• 제목/요약/키워드: Pharyngitis

검색결과 58건 처리시간 0.025초

전염성 단핵구증의 임상적 고찰 (Clinical Study of Infectious Mononucleosis)

  • 이형석;이승환;권순욱;김경래;허영돈
    • 대한기관식도과학회지
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    • 제5권1호
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    • pp.22-29
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    • 1999
  • Background: Infectious mononucleosis is a disease precipitated by Epstein-Barr virus(EBV) in mostly children, some seronegative adolescents and young adults comprising clinical symptoms such as fever, lymphadenopathy, and pharyngitis as well as laboratory findings such as hetero-phil antibodies and atypical lymphocytosis. It is confirmed by serologic test for EBV. Materials and Methods: A retrospective evaluation of 26 patients who diagnosed with infectious mononucleosis was peformed through the analysis of typical symptom, sign and laboratory findings. Results : Infectious mononucleosis occurs mostly at 3 to 10 years (74.9%), common symptoms and signs are fever, cervical lymphadenopathy, tonsillar enlargement and exudate. Positive ratio of atypical Lymphocyte(>10%) and hetrophil antibodies are 61.5%, 35.2% respectively, it is less diagnostic. EBV-viral capsid antigen(VCA) IgM are positive in all cases, so it is most diagnostic findings. Conclusion: Infectious mononucleosis should be considered as a cause of cervical lymphadenopathy and pharyngotonsillitis in children and young adults, the assessment of EBV-VCA IgM is necessary for the diagnosis.

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한국산 토룡의 기초성분 분석 -Lamnodrilus gotai Hatai를 대상으로- (Analysis of Basic Constituents in Korean Earthworm About Lamnodrilus gotai Hatai)

  • 정용;이윤실;이효민
    • 약학회지
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    • 제31권4호
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    • pp.224-229
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    • 1987
  • The earthworm(Annelid) is a herbicine which has traditionally been used in the treatment of infectious fever, jaundice, infection of middle ear, laryngitis, pharyngitis, nephritis, headache, toothache and certain urinary tract infections from the olden times. Before the isolation and purification of biologically active components we analyzed the basic constituents(proteins, amino acids, mineral, etc.) with lyophilized powder of Lamnodrilus gotai Hatai. The results were as follows: Minerals detected and quantitatively analyzed were $Ca^#$, $Mg^#$, Fe, Zn, Mn, Cu, Co, Cr, Ni, Ge and Se. Amino acids detected were alanine, phenylalanine, leucine, glutamic acid, tyrosine, threonine, arginine, aspartic acid, methionine, lysine, serine, histidine, isoleucine, glycine, proline and etc. The constituents of proteins, fat, fiber, ash and phosphorous were measured. These constituents were compared and discussed with those of other investigations.

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Clinical Manifestation Patterns and Trends in Poststreptococcal Glomerulonephritis

  • Kim, Kee Hyuck
    • Childhood Kidney Diseases
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    • 제20권1호
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    • pp.6-10
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    • 2016
  • Poststreptococcal glomerulonephritis (PSGN) is one of the most recognized diseases in pediatric nephrology. Typical clinical features include rapid onset of gross hematuria, edema, and hypertension, and cases are typically preceded by an episode of group A ${\beta}$-hemolytic streptococcus pharyngitis or pyoderma. The most common presenting symptoms of PSGN are the classic triad of glomerulonephritis: gross hematuria, edema, and hypertension. However, patients with PSGN sometimes present with unusual or atypical clinical symptoms that often lead to delayed diagnosis or misdiagnosis of the disease and increased morbidity. Additionally, the epidemiology of postinfectious glomerulonephritis (PIGN), including PSGN, has changed over the past few decades. This paper reviews atypical clinical manifestations of PSGN and discusses the changing demographics of PIGN with a focus on PSGN.

A Case of Unexpected Clinostomum complanatum Infection Initially Presenting as Foreign Body in Pharynx

  • Kim, Hyunjung;Cho, Sung-Weon;Oh, Harim;Byeon, Hyung Kwon
    • Parasites, Hosts and Diseases
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    • 제57권2호
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    • pp.175-177
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    • 2019
  • A 46-year old man visited our outpatient clinic with complaint of foreign body sensation in throat after consuming raw freshwater fish 5 days ago. Laryngoscopic examination revealed a motile worm attached on posterior pharyngeal wall. The worm was removed using biopsy forceps under transnasal endoscopy and evidently identified as Clinostomum complanatum after microscopic examination. Patient's subjective foreign body sensation of throat and hyperemia of laryngeal mucosa remained for approximately 2 weeks post-removal, which were eventually resolved after administration of non-steroidal anti-inflammatory drug and anti-refluxant drug for 2 weeks. Treatment was ended at three weeks since the first visit. C. complanatum infections in humans are rare, and only four cases have been reported in Korea. Symptoms resembling pharyngitis or laryngitis occurs by consumption of raw, infected freshwater fish and treatment is done by mechanically removing the parasite.

