• 제목/요약/키워드: ocular infection

검색결과 45건 처리시간 0.023초

Hydroxyapatite 안구보충물삽입술 후 골신티그라피를 이용한 섬유혈관증식 평가: 평면영상과 SPECT 영상에서의 비교 (Assessment of Vascularization within Hydroxyapatite Ocular Implant by Bone Scintigraphy: Comparative Analysis of Planar and SPECT Imaging)

  • 임석태;손명희;박순아
    • 대한핵의학회지
    • /
    • 제33권6호
    • /
    • pp.475-483
    • /
    • 1999
  • 목적: 안구보충물로 사용된 hydroxyapatite 내로의 섬유혈관증식은 이물질 반응으로 인한 염증의 동반없이 의안의 운동성을 유지시키기 위한 운동성 나사못을 삽입하는데 중요한 역할을 한다. 안구보충물 삽입술 후에 섬유혈관증식의 정도를 알아보는데 Tc-99m MDP를 이용한 평면영상과 단면영상에서 정성적 평가와 정량적 평가의 비교분석을 함으로서 완전한 섬유혈관증식을 예측하는데 단면영상의 유용성을 알아보고자 하였다. 대상 및 방법: 안구 제거술후 hydroxyapatite를 이용하여 안구보충술을 시행받고 $197{\pm}81$일 후에 골신티그라피를 시행받은 17명의 환자(남:녀=12:5, 연령; $50.4{\pm}17.5$세)의 18예를 대상으로 하였다. 골신티그라피는 Tc-99m MDP 740 MBq를 정맥주사 후 4시간 경과뒤에 이중헤드 감마카메라(ECAM, Siemens, Germany)로 안면부 평면영상을 얻은 후 이어서 단면영상을 얻었다. 평면영상과 단면영상에서의 안구보충물의 방사능 섭취가 비교(nasal bridge)보다 약한 경우를 grade 1, 비슷한 경우를 grade 2, 강한 경우를 grade 3로 평가하였고, 정상안구에 대한 안구보충물의 섭취비를 정량적으로 구하여 운동성 나사못 삽입술 후 시행된 세극등 검사에서 염증반응의 동반 없이 완전한 섬유혈관증식을 보인 환자 군과 염증 반응의 동반과 함께 불완전한 섬유혈관증식을 보인 환자 군으로 나누어 비교 분석하였다. 결과: 평면영상에서 grade 1은 9예, grade 2가 1예, grade 3가 2예로 충분한 섬유혈관증식을 의미하는 grade 2와 3를 보인 경우가 9예 (50%) 이었으나 단면영상에서는 grade 1이 6예, grade 2가 4예, grade 3가 8예로 평면영상에 비하여 grade 2와 3를 보이는 경우가 12예(61%) 이었다. 정성적 평가에 의한 완전한 섬유혈관증식을 예측하는 데 있어서 평면영상은 예민도가 60% (9/15),특이도 100% (3/3), 양성예측률 100% (9/9), 음성예측률 33.3% (3/9), 정확도 66.7% (12/18) 이었고 단면영상은 예민도 80% (12/15), 특이도 100% (3/3), 양성예측률 100% (12/12), 음성예측률 50% (3/6), 정확도 83.3% (15/18) 이었다. 정량적으로 구한 안구보충물 내의 방사능 섭취비는 평면영상에서 grade 1은 $1.19{\pm}0.10$, grade 2는 $2.16{\pm}0.43$, grade 3는 $3.57{\pm}0.74$로 grade가 높을수록 정량적 섭취비가 유의하게 증가하였다(p<0.001). 단면영상에서 grade 1은 $3.06{\pm}1.22$, grade 2는 $3.71{\pm}0.83$, grade 3는 $12.49{\pm}4.31$로 grade가 높을수록 정량적 섭취비가 유의하게 증가하였다(p<0.001). 완전한 섬유혈관증식을 보인 환자 군과 불완전한 섬유혈관증식을 보인 환자군으로 나누어 정량적으로 측정한 방사능 섭취비를 비교시 평면영상에서는 $1.96{\pm}0.87$$1.17{\pm}0.08$로 유의한 차이를 보이지 않았으나 단면영상에서는 $8.44{\pm}5.45$$2.20{\pm}0.87$로 유의한 차이를 보였다 (p<0.05). 결론: 안구보충물 삽입 후 섬유혈관증식을 평가할 때 평면영상에 비하여 단면영상이 섬유혈관증식 정도를 평가하는데 보다 도움을 주었다.

