• 제목/요약/키워드: Reticulocyte

검색결과 76건 처리시간 0.029초

A 2-month-old boy with hemolytic anemia and reticulocytopenia following intravenous immunoglobulin therapy for Kawasaki disease: a case report and literature review

  • Kim, Na Yeon;Kim, Joon Hwan;Park, Jin Suk;Kim, Soo Hyun;Cho, Yeon Kyung;Cha, Dong Hyun;Kim, Ki Eun;Kang, Myung Suh;Lim, Kyung Ah;Sheen, Youn Ho
    • Clinical and Experimental Pediatrics
    • /
    • 제59권sup1호
    • /
    • pp.60-63
    • /
    • 2016
  • Herein, we report a rare case of hemolytic anemia with reticulocytopenia following intravenous immunoglobulin therapy in a young infant treated for Kawasaki disease. A 2-month-old boy presented with fever lasting 3 days, conjunctival injection, strawberry tongue, erythematous edema of the hands, and macular rash, symptoms and signs suggestive of incomplete Kawasaki disease. His fever resolved 8 days after treatment with aspirin and high dose infusion of intravenous immunoglobulin. The hemoglobin and hematocrit decreased from 9.7 g/dL and 27.1% to 7.4 g/dL and 21.3%, respectively. The patient had normocytic hypochromic anemia with anisocytosis, poikilocytosis, immature neutrophils, and nucleated red blood cells. The direct antiglobulin test result was positive, and the reticulocyte count was 1.39%. The patient had an uneventful recovery. However, reticulocytopenia persisted 1 month after discharge.

Neonatal indirect hyperbilirubinemia and glucose-6-phosphate dehydrogenase deficiency

  • Isa, Hasan M.;Mohamed, Masooma S.;Mohamed, Afaf M.;Abdulla, Adel;Abdulla, Fuad
    • Clinical and Experimental Pediatrics
    • /
    • 제60권4호
    • /
    • pp.106-111
    • /
    • 2017
  • Purpose: This study aimed to determine the prevalence of glucose-6-phosphate dehydrogenase (G6PD) deficiency among infants with neonatal indirect hyperbilirubinemia (NIH); compare G6PD-deficient and G6PD-normal patients regarding hyperbilirubinemia and need for exchange transfusions (ET); and assess risk factors for ET and kernicterus. Methods: This is a case-control retrospective study. Medical records of NIH patients admitted to the Pediatric Department, Salmaniya Medical Complex, Bahrain, between January 2007 and June 2010 were reviewed. Data on sex, age at presentation, hospitalization duration, need for ET, hemoglobin (Hb) level, reticulocyte count, direct Coombs test, serum total and indirect bilirubin levels, thyroid function, blood and urine cultures, G6PD status, and blood groups were collected and compared between the G6PD-deficent and G6PD-normal patients. Results: Of 1,159 NIH patients admitted, 1,129 were included, of whom 646 (57%) were male. Among 1,046 patients tested, 442 (42%) were G6PD deficient, 49 (4%) needed ET, and 11 (1%) had suspected Kernicterus. The G6PD-deficient patients were mainly male (P<0.0001), and had lower Hb levels (P<0.0001) and higher maximum bilirubin levels (P=0.001). More G6PD-deficient patients needed ET (P<0.0001). G6PD deficiency (P=0.006), lower Hb level (P=0.002), lower hematocrit count (P=0.02), higher bilirubin level (P<0.0001), higher maximal bilirubin level (P<0.0001), and positive blood culture result (P<0.0001) were significant risk factors for ET. Maximal bilirubin level was a significant risk factor for kernicterus (P=0.021) and independently related to ET (P=0.03). Conclusion: G6PD deficiency is an important risk factor for severe NIH. In G6PD-deficent neonates, management of NIH should be hastened to avoid irreversible neurological complications.

