• Title/Summary/Keyword: Pneumonia

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Comparison of Antibiotic Regimens for the Treatment of Community Acquired Pneumonia (원외획득 폐렴 환자치료에서 항생제 regimen 별 효능비교)

  • Moon, Hong-Seop;Choe, In;Lee, Seung-Il
    • Korean Journal of Clinical Pharmacy
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    • v.16 no.2
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    • pp.81-85
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    • 2006
  • Community acquired pneumonia(CAP) is the most prevalent disease among pneumonia patients and progressed to severe pneumonia. A retrospective study was performed to evaluate antibiotic regimens according to guidelines of Infectious Disease Society of America. From January to October 2005, chart review of 50 patients with CAP was peformed in terms of microbiology and laboratory data of each regimen. Temperature, WBC count, ALT, AST and alkaline phosphatase of each patient were examined for liver toxicity. In three patients received levofloxacin appeared to have normalized temperature and improved cough. The patients who received cefmetazole -aminoglycoside appeared to have worsen LFT(Liver function test). Many patients in flomoxef-aminoglycoside group received mechanical ventilation because of the basis diseases like tuberculosis, diabetes mellitus and hypertension. In conclusion, antibiotic therapy for the treatment of CAP should be selected according to tolerance, bacteria and severity of disease.

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Development and Application of a Severity-Adjusted LOS Model for Pneumonia, organism unspecified patients (상세불명 병원체 폐렴의 중증도 보정 재원일수 모형 개발 및 적용)

  • Park, Jongho;Youn, Kyungil
    • Korea Journal of Hospital Management
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    • v.19 no.4
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    • pp.21-33
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    • 2014
  • This study was conducted to propose an insight into the appropriateness of hospital length of stay(LOS) by developing a severity-adjusted LOS model for patients with pneumonia, organism unspecified. The pneumonia risk-adjustment model developed in this paper is based upon the 2006-2010 the Korean National Hospital Discharge in-depth Injury Survey. Decision tree analysis revealed that age, admission type, insurance type, and the presence of additional disorders(pleural effusion, respiratory failure, sepsis, congestive heart failure etc.) were major factors affecting the severity-adjusted model using the Clinical Classifications Software(CCS). Also there was a difference in LOS among the regional hospitals, especially the hospital LOS has not been efficiently managed in Gyeongsangbuk-do, Jeollanam-do, Jeollabuk-do, Daejeon, and Busan. To appropriately manage hospital LOS, reliable statistical information about severity-adjusted LOS should be generated on a national level to make sure that hospitals voluntarily reduce excessive LOS and manage main causes of delayed discharge.

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Antibacterial Compound against Pasturella multiocida and Actinobacillus pleuropneumoniae Causing Porcine Pneumonia

  • Lyoo, Young-Soo;Park, Dong-Ki;Lee, Sang-Mok;Choi, Yi-Don;Jung, Ji-Hyun;Jun, Tae-Il;Ahn, Hong-Suk;Lee, Chul-Hoon;Lim, Yoong-Ho
    • Journal of Microbiology and Biotechnology
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    • v.11 no.2
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    • pp.350-353
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    • 2001
  • Porcine pneumonia is caused by Pasturella multiocida and Actinobacillus pleuropneumoniae. To identify a potent drug for antipneumonia therapy, several herbal compounds showing antibacterial effects were screened, and it was found that a methanol extract of Coptidis rhizoma root stem exhibited activity against both pneumonia-causing bacteria. Using an activity-guided fragmentation procedure, an isoquinoline alkaloid was isolated which would be responsible for the antibacterial activities against P. multocida and A. pleuropneumoniae.

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A Case of Common Variable Immune Deficiency Presenting as Recurrent Pneumococcal Pneumonia

  • Jeong, Ju-Hong;Cho, Jae-Hwa;Nam, Hae-Sung;Ryu, Jeong-Seon;Kwak, Sung-Min;Lee, Hong-Lyeol
    • Tuberculosis and Respiratory Diseases
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    • v.71 no.4
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    • pp.282-285
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    • 2011
  • Common variable immune deficiency (CVID) is the most common primary immune deficiency, which is manifested as chronic recurrent respiratory infections and hypoglobulinemia. CVID usually presents in the second or third decade of life. A 33-year-old woman was admitted with recurrent pneumococcal pneumonia with bacteremia and had very low levels of serum immunoglobulin G, M and A. This case emphasized a high index of suspiciousness for diagnosis of CVID in a mid-adulthood patient presenting with recurrent pneumonia with hypoglobulinemia.

A Case Report of Asthma Patient with Pneumonia Improved by Buteyko Breathing Technique and Korean Medical Treatment (폐렴을 동반한 천식 환자에서 Buteyko Breathing Technique과 한방치료를 병행하여 호전된 증례)

  • Park, Jeong-ha;Oh, Deuk-ju;Park, Su-jeong
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.3
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    • pp.103-109
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    • 2015
  • Objectives The objective of this study si to report clinical effect of korean medical treatments and Buteyko breathing technique for asthma patient with pneumonia. Methods The patient was treated by korean medical treatment including acupunture, moxibustion, herbal medication and Buteyko breathing technique. The improvement of clinical symptoms was observed by visual checking and X-ray, Pulmonary Function Test that index include TV, FVC, FEV1. Results After treatments, the patient was improved in visual checking and X-ray on chest, TV, FVC, FEV1. Conclusions We suggest that korean medical treatment and Buteyko breathing technique could be an effective method to improve the asthma patient with pneumonia.