  • PDF

$Trichuris$ $vulpis$ (Froelich, 1789) Infection in a Child: A Case Report

  • Marquez-Navarro, Adrian;Garcia-Bracamontes, Gudelio;Alvarez-Fernandez, Blanca E.;Avila-Caballero, Luz P.;Santos-Aranda, Isabel;Diaz-Chiguer, Dylan L.;Sanchez-Manzano, Rosa M.;Rodriguez-Bataz, Elvia;Nogueda-Torres, Benjamin
    • Parasites, Hosts and Diseases
    • /
    • 제50권1호
    • /
    • pp.69-71
    • /
    • 2012
  • We present a human infection with the canine whipworm, $Trichuris$ $vulpis$, in a child suffering from rhinitis with a diagnosis of rhinitis. $T.$ $vulpis$ eggs resemble those of $T.$ $trichiura$ but they can be differentiated based on their morphological features and egg size, using micrometry with an ocular micrometer. $T.$ $vulpis$ eggs measured an average of 90 ${\mu}m$ by 44 ${\mu}m$ (range 86-99 ${\mu}m$ by 38-47 ${\mu}m$). Prevalence of hookworms (28.1%), $Toxocara$ $canis$ (11.8%), and $Trichuris$ $vulpis$ (3.5%) was found in 292 fecal samples of dogs collected at the peri-domicile, which showed that the risk of infection was not only fortuitous. The treatment of canine whipworm infections is similar to that of $T.$ $trichiura$ infection. We recommend differentiation of the 2 species for their epidemiological and prevention implications.

Studies on the etiological agents in pups with the concurrent intestinal and respiratory tract disorders

  • Park, Hee-myung;Oh, Tae-ho;Youn, Sin-keun;Han, Hong-ryul
    • 대한수의학회지
    • /
    • 제39권4호
    • /
    • pp.825-831
    • /
    • 1999
  • This study was performed to determine the etiological agents in concurrent disorders in gastrointestinal and respiratory tract. Most of dogs had clinical signs including nasal and ocular discharge, coughing, vomiting, and diarrhea. Of the 22 dogs, seropositive rates of each virus were 54.5% (12/22) against canine distemper virus, 90.9% (20/22) against canine adenovirus 1, 36.4% (8/22) against canine adenovirus 2, 18.2% (4/22) against canine parvovirus, 81.8% (18/22) against canine hepatitis virus and 59.1% (13/22) against canine coronavirus. Canine distemper virus and canine parvovirus infection were 54.6% (12/22) in histopathological examination. In addition, mixed infections of canine distemper virus and adenovirus 2 were 9.1% (2/22). While simple infection of canine adenovirus 2 were 9.1% (2/22). E coli and Staphylococcus spp were isolated in facts as a rate of 72.7% (16/22) and 40.9% (9/22), respectively. Conclusionally, it is also estimated that environmental stress might be one of the causative factors.

  • PDF

Apoptosis of bursal lymphoid cells in chickens experimentally infected with IBDV(SH/92)