과량의 미나리 생즙 투여가 HK phenotype 진도견의 혈액상의 미치는 영향 (The Change of Blood Properties of HK Phenotype Jindo dogs Administrated with Excessive Amount of Water Celery Extracts)

  • 안병만;장혜숙;정규식;박승춘;오태호;송재찬;김영홍;권오덕
    • 한국임상수의학회지
    • /
    • 제18권4호
    • /
    • pp.334-340
    • /
    • 2001
  • This study was conducted to investigate changes in blood properties of high potassium (HK) phenotype Jindo dogs (15kg$\pm$2kg) after daily oral administration with water celery extracts (10 ml/kg) for 7 days. Blood samples were collected for three days in a row before administration of water celery extracts. After water celery extracts administration, blood samples were collected at 3h, 6h, 9h and then on daily basis until day 10 post administration (PA). At day 15, final sample was collected. Blood samples were analyzed on the basis of red blood cell (RBC), white blood cell (WBC), packed cell volume (PCV), hemoglobin (Hb) concentration, mean corpuscular volume(MCV), mean corpuscular hemoglobin concentration(MCHC), gluthathione concentration(GSH) and met-hemoglobin(Met-Hb) concentration. The significant changes (p<0.01, p<0.05) of RBCs were shown at 3 h to day 5, and days 7 and 9 after administration. PCV values were decreased form 3 h to day 10 after administration. Mean Hb concentration showed significant increase as 3 h to day 3, and day 6 to day 9 after administration. The significant changes (p<0.05) of WBCs were shown at 9 h and day 1 after administration. The increased numbers of MCV were detected at days 6 to 9 after administration (p<0.05, p<0.01). The significant changes of MCHC were shown at 9h and day 1 after administration. The significant increases (p<0.01, p<0.05) of GSH concentration were detected at days 1, 6 and 7 after administration. In Met-Hb concentration, the significant increases (p<0.05) occurred at only 9h and day 7 after administration, The significant increases (p<0.01, p<0.05) of reticulocyte were detected at days 2, 4, 5, 6 and 7. Data from blood samples collected at day 15 after administration showed that all of blood analysis results returned to normal level, compared to controls.

  • PDF

급성 저압.저산소 노출에서의 유산소성 운동이 면역기능 및 호흡기계에 미치는 영향 (The Influences of Immune Function and Respiratory System on Aerobic Exercise by Exposed Acute Hypobaric Hypoxic Environment.)

  • 이동준
    • 생명과학회지
    • /
    • 제19권6호
    • /
    • pp.825-831
    • /
    • 2009
  • 본 연구에서는 저압.저산소환경의 노출을 시켜 30분간의 유산소성 자전거운동이 호흡기계 반응 및 면역기능의 응답에 미치는 영향을 검토하였다. 그 결과 몇 가지 지견을 도출해낼 수 있었다. 첫째로 75 $%HR_{max}$ 강도에서 30분간의 유산소성 운동 중에 저산소성 환기억제 또는 저하(hypoxic ventilatory depression or decline)라고 하는 현상은 평지뿐만이 아니라 3,000 m 고도에서도 나타나고 있고, 둘째 호흡기계의 반응은 축구선들이 특히 고소에서 적응과 감수성이 우수하다고 할 수 있으며, 셋째 면역기능의 항목인 단구(monocyte)는 운동습관의 유무 및 3,000 m의 고도에 따라 서로 다른 양상(상호작용)으로 변화를 하고 있다고 할 수 있다.

Characterization of the in vitro Activities of the P1 and Helper Component Proteases of Soybean mosaic virus Strain G2 and Tobacco vein mottling virus

  • Lim, Hyoun-Sub;Jang, Chan-Yong;Nam, Ji-Ryun;Li, Meijia;Hong, Jin-Sung;Bae, Han-Hong;Ju, Ho-Jong;Kim, Hong-Gi;Ford, Richard E.;Domier, Leslie L.
    • The Plant Pathology Journal
    • /
    • 제28권2호
    • /
    • pp.197-201
    • /
    • 2012
  • Potyviruses express their RNA genomes through the production of polyproteins that are processed in host cells by three virus-encoded proteases. Soybean plants produce large amounts of protease inhibitors during seed development and in response to wounding that could affect the activities of these proteases. The in vitro activities of two of the proteases of Soybean mosaic virus (SMV) and Tobacco vein mottling virus (TVMV) were compared in the rabbit reticulocyte lysate in vitro translation system using synthetic RNA transcripts. Transcripts produced from SMV and TVMV cDNAs that included the P1 and helper component-protease (HC-Pro) coding regions directed synthesis of protein products that were only partially processed. Unprocessed poly-proteins were not detected from transcripts that included all of the P1, HC-Pro, P3 and portions of the cylindrical inclusion protein coding regions of either virus. Addition of soybean trypsin inhibitor to in vitro translation reactions increased the accumulation of the unprocessed polyprotein from TVMV transcripts, but did not alter the patterns of proteins produced from SMV. These experiments suggest that SMV-and TVMV-encoded proteases are differentially sensitive to protease inhibitors.

