• Title/Summary/Keyword: infective

Search Result 324, Processing Time 0.027 seconds

Papillary and Verrucous Lesions of the Oral Mucosa (임상가를 위한 특집 1 - 구강점막의 유두상 병소)

  • Yoon, Jung-Hoon
    • The Journal of the Korean dental association
    • /
    • v.50 no.12
    • /
    • pp.720-726
    • /
    • 2012
  • Oral mucosal lesions with a papillary or verrucous surface are a heterogenous group of conditions with widely varying clinical behaviour. The etiology is variable and includes infective, traumatic or neoplastic processes. The majority of these lesions are precanceous lesion. Therefore, a biopsy is required to establish a diagnosis and the microscopic examination must be coordinated with the clinical findings. This paper reviews the clinical features and significance of papillary or verrucous lesions.

Two Cases of Osteoma of the Ethmoid Sinus (사골동에 발생한 골종 2례)

  • 김민식;이승균;선동일;조승호
    • Korean Journal of Bronchoesophagology
    • /
    • v.4 no.2
    • /
    • pp.244-248
    • /
    • 1998
  • Osteomas are uncommon benign turners, occasionally located in the paranasal sinuses, of which the frontal and ethmoid sinus is the most frequent site. The etiology of the osteoma is still unknown but three possible theories have been proposed; embryological, traumatic and infective. The most common symptoms of osteoma are facial pain and headache, but most of them are asymptomatic and discovered incidentally on routine sinus radiography. Recently, the authors experienced two cases of large osteoma of the ethmoid sinus that were removed successfully by external ethmoidectomy.

  • PDF

Discrete Membranous Subvalvulr Aortic Stenosis - A Case - (분리된 막성 대동맥 판막하 협착증;1례 보고)

  • 오중환
    • Journal of Chest Surgery
    • /
    • v.25 no.7
    • /
    • pp.739-744
    • /
    • 1992
  • Discrete membranous subaortic stenosis[DMSS] is one of the subtype of congenital left ventricular outflow obstruction and can be associated with aortic regurgitation, infective endocarditis, ventricular obstruction. DMSS should be removed early, when diagnosed, and completely before secondary myocardial changes occur. Recently we experienced a case of DMSS with aortic regurgitation, and its left ventricular outflow tract obstruction[LVOTO] peak systolic gradient was 10lmmHg. Resection of membrane and aortic valve replacement is adequet for LVOTO and postoperative pressure gradient was 26mmHg. Postoperative echocardiogram shows no obstuctive membrane and well functioning aortic valve.

  • PDF

Studies on Differential Therapeutic Principle of Three Yang and Three Yin through Analysis of Pathological Transmission (<상한론(傷寒論)>의 병리전변분석을 통한 중경(仲景)의 삼음삼양(三陰三陽) 증치원리(證治原理) 연구)

  • Chi, Gyoo Yong
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.28 no.4
    • /
    • pp.365-370
    • /
    • 2014
  • The intrinsic concepts of the three yin and three yang diseases in is unclear yet in spite of considerable controversy. In order to answer these problems, the structures of pathological transmission and anatomical terms used in the text were analyzed first. On these structural bases, the theoretical background and differential therapeutic principles of three yin and three yang disease classification. The organic structures frequently used in the text were heart, stomach, pancreas, blood chamber and urinary bladder, and the important regions in the transmission were chest, flank, epigastrium, abdomen, hypogastrium, groin on the other hand. When a host is invaded by extrinsic pathogen, an affinity is formed between the two based on the similarity of epidermal density condition and nutrient-defense features and existing disorders in the body. And then the symptoms show in 3 stages with 6 patterns in the general infective diseases. The initial stage is the period that the syndrome is limited in the external flesh area, and it mainly corresponds with taiyang bing besides the other exterior patterns of 3 yang and 2 yin bing. The middle stage is to the climax after the end of initial stage and it corresponds with mainly yangming bing including shaoyang and taiyin bing. In the terminal stage, the host gradually falls into exhaustive step or recovery phase, corresponding with shaoyin and jueyin bing. Conclusively, these dual meanings of three yang and yin should be a first guide and principle of treatment against various infective diseases.