  • Lee, Hee-Ryung;Lim, Chae-Woong;Mo, In-Pil;Moon, Hyung-Bae;Kim, Ki-Suck;Rim, Byung-Moo
    • 한국수의병리학회지
    • /
    • 제2권1호
    • /
    • pp.1-8
    • /
    • 1998
  • Chickens at 3-weeks of age were inoculated with a highly virulent strain (SH/92) of Infectious Bursal Disease Virus(IBDV) through ocular and cloacal routes. The infected chickens were killed at 6, 12, 24, 48, 72, and 96 hrs post inoculation (PI) and Bursa of Fabricius(BF) were collected. The sizes of bursal follicules in infected chickens decreased at 48 to 96 hrs PI. Histologically the cellular changes were first evident at 12 hrs PI and characterized by condensation of nuclear chromatin of bursal lymphocytes indicating apoptosis. By 24 hrs PI apoptotic lymphocytes dramatically increased. In addition infiltration of heterophils were also seen in the follicles and in the interfollicular connective tissues. At 48 hrs PI, cystic cavities were observed in the follicles. As the infection advanced the bursal follicles showed atrophy accompanied by disappearance of heterophils and reduction in number of lymphocytes in the cystic cavities which was replaced by proteineous materials. The nuclei of most affected lymphocyte stained positively with the in situ end labeling for apoptosis. Electron microscopy showed viral particles with crystalline array in the lymphocytes of BF infected with IBOV. These results indicated that SH/92 IBDV infection in chickens caused increased apoptosis in the BF.

  • PDF

개회충에 감염된 생쥐에 있어서 시기별 단백분해효소 활성의 변동 (The dynamics of proteinase activity at different stages of toxocariasis in mice)

  • 주종윤;정명숙;주경환
    • 농촌의학ㆍ지역보건
    • /
    • 제23권2호
    • /
    • pp.295-303
    • /
    • 1998
  • Toxocariasis is a parasitic zoonosis caused by infestation of humans with larvae of Toxocara canis, the common roundworm in dogs. Two syndromes have been identified : visceral larva migrans and ocular toxocariasis. In this study we were characterized proteinase activity in crude extracts from liver, lung, kidney and heart of mice infected with Toxocara canis and the dynamics of their changes in different stages of disease. The optimal pH was 5.5. In liver of mice infected with Toxocara canis, the maximun activity of proteinase was observed in 5 day post infection. In lung, the activity reached its maximun on 5th day in A group (infected with 100 embryonated eggs), and on 5th week in B group (infected with 50 embryonated eggs). In kidney, the maximum activity was shown at 6th week in A group, and in B group was shown at 10th day. In early infection, the activity reached its maximun in heart of mice infected with Toxocara canis. As we could see, the dynamics of the changes of proteinase activity in mice is similar in the case of the disease with other biochemical and immunological indices observed in toxocariasis.

  • PDF

육용오리에서 Riemerella anatipestifer 감염증례 (Riemerella anatipestifer infection in domestic ducks)

  • 이종진;김환희;변철섭;박재명
    • 한국동물위생학회지
    • /
    • 제31권1호
    • /
    • pp.37-42
    • /
    • 2008
  • Riemerellosis, contagious disease of domestic ducks in Korea, occurred in December of 2007 in a farm located in Eumsung, Chungbuk province. The affected ducks were 22 days old and the owner reported that almost one hundred of ducks had died everyday for a few days after infection. Clinical signs were listlessness, ocular and nasal discharge, greenish diarrhea, ataxia, tremor of head and legs, and coma. On necropsy we found fibrinous exudate, which involved serosal surfaces in general, but most evidences were in the pericardial cavity and over the surface of the liver. The causative agent was isolated from the liver of the affected ducks and identified as Riemerella anatipestifer using biochemical tests. Also, the isolate was susceptible to ampicillin, cephalothin, sulfamethazole/trimethoprim, Florfenicol among the 23 species antibiotics (AST Discs, OXOID) used in our laboratory. Further studies should be needed for the more effective control and better epidemiological information such as pathogenicity, serotype, genotype and treatment.