견적혈구(犬赤血球)에 감염(感染)된 Babesia gibsoni의 미세구조(微細構造)에 관한 연구(硏究) (Ultrastructure of Babesia gibsoni in the erythrocyte from dogs)

  • 한재철;이주묵;채준석;윤창모
    • 대한수의학회지
    • /
    • 제31권1호
    • /
    • pp.89-97
    • /
    • 1991
  • For the ultrastructural observation on Babesia gibsoni(B gibsoni), the protozoa were challenged experimentally to splectomized dog. To examine the ultrastructure of the B gibsoni in the erythrocyte, the infected erythrocytes were collected at the cephalic or jugular vein of the dog. The results obtained by TEM(transmission electron microscopy) were as follows; 1. The sizes of protozoa in erythrocytes are $0.92{\pm}0.36{\mu}m{\times}0.67{\pm}0.21{\mu}m$, the sizes of nucleus of the protozoa are $0.55{\pm}0.24{\mu}m{\times}0.38{\pm}0.26{\mu}m$, and sizes of rhoptries in plasma of the protozoa are $0.33{\pm}0.05{\mu}m{\times}0.25{\pm}0.07{\mu}m$, respectively. 2. The tropozoite membrane in the erythrocyte was one, and it's nuclear membrane was made up of double. But the protozoa of initial stage in infected erythrocyte had double clear mambranes, and distinguished from plasma membrane of red blood cell. 3. The mitochondrialike structures covered with two membranes were observed in the protozoa. 4. Mitochondria and vesicles of the reticulocyte were observed near protozoa in the erythrocyte. 5. There are rhoptry, coiled structure and single nucleous in the merozoite. 6. The shape of rhoptry was round or ovoid form and in occasionally, the content of rhoptry was lost partially. 7. There was able to observe the dividing process of the protozoa. 8. Maurer's cleft-like structure was observed.

  • PDF

Antiviral Activity of a Type 1 Ribosome-inactivating Protein from Chenopodium album L.

  • Lee, Si-Myung;Cho, Kang-Jin;Kim, Yeong-Tae;Park, Hee-young;Kim, Su-il;Hwang, Young-Soo;Kim, Donghern
    • Journal of Applied Biological Chemistry
    • /
    • 제42권4호
    • /
    • pp.161-165
    • /
    • 1999
  • The antiviral activity of CAP30 from Chenopodium album, a type1 ribosome-inactivating protein (RIP), was examined against 5 different plant viral pathogens, and its activity against Tobacco mosaic virus was compared to those of well known antiviral proteins such as Pokeweed Antiviral protein from leaves and seeds. When the inoculating concentration of Tobacco mosaic virus was varied from 0.4 to $400{\mu}g/ml$, it was observed that CAP30 at the concentration of $1{\mu}g/ml$ suppressed the viral infection of C. amaranthicolor and C. quinoa almost completely up to $40{\mu}g/ml$ Tobacco mosaic virus. Results from the assays for the inhibitions of in vitro translation of rabbit reticulocyte lysate and the suppression of Tobacco mosaic virus infection ($10{\mu}g/ml$) to C. quinoa indicated that CAP30 is a strong inhibitor of protein synthesis and virus infection. The infection of several viruses other than Tobacco mosaic virus to host plants were also inhibited by $5{\mu}g/ml$ CAP30, suggesting that a gene encoding CAP30 can be used to develop transgenic virus-resistant plants.