한국인에서 처음 분리된 Chlamydia pneumoniae (The First Isolation of Chalamydia pneumoniae from a Korean Patient)

  • 이승준;정해혁;김숙경;최대희;한선숙;남의철;원준연;박원서;이명구;정기석
    • Tuberculosis and Respiratory Diseases
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    • 제53권5호
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    • pp.569-576
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    • 2002
  • 연구배경 : C pneumoniae는 상하기도 감염을 일으키는 주요균으로, 균의 임상검체로부터의 분리는 균이 가진 몇가지 특성으로 매우 어려운 것으로 보고되었다. 최근 연구자들은 급성 인두염으로 내원한 22세 여자환자에서 채취한 비인두 스왑으로부터 국내 최초로 C pneumoniae를 분리, 배양하는데 성공하였다. 방 법 : Hep-2 세포주를 24시간 배양한 뒤, 환자로부터 얻은 비인두 스왑 검체를 넣어, 900g에서 한시간 동안 원심분리한 뒤, 72시간 동안 배양하였다. 본 환자의 검체는 8대째 계대배양에서 처음으로 봉입체가 관찰되었고, 이를 통정하기 위해 종특이 직접면역형광 검사와 종특이 PCR을 시행하였다. 그 밖에 전자현미경 소견도 관찰하였다. 결 과 : 종특이 면역형광염색과 PCR은 모두 C. pneumoniae에 합당한 소견을 보여, 본 분리 균주가 C. pneumoniae임을 알 수 있었다. 전자현미경 소견은 서양의 표준 균주가 배모양입에 비해, 일본 균주과 유사한 원형을 나타내었다. 결 론 : 국내 최초로 연구자들은 22세 여자 급성인두염 환자로부터, C. pneumoniae 분리에 성공하였다. 형태학적으로 일본 균주와 같은 원형임은 서양의 보고와는 다르다. 향후 본 균주는 국내 C. pneumoniae 다양한 연구에 활용될 수 있을 것이다.

소아응급실에 내원한 발열 환아에 대한 연구 분석 (Clinical analysis of febrile infants and children presenting to the pediatric emergency department)

  • 곽병곤;장현오
    • Clinical and Experimental Pediatrics
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    • 제49권8호
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    • pp.839-844
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    • 2006
  • 목 적 : 발열을 주소로 소아응급실에 내원한 소아의 임상적 특성에 대하여 조사를 하고자 연구를 시행하였다. 방 법 : 2004년 9월부터 2005년 8월까지 일산백병원 소아응급실에 내원한 8,881명의 환아와 이 중 $38.3^{\circ}C$이상의 발열을 주소로 내원한 1,764명의 환아를 대상으로 발열 환아의 발생 빈도, 월별 분포, 연령별 분포, 진단명을 조사 분석하였다. 결 과 : 조사 기간동안 소아응급실에 내원한 8,881명 중 1,764명이 발열로 내원하여 발열환자의 빈도는 19.9%이었고, 1,764명 중 26.4%가 입원하였다. 내원 발열 환아가 가장 많았던 연령군은 12-23개월 군이었고, 4-11개월 군과 2세 군이 뒤를 이었다. 가장 많은 진단명은 급성 인두염이었고, 급성 장염, 폐렴도 흔한 진단이었다. 연중 발열 환자가 가장 많았던 시기는 4-7월이었고, 이 중 5월에 발열 환자가 가장 많았다. 발열환자의 빈도는 8월이 가장 높았으나 통계적 의미는 없었으며, '봄 여름군', '가을 겨울군'으로 나눠서 비교한 발열환자의 빈도는 통계적으로 의미 있는 차이가 있었다. 결 론 : 소아 응급실에서 발열 환아의 연중 발생빈도는 19.9%이었고, 12-23개월의 환아가 빈도가 높았으며, 5월에 발열 환아가 가장 많았다. 본 연구에서도 급성 인두염, 급성 장염, 급성 비인두염, 급성 기관지염과 같은 비응급 질환의 비율이 높았다. 응급실에 내원하는 비응급 질환을 줄이기 위해 의료체계 개선과 보호자 교육이 필요할 것으로 생각된다.

