• Title/Summary/Keyword: fatal case

Search Result 598, Processing Time 0.029 seconds

Management of a 25-day-old Male Presenting with a First Episode of Acute Pyelonephritis, and Persistent Hyperkalemia with Normal Serum Aldosterone (급성신우신염으로 입원 후 지속적인 고칼륨혈증과 정상 혈중 알도스테론 수치를 보인 25일 영아 1례)

  • Kang, Yu Sun;Choi, Ji Yeon;Lee, Jun Ho
    • Childhood Kidney Diseases
    • /
    • v.18 no.2
    • /
    • pp.111-115
    • /
    • 2014
  • Hyperkalemia is often detected in young infants, particularly in association with acute pyelonephritis or a urinary tract anomaly. Cases of hyperkalemia in this population may also be due to transient pseudohypoaldosteronism, or immaturity of renal tubules in handling potassium excretion. Symptoms of hyperkalemia are non-specific, but are predominantly related to skeletal or cardiac muscle dysfunction, and can be fatal. Therefore, treatment has to be initiated immediately. Administration of fludrocortisone for hyperkalemia is appropriate in cases with hypoaldosteronism, but is challenging in young infants with hyperkalemia due to renal tubular immaturity, without pseudohypoaldosteronism. We report the case of a 25-day-old male presenting with persistent hyperkalemia with normal serum aldosterone, who was admitted with a first episode of pyelonephritis and unilateral high-grade vesicoureteral reflux. The patient was treated successfully with fludrocortisone.

Repair of Complex Cardiac Anomaly Associated with Congenital Tracheal Stenosis -1 Case Report- (선천성 기관 협착증을 동반한 복잡 심기형의 완전 교정술 -1예 보고-)

  • Park, Jeong-Jun;Kim, Woong-Han
    • Journal of Chest Surgery
    • /
    • v.30 no.1
    • /
    • pp.88-91
    • /
    • 1997
  • Congenital long-segment tracheal stenosis with complex cardiac anomaly has generally been regarded as a fatal disease This report described the successful concomitant repair of unexpected congenital tracheal stenosis and complex cardiac anomaly with the use of edrdiopulmonary bypass. The patient was a 3-month-old girl with coarctation of aorta, V D, and PDA. The presence of tracheal stenosis was not discovered until when difficulty with endotracheal intubation was encountered at operating room. Thus, we decided concomitant repair of both lesions and performed anterior pericardial tracheoplasty combined with one stage repair of coarctation of aorta, VSD, and PDA under the cardiopulmonary bypass. The patient is doing well without any signs of complication at present, 2 years and 1 month after the operation.

  • PDF

Extrapleural Pneumonectomy for Diffuse Malignant Mesothelioma -A Case Report- (미만형 악성 중퍼세포종의 늑막폐절제술 -1례 보고-)

  • Kim, Byeong-Gu;Bae, Sang-Il;O, Tae-Yun;Jang, Un-Ha
    • Journal of Chest Surgery
    • /
    • v.29 no.6
    • /
    • pp.664-668
    • /
    • 1996
  • Malignant mesothelioma has been considered a uniformly fatal disease associated with a median survival of 4 to 18 months. However, a multimodality approach toward therapy may Increase the length of palliation when a maximal resection of tumor is achieved. Recently we have experienced a 49 years-old male patient who had d ffuse malignant mesothelioma. The patient has complained of blood-tinged sputum and right chest pain for several months. Chest x-rays and CT scans showed compact haziness in the right entire thorax with massive bloody elusion, diffuse pleural thickening and collapsed underlying lung. We performed extrapleural pneumonectomy, and postoperative chemotherapy with cisplatin and mltomycin (Memorial Sloan-fettering Cancer Center method) was done. We are observing him for months now and there is no evidence of local recurrence.

