• 대한한방내과학회지
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• 제11권1호
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• pp.93-107
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• 1990

Studies on diagnosis and treatment of tumor . abscess . ulcer in intestinal carbuncle were carried out. The result of studies were summerized as follows: 1. By Nai-Gyung carbuncle-tumor arose from disharmony between nutrient and defensive because of cold, abscess arose from fever victory between cold and fever, ulcer arose from decreasing function of Bi-Kam year. By latter literature Bi-Kam year could be interpreted that spleen stomach was invaded evil influence from unattainable vital force of the earth. 2. Sites of intestinal carbuncle were large intestine, small intestine, intestinal inside or outside between large and small intestine, Intestinal carbuncle was common name of a disease about large intestinal carbuncle, small intestinal carbuncle, pelvic intestinal carbuncle, shrink leg intestinal carbuncle etc.. Pain appeared Chunchu-Hyul in large intestinal carbuncle, and Gwanweon-Hyul in small intestinal carbuncle. 3. On abdominal diagnosis tumor had indistinct pain of Gwanweon Chunchu, edema and heary feeling in low abdomen, no excessive pain by hand press and intestinal boiling sound. In abscess pain descended from right side of low abdomen to huckle, and there was rejection against press, feeling about fever,water sound with flank movement. In ulcer hand approach was difficult since excessive pain diffuse to whole abdomen, and perforating ulcer sometimes caused a serious symptom of umbilical pus. 4. On fecal and urinary diagnosis in tumor urine was yellowish red pollakiuria like gonorrhoea and occasional constipation. In abscess uncomfortable rough pain short red early urine like gonorrhoea appeared during urination, and constipation with stinging pain appeared during defecation. In ulcer red rough pyuria appeared, and stinging and pain with puruloid blood appeared during defecation. 5. On treatment in tumor Daiwhang-Tang Daisenggi-Tang Dangui-Jun by dissipation method, calming down method, interior reliance maturation method, in abscess Mokdan-San Euiiin-Tang Jeokduiin-Tang by the method of water repelling pus discharge, acute breaking, in ulcer Takridanggui-Tang Paljin-Tang Bojungikki-Tang were each used by the method of interior reliance, virulence astriction, supplement vital force and blood, supplement spleen stomach. 6. On treatment patient may have to be careful of excessive moving and suprising anxiety. Abuse of acupuncture and moxibustion made patient worse, misuse of analgesics purgative intestinal irrigation etc. could provoke difficult diagnosis and perforation. So you must treat after exact diagnosis. 7. Prognosis of ease tumor ease abscess ease ulcer and ease astriction was good. If the intestinal carbuncle were not to promote to abscess and ulcer for a long time, its prognosis was bad and it could metastasize to cancer because of dark purple with hardness. So tumor abscess ulcer in intestinal carbuncle may be significant of precancerous lesion.

• Tuberculosis and Respiratory Diseases
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• 제65권6호
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• pp.517-521
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• 2008

저자들은 항결핵 치료 6개월 후 척추 결핵의 동반없는, 결핵성 림프절염에 의해 이차적으로 발생한 양측성 다발성 결핵성 요근 농양 환자 1예를 경험하였다. 환자는 한차례의 수술적 절개 및 배액술 그리고 여섯 차례의 경피적배액술과 2년간의 약물치료를 통해 완치되었고 이후 재발은 없어 이에 문헌 고찰과 함께 보고하는 바이다.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.427-431
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• 2018

본 저자들은 괴사성 근막염 환자에서 간농양이 발생한 사례가 있어 보고하고자 한다. 5일 동안 지속되는 우측 대퇴부의 통증을 동반한 부종, 발열, 오한을 주소로 51세 남자 환자가 본원에 내원하였다. 내원 당시 시행한 MRI 검사 상 우측 대퇴부의 후내측과 후외측 부분에 공기 방울로 보이는 다량의 어두운 음영과 액체 군집이 있어 괴사성 근막염으로 추정 진단하였다. 입원 당시 시행한 복부 초음파 검사 상 양측 신장의 실질 에코는 증가하였지만 간 내 농양은 보이지 않았다. 근막절개 10일 후에 시행한 복부 컴퓨터 단층촬영 검사 상 간 내 농양이 보여, 초음파 검사를 통한 경피적 배액술을 시행하였다. 우측 대퇴부와 간농양에서 배약된 농 검체 모두 폐렴 간균이 배양되었다. 환자는 몇 차례 근막 절개술을 시행 받았고 비경구항생제로 치료한 결과 점차 호전이 되기 시작했다. 치료 시작 5주 후 간농양의 크기는 감소하였고, 10주 후 간농양은 사라졌다. 우리가 아는 한 폐렴 간균 괴사성 근막염에서 간농양이 발생한 첫 사례이기에 보고하는 바이다.

• 대한후두음성언어의학회지
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• 제30권2호
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• pp.136-138
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• 2019

Recently, negative pressure wound therapy (NPWT) has been reported to be effective for the treatment of cervical infections including retropharyngeal abscess. The 71-year-old woman with retropharyngeal abscess presented in this case showed improvement of infection through long-term NPWT. She continued to complain of swallowing difficulties after recovery. In this case, we performed the transcutaneous injection of botulinum toxin at the cricopharyngeus muscle for the patient who developed dysphagia after treatment for retropharyngeal abscess and observed improvement in swallowing.

