• 한국임상수의학회지
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• 제22권1호
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• pp.65-69
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• 2005

A two-year-old male Laika weighing 19 kg and a two-year-old female Rottweiler dog weighing 33 kg were presented to the Veterinary Medical Center, Chungbuk National University. Chest radiographs showed miliary interstitial lung pattern in the overall lung fields and the ill-defined mass in the perihilar area, which is consistent with lymphadenopathy in both cases. In the tracheal wash fluid smears in two cases, 90% of cells were eosinophils. Also, Aspergillus fumigatus was isolated from the tracheal wash fluid in Czapek's agar in one case. Ketoconazol (10 mg/kg, PO, ql2hr) alleviated the clinical signs in two dogs. Follow up radiographs showed marked reduction of lung lesions in one case.

• 대한수의학회지
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• 제59권4호
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• pp.227-230
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• 2019

This study describes a sudden death in an ostrich (Struthio camelus) with a big neck. Grossly, the air sacs were thickened. Yellow to white, round or coalescent material was scattered on the air sacs. However, the cervical air sac was normal. Histopathologically, multinucleated giant cells, heterophils, and macrophages had infiltrated the air sacs, and many hyphae were seen in the air sacs and on their surfaces. Pyogranulomatous inflammation with intralesional hyphae was observed throughout the lungs. Aspergillus fumigatus was identified microbiologically. In conclusion, the affected animal died because of the respiratory disturbance caused by mycotic airsacculitis and pneumonia.

• 한국임상수의학회지
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• 제15권1호
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• pp.180-183
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• 1998

A 5 year-old male Throughbred horse housed in Korean Racing Association died after having enteritis and respiratory disorder for about 10 days. At necropsyi the left and right caudal lung lobes were reddenedi swolleni and contained numerous well-defined sublobular consolidated foci. The large intestine was diffusely reddened and covered with pseudomembranous exudates. Microscopicallyi multifocal areas of necrosis with mild to moderate infiltration of neutrophilsi macrophages and Iymphocytes as well as hemorrhage and edema were noted in the lung. The fungi having conidiophorei dome-shaped vesicles phialides and conidia which are characteristic of Apergillosis fumigatus was isolated from the lung. The colonic mucosa was transmurally necrotic and severe congestions edema and thrombi were observed in the submucosa. The embolic mycotic pneumonia present in this case Probably occured secondary to antibiotic therapy given for treatment of enteritis.

• Journal of Pharmaceutical Investigation
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• 제39권3호
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• pp.207-216
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• 2009

Fluconazole is used as an orally administrated antifungal drug for the treatment of tinea corporis, candidiasis including skin mycotic pneumonia infections. The dosage of fluconazole varies with indication ranging from 50 mg/day to 400 mg/day. The fluconazole capsule 50 mg (3 capsules daily) is already available in Korean market. To improve the patient compliance, a fluconazole tablet 150 mg (once a day administration) was developed recently. The purpose of this study was to evaluate the bioequivalence of three doses of fluconazole capsule 50 mg (Diflucan 50 mg, Pfizer Korea Inc., as a reference drug) and a single dose of fluconazole tablet 150 mg (Plunazol 150 mg, Daewoong Pharm. Co., Korea) according to the guidelines of the Korea Food and Drug Administration (KFDA). The bioequivalence for three capsules of Diflucan 50 mg and a single tablet of Plunazol 150 mg was investigated in twenty-four healthy male volunteers under a randomized 2${\times}$2 crossover trial design. The average age of twenty-four volunteers was 24.78${\pm}$3.27 year-old, average height was 175.56${\pm}$5.45 cm and average weight was 67.24${\pm}$6.86 kg. After three capsules of Diflucan 50 mg or a single tablet of Plunazol 150 mg were orally administered, blood was taken at predetermined time intervals and the plasma concentrations of fluconazole in plasma were determined using LC-MS-MS. The 90% confidence intervals for the main parameters of statistical results after logarithmic transformation were AUCt 0.9272-1.0084 and Cmax 0.8423-0.9544 respectively, which are in the range of log 0.8 to log 1.25 and the statistical results of additional parameters (AUClast, t1/2 and MRT) were also in the 90% confidence interval that is in the range of log 0.8 to log 1.25. Therefore, the results of this study confirm the bioequivalence of three capsules of Diflucan 50 mg to one tablet of Plunazol 150 mg.