  • PDF

A Newborn with Lethal Metatropic Dysplasia (치사성 영양위축성 형성이상 1례)

  • Cho, Hye-Jung;Hwang, Seon-Tae;Lee, Sang-Seon;Kim, Jee-Eun;Jo, Ae-Ran;Shim, So-Yeon;Jeon, In-Sang;Son, Dong-Woo
    • Neonatal Medicine
    • /
    • v.17 no.1
    • /
    • pp.141-146
    • /
    • 2010
  • Metatropic dysplasia is a rare spondylo epi metaphyseal dysplasia characterized by progressive kyphoscoliosis, short limbs with relatively large hands and feet and limited of motion and enlargement of the large joints. It is diagnosed based on the characteristic clinical and radiological features. Even though benign cases of this disease are frequently reported, metatropic dysplasia can often have a fatal outcome. We describe a sporadic case of the well-delineated lethal metatropic dysplasia.

Surgical Repair of Left Coronary Artery Pseudoaneurysm 10 Years after a Bentall's Procudure (Bentall 수술 10년 후 발생된 좌관상동맥 가성동맥류의 수술 치료)

  • Lee, Sak;Kang, Meyun-Shick;Lim, Sang-Hyun;Chang, Byung-Chul;Hong, You-Sun
    • Journal of Chest Surgery
    • /
    • v.40 no.3 s.272
    • /
    • pp.225-227
    • /
    • 2007
  • The aortic inclusion technique is frequently used in the original Bentall's procedure for the control of excessive postoperative bleeding. Although this procedure has improved the outcome of patients with aortic root disease, there is a high incidence of both early and late complications, including coronary artery stenosis, kinking or pseudoaneurysm formation at the coronary suture lines. Pseudoaneurysm of the ascending aorta is a relatively rare, but fatal complication, which occurs after wrap-inclusion composite graft replacement. Herein, the case of a 45-year-old female, who developed a perigraft aortic pseudoaneurysm 10 years after a Bentall's procedure (wrap-inclusion technique), but was successfully managed using the Cabrol's method, is reported.

Operative Treatment for Cardiac Tamponade with Ventricular Rupture of Post Myocardial Infarction without Cardiopulmonary Bypass - A case report - (급성심근경색 후 발생한 양심실파열로 인한 심장압전에서 체외순환의 사용없이 시행한 수술적 치료 - 1예 보고 -)

  • Choi, Chang-Seock;Kim, Han-Yong;Park, Jae-Hong
    • Journal of Chest Surgery
    • /
    • v.41 no.1
    • /
    • pp.95-97
    • /
    • 2008
  • Ischemic ventricular rupture is one of the most fatal complications following myocardial infarction, and this requires prompt diagnosis and operation. A 75-year-old female was admitted to the ER in a semicomatous mentality with cyanotic extremities. Cardiac echography was carried out in the ER, and a $1.5{\sim}2\;cm$ thickness of effusion in the pericardium was seen. Because the patient's heart had declined to 35 times per min, an emergency operation was started while giving cardiac massage. After observing a 1 cm rupture on the right ventricular wall and a necrotic hemorrhagic scar with a rupture on the left ventricular apical wall, repair of the ruptured areas with a large Satinsky clamp was carried out to control bleeding without cardiopulmonary bypass. On the 28th day after surgery, she was discharged home with a minimal degree of dyspnea.

A study on vertical distribution observation of giant jellyfish (Nemopilema nomurai) using acoustical and optical methods (음향 및 광학기법을 이용한 노무라입깃해파리 (Nemopilema nomurai)의 수층별 분포 관찰에 관한 연구)