The Efficacy of Immediate Diet for Reducing Local Adverse Events of Inhaled Corticosteroid: A Pilot Study

  • Lee, Myoung Kyu;Lee, Won Yeon;Yong, Suk Joong;Shin, Kye Chul;Kim, Chong Whan;Lee, Ji-Ho;Jung, Saehyun;Jung, Ye-Ryung;Kim, Hyun Sik;Yu, Tae-Sun;Kim, Sang-Ha
    • Tuberculosis and Respiratory Diseases
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    • 제73권2호
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    • pp.93-99
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    • 2012
  • Background: Local adverse events associated with inhaled corticosteroid use, including dysphonia, pharyngitis and oral candidiasis, can affect adherence for treatment. 'Mouth rinsing method' has been used for reducing local adverse events, but it cannot ensure complete prevention. The goal of this pilot study was to identify whether the 'immediate diet method' can reduce local adverse events in a limited number of patients. Methods: The study was conducted in a total of 98 patients, who had been prescribed a medium-dose fluticasone propionate for the first time, from January to October in 2010. One training nurse had performed the education on how to use the inhaler, including the mouth rinsing method. And with follow-ups at one month intervals, any patient who experienced such adverse events were educated on the immediate diet method, having a meal within 5 minutes after using an inhaler and they were checked on any incurrence of adverse events with one month intervals for 2 months. Results: The mean age of patients was 65.9 years old. The local adverse events had incurred from 18.4% of the study subjects. When performed the follow-up observation in 18 patients with local adverse events after education on the immediate diet method, 14 patients (77.8%) had shown symptomatic improvements. Three of 4 patients did not show any improvement, in spite of implementing the immediate diet method. The other 1 patient did not practice the immediate diet method properly. Conclusion: The immediate diet method may be useful in reducing the local adverse events, caused by the use of inhaled corticosteroid.

경북산 현삼과 중국산 현삼의 비교: Harpagoside 함량 및 Nitric Oxide 저해활성 (Comparison of the Scrophulariae Radix of Gyeongbuk's with that of Chinese: Content of Harpagoside and Inhibitory Effect of Nitric Oxide)

  • 장해연;김금진;황인현;조희재;이승호;나민균
    • 생약학회지
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    • 제42권1호
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    • pp.15-21
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    • 2011
  • Scrophulariae Radix (Scrophulariaceae) has been traditionally used to treat pharyngitis, laryngitis, tonsillitis, fever, and edema. To compare the quality of the Scrophulariae Radix produced from Gyeongbuk with that from China, a quantitative analysis on the major component, E-harpagoside, was performed by reversed-phase HPLC, and a relative inhibitory activity of nitric oxide (NO) was assayed in the Raw 264.7 cells. Using a Luna $C_{18}$(2) column, we carried out quantitative analysis with a gradient of 0.1% phosphoric acid in water and acetonitrile. Our results demonstrated that the content of E-harpagoside in Gyeongbuk's Scrophulariae Radix were three times higher than that of Chinese. Moreover, the inhibitory activity of Scrophulariae Radix of Gyeongbuk's in the lipopolysaccharide (LPS)-induced NO production was higher than that of Chinese.

Lemierre Syndrome in Adolescent with Active Ulcerative Colitis

  • Unic, Josipa;Kovacic, Matea;Jakovljevic, Gordana;Batos, Ana Tripalo;Grmoja, Tonci;Hojsak, Iva
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권3호
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    • pp.214-217
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    • 2018
  • Inflammatory bowel disease (IBD) is a well-recognized risk factor for thrombotic events in adults but data on children are scarce. In the great majority of adult patients, thrombotic events are usually deep vein thrombosis and pulmonary embolism. Other sites such as jugular veins are extremely rare. We present a case of Lemierre syndrome in an adolescent girl with active ulcerative colitis and discuss possible risk factors. This is the first reported case of severe Lemierre syndrome with thrombus extension to cranial veins in a patient with ulcerative colitis. Early recognition of Lemierre syndrome in patients who present with rapidly worsening symptoms of neck pain, fever and signs of pharyngitis is imperative because it increases a chance of favorable prognosis. It is important for pediatricians treating IBD patients not to underestimate possible thrombotic events in children with IBD. Recognition of additional risk factors is crucial for prompt diagnosis and adequate treatment.

인후통의 침치료에 대한 국외 임상 연구 동향 (Recent Clinical Research on Effect of Acupuncture on Sore Throat)

  • 한예지;이선행;이진용
    • 대한한방소아과학회지
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    • 제30권2호
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    • pp.47-55
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    • 2016
  • Objectives The purpose of this study is to investigate recent clinical studies on the effect of acupuncture on sore throat. Methods Based on the PubMed search with the key search terms of 'sore throat, acupuncture', dated from 1992 to 2015, 7 controlled trials and 8 case series was found, and were analyzed for this study. Results 1. The most commonly used acupoints were Quchi (LI11), and Hegu (LI4). 2. The most commonly used meridians were The Lung Meridian of Hand-Taiyin and The Large Intestine Meridian of Hand-Yangming. 3. Acupuncture treatment was effective for both acute and chronic sore throat. 4. More clinical studies are needed to prove the effectiveness of the acupuncture on sore throat. To be more objective on the study results, we can measure temperature drops on or amount of analgesic consumption for sore throat after acupuncture treatment.