Two Cases of Surgical and Medical Treatment of Infectious Intracranial Aneurysms - Case Report - (감염성 두개강내 동맥류의 수술 및 내과적 치험 2례 - 증 례 보 고 -)

  • Ban, Sung Soo;Ahn, Chi Sung;Jung, Myung Hun;Choe, Il Seung;Choi, Sun Wook;Song, Kwan Young;Kang, Dong Soo
    • Journal of Korean Neurosurgical Society
    • /
    • v.30 no.1
    • /
    • pp.73-77
    • /
    • 2001
  • Object : To determine whether to use surgical or medical therapy in treatment of infectious intracranial aneurysms, we reviewed two recent cases of infectious intracranial aneurysms and others known previous reports of aforementioned cases. Hence, we attempted to compare the validity and effectiveness of surgical and medical treatment. Method : Recently, we treated two cases of ruptured infectious intracranial aneurysms. In former case, the aneurysm was located distal to the middle cerebral artery in a patient with mild mitral regurgitation of the heart. In latter case, the aneurysm was multiple with varying hemorrhage. The hemorrhage was located bilaterally and a moderate mitral regurgitation and infective endocarditis were accompanied in this patient. Result : Due to the large size of the intracranial hematoma, stable medical condition, and easy resectability, we treated the former patient surgically. And, because of successive hemorrhage by multiple aneurysmal rupture, and the risk of heart failure, we treated the latter patient medically with serial follow-up angiography. Both patients are at present in good health. Conclusion : Because of the variability in associated factors, such as the patient's health, the number of lesions, location, anatomy of the aneurysms and the causative organism, each patient's care must be individualized and tailored to the patient's particular clinical situation.

  • PDF

Comparative Analysis of the Complete Genome of Lactobacillus plantarum GB-LP2 and Potential Candidate Genes for Host Immune System Enhancement

  • Kwak, Woori;Kim, Kwondo;Lee, Chul;Lee, Chanho;Kang, Jungsun;Cho, Kyungjin;Yoon, Sook Hee;Kang, Dae-Kyung;Kim, Heebal;Heo, Jaeyoung;Cho, Seoae
    • Journal of Microbiology and Biotechnology
    • /
    • v.26 no.4
    • /
    • pp.684-692
    • /
    • 2016
  • Acute respiratory virus infectious diseases are a growing health problem, particularly among children and the elderly. Much effort has been made to develop probiotics that prevent influenza virus infections by enhancing innate immunity in the respiratory tract until vaccines are available. Lactobacillus plantarum GB-LP2, isolated from a traditional Korean fermented vegetable, has exhibited preventive effects on influenza virus infection in mice. To identify the molecular basis of this strain, we conducted a whole-genome assembly study. The single circular DNA chromosome of 3,284,304 bp was completely assembled and 3,250 protein-encoding genes were predicted. Evolutionarily accelerated genes related to the phenotypic trait of anti-infective activities for influenza virus were identified. These genes encode three integral membrane proteins, a teichoic acid export ATP-binding protein and a glucosamine - fructose-6-phosphate aminotransferase involved in host innate immunity, the nonspecific DNA-binding protein Dps, which protects bacteria from oxidative damage, and the response regulator of the three-component quorum-sensing regulatory system, which is related to the capacity of adhesion to the surface of the respiratory tract and competition with pathogens. This is the first study to identify the genetic backgrounds of the antiviral activity in L. plantarum strains. These findings provide insight into the anti-infective activities of L. plantarum and the development of preventive probiotics.