Rhodococcus equi pneumonia in foals in Gyeonggi-do and characterization of the isolates from lesions and environment

  • Kim, Sue-Jung;Yook, Sim-Yong;Hwang, Jun-Suk;You, Myung-Jo;Jun, Moo-Hyung
    • Korean Journal of Veterinary Research
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    • v.48 no.2
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    • pp.139-143
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    • 2008
  • We report here two cases of Rhodococcus (R.) equi-causing pneumonia of Throughbred foals in Gyeonggi-do in 2006. R. equi was isolated from the lung lesions of the dead foals, and from the feces and soils on the farms where the clinical cases of R. equi infection occurred. The isolates were characterized by biochemical properties, polymerase chain reaction for vapA gene and antimicrobial susceptibility. In drug susceptibility test, erythromycin, gentamycin, vancomycin, and rifampin were found to be the most susceptible for all isolates. These results suggest that R. equi pneumonia may be endemic in the horse-breeding farms in inland Korea and the farm environment may be widely contaminated with virulent R. equi.

Two cases of Kawasaki disease following pneumonia (폐렴에 속발한 가와사끼병 2예)

  • Kim, Hyun Jung;Lee, Soo Jin
    • Clinical and Experimental Pediatrics
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    • v.52 no.5
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    • pp.615-618
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    • 2009
  • Kawasaki disease (KD) causes multisystemic vasculitis but rarely manifests with pulmonary symptoms. As its etiology is still unknown, there are no specific diagnostic tools available, and KD can be diagnosed only by the symptom pattern. The presence of unusual clinical manifestations often leads to delayed diagnosis. Here, we report two cases of KD with an initial presentation of pneumonia. KD should be consideration when there is a prolonged inflammatory reaction and progressive pneumonia unresponsive to antibiotics.

Aspiration pneumonia due to grain particle in a tammar wallaby (Macropus eugenii) with Staphylococcus aureus pneumonia

  • Jo, Ho-Seong;Park, Nam-Yong
    • Korean Journal of Veterinary Research
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    • v.46 no.3
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    • pp.267-269
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    • 2006
  • A 12-year-old female Tammar Wallaby (Macropus eugenii) died after a 6-day history of depression, anorexia, and coughing. The necropsy revealed pustules of varying sizes on the lung surface from which a pure culture of Staphylococcus aureus was isolated. Histopathologically, the pulmonary nodules formed typical granulomatous inflammation. The center of the granulomatous foci consisted of a necrotic center and grain particles with gram positive cocci that were surrounded by eosinophilic club-like bodies containing Splendore-Hoeppli material. To our knowledge, this is the first report of aspiration pneumonia with respiratory botryomycosis as a result of grain inhalation in a Tammar Wallaby.

Korean Guidelines for Diagnosis and Management of Interstitial Lung Diseases: Part 4. Cryptogenic Organizing Pneumonia

  • Choi, Sue In;Jung, Won Jai;Lee, Eun Joo
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.3
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    • pp.171-175
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    • 2021
  • Cryptogenic organizing pneumonia (COP) is a type of idiopathic interstitial pneumonia with an acute or subacute clinical course. Bilateral lung consolidations located in the subpleural area and bronchovascular bundle are the most common findings on chest high-resolution computed tomography. The pathologic manifestations include granulation tissue in the alveoli, alveolar ducts, and bronchioles. COP responds fairly well to glucocorticoid monotherapy with rapid clinical improvement, but recurrence is common. However, treatment with combined immunosuppressant agents is not recommended, even if the COP patient does not respond to glucocorticoid monotherapy with expert opinion.

Detection of Respiratory Viral Pathogens and Mycoplasma spp from Calves with Summer Pneumonia in Korea

  • Park, Jung-hoon;Kim, Doo
    • Journal of Veterinary Clinics
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    • v.36 no.4
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    • pp.185-189
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    • 2019
  • Respiratory pathogens of calves including bovine parainfluenza type 3 virus (BPI3V), bovine respiratory syncytial virus (BRSV), infectious bovine rhinotracheitis virus (IBRV) and Mycoplasma spp is well-known for winter pathogens. However, there are no studies about summer pneumonia pathogens of calves in Korea. The aim of this study was to detect respiratory pathogens from calves with summer pneumonia. Eighty calves from 5 regions were chosen and their nasal swabs were used to detect respiratory pathogens with real-time PCR. Mycoplasma spp was major primary respiratory pathogens in calves with summer pneumonia. Although, the detection rates of respiratory viruses were very low, serological assays showed that respiratory viruses exist widely in farms.