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A Case of Pneumonia Caused by Raoultella planticola

  • Cho, Young Jun;Jung, Eun Jung;Seong, Ji Seok;Woo, Yong Moon;Jeong, Beom Jin;Kang, Yeong Mo;Lee, Eun
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.1
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    • pp.42-45
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    • 2016
  • Raoultella species are gram-negative, non-motile, aerobic bacilli that are primarily considered as environmental bacteria. Raoultella planticola is reportedly a rare cause of human infections. Also, the definite pathological mechanism of Raoultella planticola is currently unknown. We report a case of pneumonia caused by Raoultella planticola.

Bilateral Discoid Lateral Menisci with Peripheral Detachment (후방 변연부 분리가 동반된 양측성 원판형 외측 반월상 연골)

  • Jeong, Hoon;Kim, Yong-Ju;Shin, Yi-Kyoung;Ha, Jong-Kyoung;Choi, Kyoung-Eob
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.99-102
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    • 2006
  • Discoid lateral meniscus is a well-known entity of the knee whereas Wrisberg ligament-type discoid lateral meniscus is extremely rare. This is a report of a case of bilateral discoid lateral meniscus with peripheral detachment.

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A Case Report of Tuberculous Brain Abscess and Tuberculous Peritonitis Developing Due to Paradoxical Reactions (역설적 반응에 의하여 동시에 결핵성 뇌농양 및 결핵성 복막염이 발생한 증례 1예)

  • Ahn, Tae Hong;Park, Min Bum;Lee, Key Jo;Jung, Eun Ho;Kim, Jin Woo;Suh, Sang Yeol;Kang, Seok Woo;Kim, Eun Na;Han, Yoon Ju;Cho, Sam Kwon
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.6
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    • pp.457-462
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    • 2009
  • While receiving appropriate treatment, patients with tuberculosis occasionally have unusual, paradoxical reactions, with transient worsening of lesions or the development of new lesions. This report is a case of tuberculosis brain abscess and tuberculosis peritonitis with intra-abdominal abscess that developed during appropriate anti-tuberculosis chemotherapy. A 45-year-old male patient had been diagnosed as with all-drug susceptible pulmonary tuberculosis with pleurisy. Subsequently, the patient underwent standard treatment with anti-tuberculosis therapy; the pulmonary lesions improved. Three months after initial treatment, the patient developed brain abscesses and peritonitis. With the addition of corticosteroid treatment, the patient's neurologic symptoms were relieved. Exploratory laparotomy with surgical drainage was performed and a diagnosis of tuberculosis peritonitis was confirmed on biopsy. Anti-tuberculosis therapy was continued for 19 months, the patient improved eventually without further complications, although the therapeutic regimen had not been altered. In this case, the paradoxical response to treatment may have been involved in the pathogenesis of disease.

Diagnostic Significance of Combined Detection of Epstein-Barr Virus Antibodies, VCA/IgA, EA/IgA, Rta/IgG and EBNA1/IgA for Nasopharyngeal Carcinoma

  • Cai, Yong-Lin;Li, Jun;Lu, Ai-Ying;Zheng, Yu-Ming;Zhong, Wei-Ming;Wang, Wei;Gao, Jian-Quan;Zeng, Hong;Cheng, Ji-Ru;Tang, Min-Zhong
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.2001-2006
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    • 2014
  • The objective of this study was to investigate the diagnostic significance of EBV antibody combined detection for nasopharyngeal carcinoma (NPC) in a high incidence region of southern China. Two hundred and eleven untreated NPC patients, 203 non-NPC ENT patients, and 210 healthy controls were recruited for the study. The titers of VCA/IgA and EA/IgA were assessed by immunoenzyme assay, and the levels of Rta/IgG and EBNA1/IgA were determined by enzyme-linked immunosorbent assay. The levels of VCA/IgA, EA/IgA, Rta/IgG and EBNA1/IgA demonstrated no association with gender or age (p>0.05). The receiver operating characteristic curve and the area under the curve were used to evaluate the diagnostic value. The sensitivity of VCA/IgA (98.1%) and the specificity of EA/IgA (98.5%) were the highest. When a logistic regression model was used to combine the results from multiple antibodies to increase the accuracy, the combination of VCA/IgA+Rta/IgG, whose area under the curve was 0.99, had the highest diagnostic efficiency, and its sensitivity, specificity and Youden index were 94.8%, 98.0% and 0.93 respectively. The data suggest that the combination of VCA/IgA+Rta/IgG may be most suitable for NPC serodiagnosis.

A Case of Congenital Bronchoesophageal Fistula Accompanied with Hematemesis (토혈을 주소로 하는 선천성 식도기관지루 1례)

  • Oh, Jae-Cheol;Cha, Ki-Moon;Tchah, Hann;Park, Ho-Jin;Lee, Jung-Sang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.1 no.1
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    • pp.115-119
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    • 1998
  • Congenital bronchoesophageal fistula associated esophageal atresia usually presents in the newborn period or infancy but those without esophageal atresia are more insidious in disease process. Symptoms which include cough, hemoptysis, choking on swallowing liquids, uncommonly dysphagia, and epigastric discomfort may not begin until adult life. Most of the cases are curative unless there are serious underlying conditions. The diagnosis is usually made by gastroesophagoscopy, esophagogram, bronchogram and bronchoscopy. And the most of the cases can be cured by fistulectomy and resection of involved pulmonary lobes. We experienced one case of congenital bronchoesophageal fistula which occurred in a 13- year-old girl who complained of paroxysmal cough and intermittent hematemesis for 3 years.

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A Case of Acute Pancreatitis Complicated with Allergic Purpura (Allergic Purpura에 합병된 Acute Pancreatitis 1례)

  • Lee, Sung-Chul;Kim, Hwa-Ja;Tchah, Hann;Park, Ho-Jin
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.1
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    • pp.116-122
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    • 1999
  • Allergic (Henoch-Schonlein) purpura is a nonthrombocytopenic purpura that affects small nonmuscular vessels with involvement of skin, gastrointestinal tract, joint, and kidney. Pancreatitis has rarely been reported as a complication of H-S purpura. In 1965, hemorrhagic pancreatitis as a complication of H-S purpura was reported by Toskin. We experienced one case of pancreatitis complicated with H-S purpura: pancreatic head enlargement was noted in small bowel series and abdominal sonogram with increased serum amylase level (160 U/dL) in a 6-year-old female child who complained of abdominal pain, vomiting, bloody stool, and petechiae on lower extremities.

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