• Title/Summary/Keyword: school of medicine

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Case of the Pulmonary Thromboembolism in a Patient with Lacunar Cerebral Infarction by the Integrated Therapy of Korean and Western Medicine (열공성 뇌경색 환자에게 발생한 폐색전증을 한양방 협진으로 치료한 1례)

  • Yun Jong-Min;Lee Min-Goo;Lee Sun-Woo;Kang Baek-Gyu;Lee Seung-Eon;Kim Yong-Jeong;Son Ji-Woo;Lee In;Moon Byung-Soon;Park Sae-Wook
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.6
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    • pp.1676-1680
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    • 2005
  • There are few topic about a pulmonary thromboembolism(PTE) especially in Korean medical research. This case report is dealt with a rare situation that a PTE and a lacunar infarction are complicated in one patient. They have a similarity in that both are caused by the thrombosis. The former is the thrombosis in lung and the latter is the cerebral infarcion within the territory of a single perforating artery Recently the attack rate of PTE somewhat grow because of the development of medicine such as the increasing use of indwelling catheters, trauma or surgery of pelvis and lower extrimity, major surgery especially in senior, the use of estrogen containing compounds, cerebrovascular disease, obesity, etc. A 70 year-old lady was stroked by the cerebral infarction and has been getting rehabilitating therapy. She had the sudden onset of dyspnea, chest pain and those symptoms looked like a myocardial infarction. But she was diagnosed as PTE by ventilation perfusion lung scan. We cured her with the integrated therapy of Korean and Western medicine.

A Case of Tracheal Capillary Hemangioma in an Adult (성인의 기관에 발생된 모세관 혈관종)

  • Kim, Hye-Jeong;Bae, So-Young;Sung, Young-Kyung;Song, Song-Yi;Jeon, Kyeong-Man;Koh, Won-Jung;Suh, Gee-Young;Chung, Man-Pyo;Kim, Ho-Joong;Kwon, O-Jung;Han, Joung-Ho;Um, Sang-Won
    • Tuberculosis and Respiratory Diseases
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    • v.69 no.5
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    • pp.385-388
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    • 2010
  • Capillary hemangioma of the trachea is an extremely rare benign tumor in adults. We present the case of a 28-year-old woman with hemoptysis owing to a tumor of the proximal trachea. The tumor was removed by rigid bronchoscopy. The resulting specimens showed capillary hemangioma without any signs of malignant transformation. This presentation is the first case in Korea. Although tracheal capillary hemangioma is a rare disease, we should consider it as a possible cause of hemoptysis in the young adult.

A Case of Pleural Paragonimiasis Confused with Tuberculous Pleurisy

  • Song, Junwhi;Hong, Goohyeon;Song, Jae-Uk;Kim, Wooyoul;Han, Seo Goo;Ko, Yousang;Chang, Boksoon;Jeong, Byeong-Ho;Eom, Jung Seop;Lee, Ji Hyun;Jhun, Byung Woo;Jeon, Kyeongman;Kim, Hong Kwan;Koh, Won-Jung
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.4
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    • pp.175-178
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    • 2014
  • Here, we report a case of pleural paragonimiasis that was confused with tuberculous pleurisy. A 38-year-old man complained of a mild febrile sensation and pleuritic chest pain. Radiologic findings showed right pleural effusion with pleural thickening and subpleural consolidation. Adenosine deaminase (ADA) activity in the pleural effusion was elevated (85.3 IU/L), whereas other examinations for tuberculosis were negative. At this time, the patient started empirical anti-tuberculous treatment. Despite 2 months of treatment, the pleural effusion persisted, and video-assisted thoracoscopic surgery was performed. Finally, the patient was diagnosed with pleural paragonimiasis based on the pathologic findings of chronic granulomatous inflammation containing Paragonimus eggs. This case suggested that pleural paragonimiasis should be considered when pleural effusion and elevated ADA levels are observed.

Bronchogenic Cyst Rupture and Pneumonia after Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: A Case Report

  • Hong, Goohyeon;Song, Junwhi;Lee, Kyung-Jong;Jeon, Kyeongman;Koh, Won-Jung;Suh, Gee Young;Chung, Man Pyo;Kim, Hojoong;Kwon, O Jung;Um, Sang-Won
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.4
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    • pp.177-180
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    • 2013
  • We report a 54-year-old woman who presented with a well-defined, homogeneous, and non-enhancing mass in the retrobronchial region of the bronchus intermedius. The patient underwent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for histological confirmation. Serous fluid was aspirated by EBUS-TBNA. Cytological examination identified an acellular smear with negative microbiological cultures. The patient was finally diagnosed with bronchogenic cysts by chest computed tomography (CT) and EBUS-TBNA findings. However, 1 week after EBUS-TBNA, the patient developed bronchogenic cyst rupture and pneumonia. Empirical antibiotics were administered, and pneumonia from the bronchogenic cyst rupture had resolved on follow-up chest CT. To our knowledge, this is the first reported case of pneumonia from bronchogenic cyst rupture after EBUS-TBNA.