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( Hae Ri Chon ),( Won Jung Koh ),( Gee Young Suh ),( Man Pyo Chung ),( Hojoong Kim ),( O Jung Kwon ),( Sang Won Um ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Tuberculous lymphadenitis should be considered as a differential diagnosisof mediastinal lymphadenopathy in intermediate tuberculosis (TB) prevalence country. The aim of this retrospective study was to investigate the clinical utility of routine acid-fast bacillus (AFB) culture and MTB PCR (Mycobacterium tuberculosis polymerase chain reaction) during endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in intermediate tuberculosis prevalence country. Methods: In our institution, we performed routine AFB stain/culture and MTB PCR using the aspirate of lymph node which was obtained from EBUS-TBNA. From May 2009to December 2013, the patients who underwent EBUS-TBNA for the diagnosis and nodal staging of lung cancer extrapulmonary malignancy were included. We excluded the patients who were suspected of sarcoidosis or tuberculous lymphadenitis. The fi ndings of AFB stain/culture, MTB PCR and biopsy were reviewed. Results: During the study period, a total of 1528 patients were included in the study. The median age of study patients was 66 years (range 19-90). Male was 73.5% (1123 1528). The indications of EBUS-TBNA were as follows; 1340 (87.7%) for the initialdiagnosis, staging, or confi rmation of relapse of lung cancer, 188 (12.3%) for nodal staging or confi rmation of relapse of extrapulmonary malignancy. Tuberculous lymphadenitis was diagnosed in 34 (2.2%) of 1528 patients. In subgroup analysis, tuberculous lymphadenitis was diagnosed in 19 (1.4%) of 1340 patients with lung cancerand in 15 (8.0%) of 188 patients with extrapulmonary malignancy, respectively. Conclusions: Concomitant tuberculous lymphadenitis was diagnosed in 2.2% of patients who had confirmed or suspicious primary lung cancer or extrapulmonary malignancy. Therefore, routine AFB culture and MTB PCR should be considered during EBUS-TBNA in the intermediate tuberculosis prevalence country.
( Hae Ri Chon ),( Won Jung Koh ),( Gee Young Suh ),( Man Pyo Chung ),( Hojoong Kim ),( O Jung Kwon ),( Sang Won Um ) 대한결핵 및 호흡기학회 2014 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.118 No.-
Background: Tuberculous lymphadenitis should be considered as a differential diagnosis of mediastinal lymphadenopathy in intermediate tuberculosis (TB) prevalence country. The aim of this retrospective study was to investigate the clinical utility of routine acid-fast bacillus (AFB) culture and MTB PCR (Mycobacterium tuberculosis polymerase chain reaction) during endobronchial ultrasound- guided transbronchial needle aspiration (EBUS-TBNA) in intermediate tuberculosis prevalence country. Methods: In our institution, we performed routine AFB stain/culture and MTB PCR using the aspirate of lymph node which was obtained from EBUS-TBNA. From May 2009 to December 2013, the patients who underwent EBUS-TBNA for the diagnosis and nodal staging of lung cancer extrapulmonary malignancy were included. We excluded the patients who were suspected of sarcoidosis or tuberculous lymphadenitis. The findings of AFB stain/culture, MTB PCR and biopsy were reviewed. Results: During the study period, a total of 1528 patients were included in the study. The median age of study patients was 66 years (range 19-90). Male was 73.5% (1123 /1528). The indications of EBUS-TBNA were as follows; 1340 (87.7%) for the initial diagnosis, staging, or confirmation of relapse of lung cancer, 188 (12.3%) for nodal staging or confirmation of relapse of extrapulmonary malignancy. Tuberculous lymphadenitis was diagnosed in 34 (2.2%) of 1528 patients. In subgroup analysis, tuberculous lymphadenitis was diagnosed in 19 (1.4%) of 1340 patients with lung cancer and in 15 (8.0%) of 188 patients with extrapulmonary malignancy, respectively. Conclusions: Concomitant tuberculous lymphadenitis was diagnosed in 2.2% of patients who had confirmed or suspicious primary lung cancer or extrapulmonary malignancy. Therefore, routine AFB culture and MTB PCR should be considered during EBUS-TBNA in the intermediate tuberculosis prevalence country.