The first pediatric case of tularemia in Korea: manifested with pneumonia and possible infective endocarditis

  • Yeom, Jung Sook;Rhie, Kyuyol;Park, Ji Sook;Seo, Ji-Hyun;Park, Eun Sil;Lim, Jae-Young;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
    • /
    • v.58 no.10
    • /
    • pp.398-401
    • /
    • 2015
  • Tularemia is a potentially severe zoonotic disease caused by Francisella tularensis. A lack of awareness about tularemia can be embarrassing and could result in delayed treatment because of improper diagnosis. The diagnosis of tularemia is difficult, because the infections are rare and the clinical spectrum is broad. As only 1 adult case has been reported in Korea thus far, pediatricians in Korea may be unfamiliar with tularemia. We report our experience with a 14-year-old male adolescent with tularemia who presented with atypical pneumonia and possible infective endocarditis. Although the infectivity and mortality rates for tularemia are very high if left untreated, we did not suspect tularemia in this case until the incidental isolation of F. tularensis. The present case suggests that clinicians in Korea should be more aware of tularemia. This case also suggests that tularemia should be considered in undetermined cases of atypical pneumonia or acute febrile illness without local signs.

Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia

  • Choi, Kuk Bin;Kim, Hwan Wook;Kim, Do Yeon;Jo, Keon Hyon;Choi, Hang Jun;Hong, Seok Beom
    • Journal of Chest Surgery
    • /
    • v.49 no.3
    • /
    • pp.195-198
    • /
    • 2016
  • We report a 72-year-old male with known myelodysplastic syndrome who presented to the emergency department with a 7-day history of fever and dyspnea. Echocardiography revealed a round echogenic mass $13{\times}16mm$ in size attached to the atrial side of the tricuspid valve. Considering the high risk of infective endocarditis in the patient with a low absolute neutrophil count ($130/mm^3$), emergency surgery was performed. Intraoperatively, a single gelatinous neoplasm was resected, and subsequent reconstruction of the involved leaflet was accomplished using autologous pericardium. The tumor was pathologically confirmed as papillary fibroelastoma with no evidence of infective endocarditis. Papillary fibroelastoma is a rare cardiac neoplasm that occurs in either the mitral or aortic valves. Interestingly, a few cases of tricuspid valve papillary fibroelastoma have been reported so far. Similar echocardiographic findings between vegetation and tricuspid valve neoplasm make it difficult to distinguish these two disease entities.

Positivity and Intensity of Gnathostoma spinigerum Infective Larvae in Farmed and Wild-Caught Swamp Eels in Thailand

  • Saksirisampant, Wilai;Thanomsub, Benjamas Wongsatayanon
    • Parasites, Hosts and Diseases
    • /
    • v.50 no.2
    • /
    • pp.113-118
    • /
    • 2012
  • From July 2008 to June 2009, livers of the swamp eels (Monopterus alba) were investigated for advanced third-stage larvae (AL3) of Gnathostoma spinigerum. Results revealed that 10.2% (106/1,037) and 20.4% (78/383) of farmed eels from Aranyaprathet District, Sa Kaeo Province and those of wild-caught eels obtained from a market in Min Buri District of Bangkok, Thailand were infected, respectively. The prevalence was high during the rainy and winter seasons. The infection rate abruptly decreased in the beginning of summer. The highest infection rate (13.7%) was observed in September and absence of infection (0%) in March-April in the farmed eels. Whereas, in the wild-caught eels, the highest rate (30.7%) was observed in November, and the rate decreased to the lowest at 6.3% in March. The average no. (mean${\pm}$SE) of AL3 per investigated liver in farmed eels ($1.1{\pm}0.2$) was significantly lower (P=0.040) than those in the caught eels ($0.2{\pm}0.03$). In addition, the intensity of AL3 recovered from each infected liver varied from 1 to 18 ($2.3{\pm}0.3$) in the farmed eels and from 1 to 47 ($6.3{\pm}1.2$) in the caught eels, respectively. The AL3 intensity showed significant difference (P=0.011) between these 2 different sources of eels. This is the first observation that farmed eels showed positive findings of G. spinigerum infective larvae. This may affect the standard farming of the culture farm and also present a risk of consuming undercooked eels from the wild-caught and farmed eels.