• 대한한의학회지
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• 제37권2호
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• pp.119-124
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• 2016

Objectives: To demonstrate a clinical course and feature of a female patient with a severe liver injury (DILI) during antituberculosis treatment for her intestinal tuberculosis, whom traditional Korean medicine completely recovered. Methods: A female patient with diagnosed as DILI by antituberculosis drugs had been treated with herbal drugs; and then the clinical outcome and biochemical parameters had been monitored. Result: A 45-year old female had taken antituberculosis drugs for about 2 months, and complained severe abdominal discomfort and dyspepsia. The RUCAM score was 10, which met the criteria for DILI (AST 584 IU/L, ALT 1212 IU/L, ALP 100 IU/L, and GGT 161 IU/L, total bilirubin 0.9 mg/dL). She had been treated with herbal drugs and acupuncture as inpatient and outpatient, and then her symptoms had been completely recovered with normalization of hepatic enzymes. Conclusion: This report provides a clinical characteristic for a severe hepatotoxicity induced by antituberculosis drugs, and showed an example of TKM-based application.

• 대한한방내과학회지
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• 제31권1호
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• pp.177-188
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• 2010

Objective : This study was designed to evaluate the treatment effects and the prevention of side effects from antituberculosis drugs by using oriental medicine on a pulmonary tuberculosis patient. Methods : The clinical data was analyzed on a patient with pulmonary tuberculosis whose main symptoms were general weakness, anorexia, weight loss, tachycardia, night sweats, fever, coughing and chest pain. The patient was treated from June 17, 2008 to April 1, 2009, using herbal medicine (Cheongpyebyeolgab-tang) with antituberculosis drugs. Results : After treatment, the symptoms disappeared faster than with western medicine treatment only. Laboratory examinations and radiograph impressions also improved. No side effects of the antituberculosis drugs were noted. Conclusions : This suggests that oriental medicine therapy is effective for pulmonary tuberculosis and prevents the side effects of the antituberculosis drugs.

• 약학회지
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• 제29권3호
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• pp.159-164
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• 1985

To investigate the susceptibility and resistance in case of simultaneous administrations of Lactobacilli and Clostridia prekparations with antituberculosis agents and antibiotics, five strains of Lactobacilli, i.e., Lactobacillus bulgaricus, L. casei, L. helveticus, L. acidophilus, L. sporogenes, and Clostridium butyricum were isolated from commercially available preparation. Minimal inhibitory concentrations (MIC) of nine antituberculosis agents and 21 antibiotics against these strains were determined. The results shwoed that these strains were very sensitive only to rifampicin among antituberculosis agents, and sensitive to other antibiotics. Since the simultaneous oral administration of rifampicin and other antibkiotics with these sensitive strains is ineffective, development of new resistant mutants is desirable.

• Pediatric Infection and Vaccine
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• 제3권2호
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• pp.128-132
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• 1996

Tuberculosis in children is an important disease because of higher incidence and mortality, especially in developing and underdeveloped countries. The objectives of this study were to evaluate the cause of antituberculosis medication in children and to find out the basic data for proper drug regimen. We reviewed the medical records of 198 patients who had been treated with antituberculosis drugs from Jan. 1991 to Dec. 1993 in Anam Hospital of Korea University Medical Center. The results are as following; 1) Of 198 patients, 69 cases(34.8%) had treated due to BCG complications. They were all medicated with INH. The durations of medication were 3 months in 46 patients(66.7%), 4~6 months in 17 patients(5.8%), 7~9 months in 4 patients(5.8%), 10-12 months in 2 patients(2.9%). 2) Of 198 patients, 68 cases(34.3%) had treated due to chemoprophylaxis, 59 patients (29.8% of all cases) had histories of house hold contact. Of 68 cases, 51 patients (86.4%) were medicated with INH only, 8 patients (13.6%) were medicated with INH and RFP. 3) Other causes of antituberculosis medication were tuberculous lymphadenitis(14.1%), pulmonary tuberculosis(10.6%), meningitis, miliary tuberculosis(2.0%), and pleurisy(2.0%). Most common causes of antituberculosis medications in children were complication of BCG vaccination and chemoprophylaxis after household contact. So early detection of adult tuberculosis and development of convenient diagnostic methods and safe vaccine for childhood tuberculosis is necessary.

• Tuberculosis and Respiratory Diseases
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• 제41권4호
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• pp.405-412
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• 1994