  • Lee, Kyoung-Hoon;Kim, In-Ok;Yoon, Won-Duk;Shin, Jong-Keun;An, Heui-Chun
    • Journal of the Korean Society of Fisheries and Ocean Technology
    • /
    • v.43 no.4
    • /
    • pp.355-361
    • /
    • 2007
  • A giant jellyfish (Nemopilema nomurai), which is presumed developing in the East China Sea, is recently one of major issues in the Northeast Asia region due to its fatal damage to the fishery. The biomass estimates have generally been conducted by trawl sampling and sighting survey methods. The biological research is also needed to clarify such environmental origin or diurnal migration patterns. While trawl sampling or sighting survey methods are effective to investigate its density estimates in its distributed community of near bottom or surface, they have a problem in investigation on the vertical distribution of jellyfishes. In this case, an echo sounding detection would have an advantage to survey it more extensively and effectively. This trial was conducted to observe the vertical distribution of giant jellyfish, where thermocline strongly formed, during mooring at each station of the East China Sea and southern coastal area using acoustical and optical methods. By the results, they were observed to exit and move at the water column under the thermocline using the optical camera and echo sounder system, and the information was analyzed to find out the acoustical sound scattering characteristics relatives to 120kHz frequency. These results can be utilized effectively to estimate the vertical distribution and biomass of Giant jellyfish with comparing results from trawl sampling and sighting survey methods, hereafter.

Study on the Effect of Toxic Gas Filter Effect of Wet Towel during Fire (화재 시 젖은 수건의 유독가스 필터 효과에 관한 연구)

  • Sim, Jaeung;Cho, Nam-Wook
    • Fire Science and Engineering
    • /
    • v.32 no.5
    • /
    • pp.52-56
    • /
    • 2018
  • The damage caused by fires is fatal as opposed to the damage caused by heat, and toxic gas generated by fires can be protected against by using a wet towel. In this study, we quantified the filtration effect of gas generated by an actual fire using a wet towel. In order to confirm the filtration effect of the wet towel on three harmful gases ($CO_2$, HCl, HCN), gases passed through a filter using FT-IR were analyzed in realtime. HCl and HCN, which are gases, were filtered by a wet towel, and the detection time of each gas was delayed. Therefore, it was confirmed that evacuation time can be secured by using a wet towel in the case of toxic gas, especially water-soluble gases in an actual fire.

TREATMENT OF FASCIAL SPACE ABSCESS IN THE OROMAXILLOFACIAL REGION WITH INTRACANAL DRAINAGE (두경부악안면 근막극 농양 환아에 있어서 근관내 배농을 통한 치료)

  • Park, Jae-Oh;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.26 no.4
    • /
    • pp.623-629
    • /
    • 1999
  • The definition of fascial spaces are latent spaces between fascial planes. If infections which spread from dental origin to soft tissue are mild, they are restricted by fascial planes. But, when infections are severe, fascial spaces are often used as a natural pathway which spread to the deep cervical region. If they are not treated at early stage, they may result in the fatal complications as followings; airway obstruction, septicemia, cerebral abscess, and thrombophlebitis etc. The early treatment of fascial space abscess is very important for young children. These case reports present the successful result of fascial space abscess treatment through intracanal drainage without surgical excision. It is proven that the treatment through intracanal drainage has some benefits to the surgical excision, which are as follows: 1) It is economic to the patients or their parents avoiding admission. 2) The treatment procedure is more simple. 3) Childrens can avoid the fearful environment.

  • PDF

Insidious Onset of Amiodarone Pulmonary Toxicity Presented with Hemoptysis (객혈 양상으로 발현된 Amiodarone 폐독성 1예)

  • Kim, Hearn Kook;Jung, Bock Hyun;Han, Kun Hee;Hwang, Jung Won;Cho, Young Ju;Park, Yong Jin;Jung, Hyoung Jung;Kim, Mi Hye;Ryu, Dae Sik;Kang, Gil Hyun
    • Tuberculosis and Respiratory Diseases
    • /
    • v.59 no.4
    • /
    • pp.413-417
    • /
    • 2005
  • Amiodarone is widely used to control fatal arrhythmia. However, amiodarone therapy is associated with a relatively high incidence of pulmonary toxicity, up to 5 to 10%. Typical symptoms are nonspecific and often manifest as nonproductive cough, dyspnea and interstitial infiltrates in patients with acute pneumonitis or chronic fibrosis. However, hemoptysis is a very rare symptom of amiodarone pulmonary toxicity. We report a case of amiodarone pulmonary toxicity, who presented with hemoptysis and was successfully treated with the cessation of amiodarone, with review of the relevant literature.