급성 신손상과 동반된 metformin 관련 중증 유산산증 1예
전해리 ( Hae Ri Chon ),김민정 ( Min Jung Kim ),김동현 ( Dong Hyun Kim ),구남호 ( Nam Ho Koo ),장세헌 ( Sae Heun Jang ),천미주 ( Mi Ju Chon ),정시정 ( Shi Jung Chung ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2
Metformin is the first line therapy for the treatment of type 2 diabetes mellitus. Metformin associated lactic acidosis is rare, but potentially life-threatening adverse effect. It may occur as a result of drug overdose, kidney injury or hepatic disease. We report a case of a 49-years-old man presented with general weakness, severe diarrhea and vomiting for several days. Arterial blood gas analysis showed severe metabolic acidosis and lactate level of 17.4 mmol/L. Serum creatinine level was 9.3 mg/dL. His current medications included metformin 3700 mg daily. We diagnosed him as metformin- induced lactic acidosis precipitated by acute kidney injury and drug overdose. We treated him with intravenous bicarbonate and hemodialysis with bicarbonate-rich dialysate and his renal function and acidosis were fully recovered.
다음증을 동반한 정신분열증 환자에서 항콜린성 약물 복용 중 발생한 만성 신부전 1례
전일영 ( Il Young Chon ),오동준 ( Dong Joon Oh ),최승진 ( Seung Jin Choi ),김지영 ( Ji Young Kim ),안계련 ( Ke Ryun Ahn ),이원준 ( Won Joon Lee ),이지연 ( Ji Yeon Lee ),백혜리 ( Hae Ri Baek ),이은지 ( Eun Ji Lee ),한상원 ( Sang Wo 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.6
Anticholinergic drugs block muscarinic receptors at the detrusor muscle of the bladder. It can cause urinary retention by contracting the bladder neck. Cases of hydronephrosis, bladder dilatation as a result of polydipsia while taking anticholinergic drugs have been reported, but very few cases of chronic renal failure can be found. We report a case of a polydipsic schizophrenic patient who, after taking anticholinergic drugs as antipsychotic drugs to treat his schizophrenia for a long time, presented with chronic renal failure due to functional obstructive uropathy in the absence of demonstrable anatomic causes of obstruction.
Lung Function Decline According to Clinical Course in Nontuberculous Mycobacterial Lung Disease
Park, Hye Yun,Jeong, Byeong-Ho,Chon, Hae Ri,Jeon, Kyeongman,Daley, Charles L.,Koh, Won-Jung American College of Chest Physicians 2016 Chest Vol. No.
<P>CONCLUSIONS: The change of lung function was variable over a median 5-year follow-up period. Treatment failure was associated with a substantial decline in lung function in NTM-LD.</P>
송은훈 ( Eun Hoon Song ),김민정 ( Min Jeong Kim ),전해리 ( Hae Ri Chon ),고봉진 ( Bong Jin Ko ),서정연 ( Jung Yeon Seo ),정은수 ( Eun Soo Jeong ),최석훈 ( Seok Hoon Choi ) 대한내과학회 2010 대한내과학회지 Vol.79 No.3
A 37-year-old male patient presented with a fever, chills, and abdominal pain. The patient was diagnosed with Typhoid fever based on blood culture, but did not clinically respond to standard antibiotic (Ceftriaxone) therapy. On day 9, leptospira serology was positive and doxycycline was added to the treatment strategy. With combination therapy, the patient recovered from the infection. In most cases, similar clinical presentations make the diagnosis of concurrent infections of febrile diseases difficult, and serious complications can develop as a consequence of delayed treatment. As with this case, if the patient initially has serious a medical condition caused by complications, and does not clinically respond to initial standard antibiotics therapy or has an unusual course of disease, concurrent infection must be considered. (Korean J Med 79:331-334, 2010)
Lansoprazole 근간 3제요법과 병합 투여된 Ecabet Sodium이 Helicobacter pylori 제균율에 미치는 효과
서정연 ( Jung Yeon Seo ),김민정 ( Min Jeong Kim ),고규한 ( Kyu Han Ko ),김동현 ( Dong Hyun Kim ),임대섭 ( Dae Seop Lim ),전해리 ( Hae Ri Chon ) 대한내과학회 2011 대한내과학회지 Vol.80 No.5
Background/Aims: Ecabet sodium is used for treating gastric ulcers and gastritis. It exhibits a bactericidal effect against Helicobacter pylori by inhibiting bacterial urease activity. Thus, ecabet sodium has been suggested to improve the efficacy of the H. pylori eradication in patients with peptic ulcers. The aim of this study was to compare the H. pylori eradication rate of lansoprazole-based triple therapy versus lansoprazole-based triple therapy plus ecabet sodium. Methods: The subjects consisted of 363 H. pylori-positive patients who had undergone eradication therapy from February 2007 to February 2010. In total, 363 patients with H. pylori-positive peptic ulcer disease or symptomatic erosive gastritis received LAC (lansprazole 30mg b.i.d., amoxicillin 1.0g b.i.d., clarithromycin 500mg b.i.d.) or LACE (lansoprazole 30mg b.i.d., amoxicillin 1.0g b.i.d., clarithromycin 500mg b.i.d., ecabet sodium 1g b.i.d.) for 1 week. Successful eradication was defined as a negative 13Curea breath test 4-5 weeks after treatment completion. Results: H. pylori eradication rates were 81.4% (166/204) in the LAC group and 86.2% (137/159) in the LACE group (p=0.159). No significant difference in eradication was observed. No significant difference was observed in the side effects experienced by the patients in the two treatment groups. Conclusions: Our results suggest that adding ecabet sodium did not improve the H. pylori eradication rate significantly in standard lansoprazole-based triple therapy for H. pylori.