연구배경: 항결핵제에 의한 간염의 빈도는 감염성 간염이나 만성 간질환의 이환이 빈번한 국민을 대상으로 한 연구에서 비교적 높은 빈도를 보이고 있으며, 우리나라에서도 1980년대 이후 결핵치료에 있어 isoniazid, rifampin은 물론 pyrazinamide를 포함한 처방을 기본으로 결핵치료를 하고 있는 바 간독성이 문제될 것으로 생각되어 임상적 양상을 조사하였다. 방법: 1988년 1월 1일부터 1993년 6월 30일까지 5년 6개월간 국립의료원 흉부내과에 활동성 결핵으로 진단되어 항결핵제를 복용한 1414예 중 약제에 의한 간염을 야기하였던 29예를 대상으로 후향적으로 이들에 대해 임상적 양상을 조사하였다. 결과: 1) 항결핵제에 의한 간염 발생률은 2.1% 였다. 2) 항결핵제에 의한 간염 발생률에는 남녀간에 유의한 차이가 없었으며, 연령에 따른 유의한 차이도 없었고, 결핵의 병행에 따른 유의한 차이도 없었다. 3) 약제에 의한 간염이 발생한 29예 중 62%인 18예가 임상증상 없이 투약을 시작한 후 정기적으로 시행하는 간기능 검사에서 발견된 경우였고, 증상이 있었던 경우에는 오심 및 구토가 많았으며, 이학적 검사상 황달, 간비대, 공막황달, 우측상복부동통 등이 관찰되었다. 4) 투약후 비정상적 간기능 검사 소견을 보이기 까지의 기간은 $31{\pm}8$(Meam${\pm}$SD)일로서 5일에서 180일까지의 범위였고, 투약후 1개월에 항결핵제에 의한 간염발생의 76%인 22예가 발생하였다. 5) 29예 중 27예에서 항결핵제 중단후 간기능검사 소견이 정상화되었고 $28{\pm}5$(Meam${\pm}$SD)일의 기간이 소요되었으며, 5일에서 121일까지의 범위였다. 6) 항결핵제에 의한 간염이 발생한 29예 중 1예에서 전격성간염이 발생하여 사망하였다. 7) GOT는 $243{\pm}45$(Meam${\pm}$SD)U/L로서 64~1055U/L의 범위였고, GPT는 $208{\pm}36$(Meam${\pm}$SD)U/L로서 68~931U/L의 범위였다. 결론: 항결핵제 투여 중 나타나는 간기능 장애는 그 빈도가 낮고 대부분 경증으로 투약에 제한을 받지 않지만 간혹 투약 중단에도 불구하고 전격성간염으로 이환되기도한다. 때문에 간염의 증후를 조기에 진단하고 대처하는 것이 요구되는데, 이를 위해서는 정기적인 간기능검사가 필요하고, 특히 투약을 시작한지 1개월까지는 긴밀한 관찰이 필요하다.

• Archives of Pharmacal Research
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• 제11권3호
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• pp.218-224
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• 1988

The preparation of Clostridium butyricum is used as a normalizing agent for human intestinal flora. When the microbe is simultaneously used with rifampicin, it is inactivated by the antibiotic. To develop rifampicin-resistant mutants, rifampicin-sensitive strain Miyairi II 588 of C. butyricum was treated with nitrosoguanidine (NTG). To ensure stable resistance to rifampicin, we examined whether the resistance was plasmid-mediated or chromosome-mediated. It was found that the resistance of four mutant strains was not mediated by its inherent plasmid, but by the chromosomal mutation. These strains were examined for the susceptibility and resistance to other antituberculosis agents and antibiotics. The results showed that these mutants were resistant to the high concentration of the antituberculosis agents.

• 셀메드
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• 제6권4호
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• pp.22.1-22.19
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• 2016

The biologically active compounds derived from different natural organisms such as animals, plants, and microorganisms like algae, fungi, bacteria and merine organisms. These natural compounds possess diverse biological activities like anthelmintic, antibacterial, antifungal, antimalarial, antiprotozoal, antituberculosis, and antiviral activities. These biological active compounds were acted by variety of molecular targets and thus may potentially contribute to several pharmacological classes. The synthesis of natural products and their analogues provides effect of structural modifications on the parent compounds which may be useful in the discovery of potential new drug molecules with different biological activities. Natural organisms have developed complex chemical defense systems by repelling or killing predators, such as insects, microorganisms, animals etc. These defense systems have the ability to produce large numbers of diverse compounds which can be used as new drugs. Thus, research on natural products for novel therapeutic agents with broad spectrum activities and will continue to provide important new drug molecules.

• 약학회지
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• 제42권6호
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• pp.639-641
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• 1998

Minimal inhibitory concentrations (MICs) of Bifidobacterium spp. strains (Bifidobacterium breve K-110, B. breve K-111 and B. infantis K-525) isolated from healthy Korean against antituberculosis agents and fluoroquinolones were determined. From the MICs it was found that Bifidobacterium breve K-110, B. breve K-111 and B. infantis K-525 were susceptible to rifampicin and fluoroquinolenes and resistant to other antituberculosis agents.

• Archives of Pharmacal Research
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• 제21권4호
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• pp.445-451
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• 1998

A series of 5-hydroxy-4-quinolone (3) and 5-methoxy-4-quinolone (4) derivatives were synthesized as truncated acridone analogues and evaluated for antitumor, antiheroes and antituberculosis activities. Among them 5-hydroxy-8-methoxy-quinolone showed potent antitumor activity ($IC_{50}$=17.7 $\mu\textrm{M}$ for HL60) which was greater than that of acronycine. However, these compounds didn't show any significant antiheroes or antituberculosis activity.

• Journal of Yeungnam Medical Science
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• 제12권2호
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• pp.405-411
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• 1995

Lichenoid drug eruption is lichenoid skin eruptions caused by certain drugs and compounds, and can be identical or similiar to lichen planus. A 75-year-old woman who had taken antituberculosis medication(INH, ethambutol, rifampin) for 4 months developed pruritic generalized erythematous papular eruptions on the trunk and extremities, alopecia and nail dystropy. Histopathologic findings were hyperkeratosis, hypergranulosis, hydrophic degenaration of basal layer, band like lymphohistiocytic infiltration in the upper dermis and perivascular lymphohistiocytic infiltration in the deep dermis. She was treated with systemic corticosteroid, and then skin lesion were slightly improved. After termination of antituberculosis medication, skin lesions were markedly improved with residual hyperpigmentation. Alopecia and nail dystrophy were also improved.