안면신경마비로 인한 토안의 치험례 (A CASE REPORT OF LAGOPTHALMOS RELATED WITH FACIAL NERVE PARALYSIS)

  • 최문기
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제29권6호
    • /
    • pp.430-437
    • /
    • 2003
  • Patient with facial paralysis may develop opthalmic complications. Poor eyelid closure, ectopion and lagophthalmos place the patinet at increased risk for development of corneal problems such as epitheilail defects, stromal thinning, bacterial infection, and even perforation. Inilital treatment should be conservative and include the use of ocular lubricants and taping of the lower eyelid into the proper position. Surgical intervention may be required in patients who have failed medical therapy or in whom the facial paralysis is not expected to improve. Gold weight implantation in upper eyelid and lower lid tightening in lower eyelid has become a popular procedure to correct upper eyelid retraction and lower eyelid laxity and to improve corneal coverage. We describe technique for placement of a gold weight in the upper lid, with attention of the maintenance of symmetric eyelid crease and susture canthopexy to correct malpositioned lower eyelid.

Phacoclastic Endophthalmitis Induced by Encephalitozoon cuniculi in a Lionhead Rabbit in Korea

  • Kang, Seonmi;Jeong, Seowoo;Seo, Kangmoon
    • 한국임상수의학회지
    • /
    • 제37권6호
    • /
    • pp.345-349
    • /
    • 2020
  • An 8-month-old female rabbit was presented with a white intraocular mass in the right eye. Slit-lamp biomicroscopy showed a white mass behind the iris, accompanied by rubeosis iridis and aqueous flare. Ocular B-scan ultrasonography revealed hyperechoic material within the anterior chamber connected with cataractous lens in the right eye. Signs deteriorated despite treatment, and enucleation was performed. Histopathologically, phacoclastic endophthalmitis due to Encephalitozoon cuniculi infection was confirmed. This was the first report of a client-owned rabbit affected with E. cuniculi-associated phacoclastic uveitis. Serological detection of anti-E. cuniculi antibodies should be considered to prevent potential zoonotic risk.

Late reconstruction of post-traumatic enophthalmos and hypoglobus using three-dimensional implants: a case series

  • Choi, Jae Hyeok;Baek, Wooyeol
    • 대한두개안면성형외과학회지
    • /
    • 제23권5호
    • /
    • pp.232-236
    • /
    • 2022
  • Post-traumatic enophthalmos and hypoglobus are common sequelae of facial bone fractures, even after reduction surgery. They are associated with functional and esthetic issues, which may lower the quality of life. These deformities frequently present late, and adequate correction is difficult. We report three cases of late inferior orbital rim reconstructions with three-dimensional printed implants to help resolve these problems. The average duration between the traumatic event and surgery was 3 years and 4 months. One patient was treated with a completely absorbable implant and exhibited satisfactory results until the implant started to biodegrade at 1 year and 9 months after surgery. Two patients were treated with a permanent implant and demonstrated satisfactory results. However, longer follow-up periods were needed. There were no complications such as infection, diplopia, or restriction of ocular motion and the patients were satisfied with the esthetic results.

급성 치성상악동염으로 인한 안구후농양: 증례보고 (Retrobulbulbar Abscess Due to Acute Odontogenic Sinusitis: a Case Report)

  • 조현주;정용선;채병무;정태영;박상준
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제32권6호
    • /
    • pp.563-566
    • /
    • 2010
  • Retrobulbar abscess is a rare, but severe complication of paranasal sinusitis. The clinical presentations are eyelid swelling, erythema, proptosis, conjunctival chemosis, restricted ocular movement, and decreased visual acuity. Diagnostic methods available for evaluating retrobulbar abscess include sinus X-ray, ultrasonography, computed tomography (CT), and bacterial culture. For the treatment of retrobulbar abscess, immediate surgical drainage and systemic antibiotic therapy are needed. Proper diagnosis and treatments are necessary for preventing visual loss, cavernous sinus thrombosis, subdural abscess, and other lifethreatening complications. A patient, a 30-year-old man, was admitted to our hospital because of progressive eyelid swelling, erythema, ptosis and decreased visual acuity on the right eye after endodontic treatment. The sinusitis occurred secondary to the infection from an upper molar tooth. The spread of the infection led to the orbit via ethmoidal sinus and posterior orbital wall. Immediate surgical intervention was performed and systemic antibiotics was administrated. The symptoms and signs are improved after treatments, so we present our case with a brief review of the literature.