• 대한미생물학회지
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• 제11권1호
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• pp.79-85
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• 1976

There are many of anaerobic culture methods and equipments for isolation and cultivation of anaerabic bacteria, but most of these methods are used without pre-reduced media. Gas-jet method is a recommend. able method for the culture of anaerobes, resently developed. Bacteriological studies were experimented of liver abscess of cattle by the use of gas. jet method. The results were summarised as follows; 1. Gas-jet method for anaerobic culture are expedient for the making of pre-reduced media, maintaining of oxygen free condition in the culture tube, picking of bacteria from colony and colony counting etc. 2. A 121 strains of facultative anaerobic and anaerobic bacteria were isolated from liver abscess of 27 head of cattle, and the isolated anaerobic bacteria were as follows. Peptostreptococcus spp. 7 strains Acid aminococcus fermentans 1 Veillonella spp. 1 Bacterioides spp. 6 Bifidobacterium spp. 4 Arachinia propionica 2 Lactobacillus spp. 4 Propionibacterium acnes 1 3. Liver abscess were infected with many of bacteria, about $10^3-10^9$ numbers per gram of abcessed tissue. Almost of abscess were mixed infection of various bacterial species rather than simple species.

• 한국임상수의학회지
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• 제28권4호
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• pp.446-448
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• 2011

1살령 수컷 버미즈 비단뱀(Burmese python, Python molurus bivittatus)이 탈피 후 좌측 눈이 흐려지는 것을 주증으로 내원하였다. 뱀은 신체검사와 병력을 토대로, 서브스펙타클의 농양(subspectacular abscess)으로 진단되었다. 원인이 된 병원체는 메티실린 내성 황색 포도상구균(methicillin-resistant Staphylococcus aureus, MRSA)으로 확인되었다. MRSA는 인수공통적으로 중요한 병원체이며 공중보건과 수의학에서도 중요하게 여겨진다. 이 증례 보고는 MRSA에 감염된 뱀에 대한 최초의 보고이다.

• Clinical and Experimental Pediatrics
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• 제46권6호
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• pp.602-605
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• 2003

저자들은 salmonella group D로 인한 장염 및 패혈증이 동반된 음낭내 농양을 진단하여 항생제와 절개 및 배농으로 치료한 1례를 경험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제23권6호
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• pp.1221-1224
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• 1990

Fifty -six cases of tuberculous peripleural abscess were experienced in the department of thoracic and cardiovascular surgery, college of medicine, Hallym university from January 1980 to June 1990. Tuberculous peripleural abscess seems to originate from the space between the parietal pleura and endothoracic fascia. But rib caries, originated by hematogenous spread of mycobacteria to the rib, shows the rib destruction first, thereafter periosteal erosion and regional tissue involvement follows. In our 56 cases, results were as follows: 1. Their age ranged from 6 to 82 years, and female dominant [M: F=21: 35]. 2. The locations of abscess were 31 right, 23 left, and 2 sternal portions. 3. On X \ulcornerray findings, 37 cases showed active or old lesion of the tuberculosis in the lung field, 7 cases periosteal destruction of the ribs, and 29 cases pleural thickening. 4. Operative findings showed cold abscess with multiple fistulous tracts leading to intercostal space in most of the cases, and their origin were presumed to be from the space between the endothoracic fascia and parietal pleura. 5. The pus showed negative AFB stain in most of the cases except 3 cases. 6. Partial costectomy and radical curettage with drainage were performed in all cases. 7. 7 cases recurred after the first operations, but no recurrence after second operations.

• Childhood Kidney Diseases
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• 제24권1호
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• pp.53-57
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• 2020

Streptococcus agalactiae or group B streptococcus (GBS) is associated with infections in neonates and pregnant women. Herein, we describe a rare case of GBS renal abscess with peritonitis and pleural effusion in a 17-year-old girl with type 1 diabetes mellitus. The girl was admitted due to fever and right flank pain. Laboratory findings included leukocytosis and increased C-reactive protein level and erythrocyte sedimentation rate. Her serum glucose level was 484 mg/dL. Urinalysis showed no pyuria. Renal sonography revealed parenchymal swelling in the right kidney. The patient was administered intravenous cefotaxime. Urine and blood cultures were negative. Fever seemed to improve, but the following day, she complained of abdominal pain and fever. Antibiotic was switched to imipenem, and abdominal and pelvic CT revealed a ruptured right renal abscess, peritonitis, and bilateral pleural effusion with atelectasis. Pigtail catheter drainage of the abscess was performed. Culture from the abscess was positive for GBS, and fever subsided 2 days after the drainage. She was discharged with oral cefixime. The clinical course of urinary tract infections (UTIs) can be atypical in patients with diabetes, and GBS can be a cause of UTIs. Prompt diagnosis and management are necessary to prevent complications in patients showing atypical courses.

• Pediatric Infection and Vaccine
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• 제20권1호
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• pp.36-40
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• 2013

간농양은 선진국과 개발도상국에서 발생빈도에 차이가 있는 질환으로 국내에서는 드물다. 면역결핍, 간, 담도계기형, 천공성 충수염, 외상, 단백질 결핍 등의 선행요인이 있을 때 발생하기 쉬우며 Escherichia coli, Klebsiella pneumoniae, Staphylococcus aureus, Enterococcus, Bacteroides와 Entamoeba histolytica 등에 의해 유발된다. 저자들은 발열을 주소로 내원한 건강한 12세 남아에서 컴퓨터 단층촬영을 시행하여 간농양을 발견하였으며 경피배액술 흡인물 배양 검사에서 Staphylococcus epidermidis가 검출되어 항생제를 투여하여 합병증 없이 치료하였기에 보고한다.