  • PDF

A Case Study on the Effect of Hypobaric-Hypoxic Intermittent Training on the Blood Constituents and Average Heart rate of Professional Handicapped Cyclists

  • Kim, Sang Hoon;Song, Young Wha;Kim, Hong Rae;Heo, Seo Yoon;Kim, Yong Youn
    • 국제물리치료학회지
    • /
    • 제8권1호
    • /
    • pp.1114-1121
    • /
    • 2017
  • The purpose of this study was to investigate the effects of hypobarichypoxic training program on competitive performance. This was done by observing their conditioning and measuring their blood constituents before and after a multi-staged intermittent training program, over 2 weeks. Three national handicapped cyclists were placed in a multi-leveled hypobaric-hypoxic (flat-4000 meter (m) high elevation) environment with consistent temperature and humidity ($23{\pm}2^{\circ}C$, $50{\pm}5%$) for 2 weeks. After the training, the blood constituents and average heart rate (HR) were measured and the following results were obtained. In all three athletes, there were no unique changes in red blood cell count, hemoglobin, and hematocrit, while there was a rise in the reticulocyte count. Observations of the difference in average HR during exercise at varying altitudes showed that athlete A had an average increase in the HR for the first 5 days at 2000 m. For athlete B, the comparison of the first and last training sessions at an altitude of 2000 m showed an HR increase of approximately 17%. For athlete C, there was a steady increase in the HR until day 7 of the training. As such, hypobaric-hypoxic training suggested that improvement of aerobic exercise performance in these athletes and it is recommended that there be a development for future training programs at high altitude, geared towards handicapped athletes of various disciplines.

불법 제조된 환약 복용에 의하여 발생한 연중독 증례 (Case Report of a Lead Poisoning by Home-made Herb Pills)

  • 김덕수;임현술;양창헌
    • 농촌의학ㆍ지역보건
    • /
    • 제26권1호
    • /
    • pp.57-64
    • /
    • 2001
  • 증례는 2년 전부터 피부 습진으로 치료받아 증상의 호전과 재발을 경험하던 중 내원 2달전 피부 습진이 재발하여 이를 치료하고자 구입한 환약을 15일간 매일 6.4g씩 경구 섭취하였고 내원 10일 전부터 심한 복통을 경험하였다. 입원 후 실시한 이학적 검사에서 급성 연중독의 증상을 보였고, 혈액하학적 검사에서 호염기성 점적혈구를 동반한 빈혈소견이 있었다. 혈중 연농도가 $69{\mu}g/d{\ell}$로 높았고, 증례가 섭취한 환약의 성분 분석에서도 3.32%의 연성분 함유를 관찰할 수 있었다. 본 증례는 연성분이 다량 함유한 약제를 이용해서 만든 환약을 복용하여 발생한 연중독으로 판단되어 문헌 고찰과 함께 보고하는 바이다.

  • PDF

참비름 (Amaranthus mangostanus)에서 항바이러스성 단백질 (AAP29)의 분리 및 특성 (Purification and Characterization of Antiviral Protein (AAP29) from the Leaves of Amaranthus mangostanus)

  • 이승인;김영태;황영수;조강진
    • Applied Biological Chemistry
    • /
    • 제38권6호
    • /
    • pp.528-533
    • /
    • 1995
  • 참비름 (Amaranthus mangostanus) 잎에서 단백질을 추출하여 S-Sepharose, Sephacryl S-200 HR, CM-Sepharose, Blue sepharose column chromatography에 의하여 단백질 합성 저해능이 있는 항바이러스성 단백질 (Amarnanthus antiviral protein, AAP29)을 분리하였다. 정제된 단백질의 분자량은 SDS-PAGE에서 약 29,200이었으며, 등전점은 9.0$50^{\circ}C$에서 20분간 처리한 경우에도 활성의 변화는 없었으며, 이 단백질의 단백질합성 저해능 활성을 in vitro translation system에서 측정한 결과 50% 저해농도 ($IC_{50}$)는 0.18 nM이었다. 담배잎 표면에 AAP29와 cucumber mosaic virus (CMV)를 함께 접종하여 항바이러스 활성을 생물검정한 결과 AAP29는 virus 감염를 현저히 저하시켰다. AAP29의 N-말단 아미노산 서열은 ADLTFTVTKDGTSQSYXTLXNXWRXW이었으며 기존에 알려진 다른 RIP과의 동질성은 없었다.

  • PDF