. Here, we report the first successful human case of esophagectomy using an SP system.

• Journal of Hospice and Palliative Care
• /
• 제25권3호
• /
• pp.133-137
• /
• 2022

A 72-year-old woman with metastatic lung cancer to bone and brain and with left external iliac vein thrombosis was under the care of a community palliative care provider. She experienced an acute pain crisis due to acute limb ischemia of the left lower limb. Goals-of-care discussions were held with the patient and her family; she prioritized symptom control and end-of-life care at home. The family and patient were aware of her short prognosis. Her complex pain was managed by the community palliative team, and her family was empowered to give subcutaneous injections. We illustrate a case showing the importance of community health services with palliative care support in providing symptom management and support to patient and family caregivers throughout the course of a life-limiting illness. It also highlights family caregivers' potential psychological distress in delivering subcutaneous injections in terminal care for a patient at home.

• Journal of Yeungnam Medical Science
• /
• 제39권1호
• /
• pp.67-71
• /
• 2022

This report describes a case of coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in a 66-year-old immunocompetent female patient. The patient had undergone traditional procedures, including acupuncture, which possibly caused the coinfection. During treatment with susceptible antibiotics for bacterial meningitis, she developed hydrocephalus on the third day. Consequently, the patient recovered with a mild neurological deficit of grade 4 motor assessment in both upper and lower extremities at discharge. S. paucimobilis and L. monocytogenes are rare pathogens in developed countries, occurring only during environmental outbreaks. S. paucimobilis meningitis is rarely reported. Hence, the various presentations of S. paucimobilis meningitis and the antibiotic regimen for its treatment are hereby reported, in addition to a review of other similar reported cases. This case is a possible traditional procedure-related infection. Appropriate oversight and training should be emphasized regarding preventive measures of this kind of infection. A team approach with neurologists and neurosurgeons is imperative in treating patients with hydrocephalus-complicated meningitis.

• Journal of Trauma and Injury
• /
• 제36권3호
• /
• pp.295-297
• /
• 2023

Penetrating gallbladder injuries are uncommon in the pediatric population. The treatment varies according to the severity of the injury and the patient's hemodynamics. We present the case of an 11-year-old male with an accidental pellet gunshot wound to the right upper abdomen that resulted in a grade III liver laceration and damage to the anterior gallbladder wall. The patient underwent laparoscopic cholecystectomy with drain placement. Postoperative radiography of the surgical specimen confirmed the presence of the pellet in the gallbladder. The patient recovered uneventfully and was discharged home on postoperative day 3. Laparoscopic cholecystectomy is a feasible treatment option for penetrating gallbladder injuries in hemodynamically stable patients.

• 셀메드
• /
• 제13권15호
• /
• pp.56.1-56.7
• /
• 2023

Objective: Improvement of the symptoms of restless leg syndrome patient by using OCNT. Methods: OCNT was implemented on a 50-year-old Korean female patient with symptoms of chronic fatigue and chronic gynecologic disease as well as sufferance from insomnia due to numbness in the legs following hysterectomy in the past. Results: Following the implementation of OCNT, the symptom of numbness in the legs improved along with other symptoms that caused inconveniences to the patient such as sleep disorder, fatigue and gynecology disease. Conclusion: Application of OCNT to patient suffering restless leg syndrome can be helpful in alleviation of the symptoms.

• Journal of Medicine and Life Science
• /
• 제21권1호
• /
• pp.15-19
• /
• 2024

Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a systemic necrotizing vasculitis that predominantly affects small vessels of the body. The two most common ANCAs are myeloperoxidase ANCA and proteinase 3 ANCA. Neurological manifestations are frequent in patients with AAV, including peripheral neuropathy, meningitis, and stroke. AAV-associated ischemic stroke usually affects small vessels supplying the white matter or brainstem. This case report details the presentation and treatment course of a 70-year-old man with rapidly progressive multiple intracranial large artery involvement attributed to myeloperoxidase ANCA-associated vasculitis. Despite treatment with high-dose steroids and a rituximab infusion, the patient developed new speech difficulties and respiratory distress, and brain imaging confirmed new stroke lesions with progressive multiple intracranial large cerebral artery involvement. The patient died from SARS-CoV-2 infection 4 months after the diagnosis. This case emphasized the rare presentation of rapidly progressive large vessel involvement in a patient with myeloperoxidase ANCA-associated vasculitis despite active immunotherapy.

• 대한소아치과학회지
• /
• 제39권4호
• /
• pp.404-411
• /
• 2012

치아의 매복은 맹출로 내의 물리적 장애물이나 치아의 비정상적 위치에 의해 발생한 치아 맹출의 정지로, 하악 제2대구치의 매복은 비교적 드물다. 매복된 하악 제2대구치는 우식, 치주염, 제1대구치 치근흡수 등을 유발하므로 조기 진단과 치료가 요구된다. 첫 번째 증례는 10세 남자 환자로 하악 양측 제2대구치의 매복을 구리선을 이용하여 치료하였다. 두 번째 증례는 12세 여자 환자로 구강검진 도중 하악 좌측 제2대구치의 매복이 발견되어 Humphrey 장치를 이용하여 치료하였다. 세 번째 증례는 17세 여자 환자로 하악 우측 소구치부에 식립한 미니 임플란트를 고정원으로 하는 uprighting spring을 이용하여 하악 우측 제2대구치의 매복을 치료하였다. 네 번째 증례는 18세 남자 환자로 매복된 하악 좌측 제2대구치에 부착한 교정용 버튼과 하악지에 식립한 미니 임플란트를 elastic thread로 연결하여 치료하였다.