CASE REPORT : Mycobacterium abscessus Lung Disease in a Patient with Kartagener Syndrome
( Jung Hoon Kim ),( Won Jun Song ),( Ji Eun Jun ),( Duck Hyun Ryu ),( Ji Eun Lee ),( Ho Jung Jeong ),( Suk Hyeon Jeong ),( Hyung Koo Kang ),( Jung Soo Kim ),( Hyun Lee ),( Hae Ri Chon ),( Kyeong Man J 대한결핵 및 호흡기학회 2014 Tuberculosis and Respiratory Diseases Vol.77 No.3
Primary ciliary dyskinesia (PCD) is characterized by the congenital impairment of mucociliary clearance. When accompanied by situs inversus, chronic sinusitis and bronchiectasis, PCD is known as Kartagener syndrome. The main consequence of impaired ciliary function is a reduced mucus clearance from the lungs, and susceptibility to chronic respiratory infections due to opportunistic pathogens, including nontuberculous mycobacteria (NTM). There has been no report of NTM lung disease combined with Kartagener syndrome in Korea. Here, we report an adult patient with Kartagener syndrome complicated with Mycobacterium abscessus lung disease. A 37-year-old female presented to our hospital with chronic cough and sputum. She was ultimately diagnosed with M. abscessus lung disease and Kartagener syndrome. M. abscessus was repeatedly isolated from sputum specimens collected from the patient, despite prolonged antibiotic treatment. The patient’s condition improved and negative sputum culture conversion was achieved after sequential bilateral pulmonary resection.
Mycobacterium abscessus Lung Disease in a Patient with Kartagener Syndrome
Kim, Jung Hoon,Song, Won Jun,Jun, Ji Eun,Ryu, Duck Hyun,Lee, Ji Eun,Jeong, Ho Jung,Jeong, Suk Hyeon,Kang, Hyung Koo,Kim, Jung Soo,Lee, Hyun,Chon, Hae Ri,Jeon, Kyeongman,Kim, Dohun,Kim, Jhingook,Koh, W The Korean Academy of Tuberculosis and Respiratory 2014 Tuberculosis and Respiratory Diseases Vol.77 No.3
Primary ciliary dyskinesia (PCD) is characterized by the congenital impairment of mucociliary clearance. When accompanied by situs inversus, chronic sinusitis and bronchiectasis, PCD is known as Kartagener syndrome. The main consequence of impaired ciliary function is a reduced mucus clearance from the lungs, and susceptibility to chronic respiratory infections due to opportunistic pathogens, including nontuberculous mycobacteria (NTM). There has been no report of NTM lung disease combined with Kartagener syndrome in Korea. Here, we report an adult patient with Kartagener syndrome complicated with Mycobacterium abscessus lung disease. A 37-year-old female presented to our hospital with chronic cough and sputum. She was ultimately diagnosed with M. abscessus lung disease and Kartagener syndrome. M. abscessus was repeatedly isolated from sputum specimens collected from the patient, despite prolonged antibiotic treatment. The patient's condition improved and negative sputum culture conversion was achieved after sequential bilateral pulmonary resection.