• Journal of Chest Surgery
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• 제37권1호
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• pp.27-34
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• 2004

배경: 감염성 심내막염은 다른 심장질환에 비해 유병률과 사망률이 높고, 대부분의 임상연구가 대동맥판에 발생한 심내막염에 편중되어 있어, 승모판 심내막염에 대한 보고는 상대적으로 드문데 이에 대한 임상양상 및 수술 결과를 분석하여 보고하고자 한다. 대상 및 방법: 1995년 6월부터 2003년 5월까지 전남대학교병원에서 감염성 승모판 심내막염으로 단일 술자에 의해서 외과적 치료를 받았던 23 예을 대상으로 하였다. 2예는 인공판막 심내막염이었고 나머지 21예는 자가판막 심내막염이었다. 환자의 평균 연령은 44.8$\pm$15.7 (11∼66)세였고 연령분포에는 큰 차이가 없었다. 17예에서는 혈역학적 불안정이나 거대 우종으로 응급수술을 시행하였다. 수술 전 12예에서 울혈성 심부전, 4예에서 신부전, 2예에서 비장 및 신장경색, 2예에서 일시적 뇌손상, 1예에서 뇌농양 소견을 보였다. NYHA 기능 분류상 Grade II가 7예, Grade III가 9예, Grade IV가 6예이었다. 술 전 심초음파상 승모판 역류우세가 19예, 협착우세가 4예이었으며, 우종은 20예(86.9%)에서 관찰되었다. 혈액배양 검사상 10예(43.4%)에서 원인균이 동종되었는데 Streptococcus viridans 5예, methicillin sensitive Staphylococcus aureus 2예, 그리고 Corynebacterium, Haemophillis, Gernella 각각 1예씩 이었다. 수술 적응증은 ACC/AHA 지침에 근거하였으며, 평균 외래 추적관찰기간은 27.6$\pm$23.3 (1∼97)개월이었다. 결과: 13예에서 승모판치환술을 시행하였는데 9예에서 기계판막을 사용하였고 4예에서 조직판막을 사용하였다. 10예에서 다양한 수기의 승모판성형술을 시행하였다. 동반수기로는 6예에서 대동맥판 치환술, 2예에서 삼첨판 성형술, 1예에서 변형된 미로수술, 1예에서 심실중격결손 낙합술을 시행하였다. 술 후 합병증으로는 출혈에 의한 재수술 2예, 종격동염 1예, 저심박출증 1예, 페렴 1예가 있었다. 술 후 30일 이내의 조기사망이나 병원 내 사망 및 판막 연관성 합병증은 없었다. 1예의 환자가 수술 3개월 후 다시 판막성형술을 받았고, 술 전 우종 전색에 의한 뇌경색을 보인 1예의 환자가 술 후 31개월에 뇌출혈로 사망하여 만기 전 체판막 연관성 사망률은 4.3%, 판막연관성 합병증은 8.6%였다. 1, 3, 5년 valve-related event free rate는 90.8%, 79.5%, 79.5%이었고 1, 3, 5년 생존율은 100%, 88.8%, 88.8% 이었다. 결론: 승모판 심내막염의 외과적 치료 시에는 감염된 조직의 완전 절제가 중요하며, 감염된 조직을 완전히 제거하면 대체물이나 수술 기법상의 차이가 결과에 미치는 영향은 크지 않을 것으로 판단되고, 술 전에 감염이나 우종 전색에 의한 뇌손상이 의심되는 환자에서는 술 후 추적관찰 중에도 뇌혈관 손상 가능성에 대해 주의 깊게 관찰하여야 할 것으로 생각된다.