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김신응,이광섭,선우인철,김종만 대한감염학회 1994 감염 Vol.26 No.3
AIDS란 HIV감염증의 최종단계로서, 심한 면역결핍으로 인한 각종 기회감염 및 종양을 초래하고 결국 사망에 이른다. 결핵은 다른 기회감염의 병원균보다도 virulent하기 때문에, HIV감염 초기에 잘 발생하고 면역결핍이 심할수록 비전형적인 임상소견을 나타내며 예후가 불량하다. 저자들은 비특이증상으로 입원한 환자의 늑막삼출액에서 결핵균이 확인된 35세 남자 AIDS환자 1례를 경험하였기에 보고하는 바이다. HIV infection usually requires several years to progress to AIDS, the final stage of disease. Since Mycobacterium tuberculosis is more virulent than non-tuberculous mycobacterium and other opportunistic pathogens, tuberculosis tends to occur relatively early in the course of HIV immunosuppression as a reactivation of latent infection with increased frequency, especially more prevalent in endemic areas, and has been characterized by atypical clinical and radiograpgic presentation. A case of 35 year-old-man with shoulder pain, weakness and mild fever was experienced. Initial X-ray of the chest showing partial collapse on the left upper lobe which was taken one month earlier turned out to have pulmonary infiltrations, hilar lymphadenopathy and pleural effusion on admission. Culture for mycobacterium with pleural fluid resulted in the growth of Mycobacterium tuberculosis and anti-HIV antibody positivity with ELISA was confirmed by Western blot method.
위장관 ( 胃腸管 ) : 위 Anisakis증 9예의 임상적 고찰
김신응(Sin Eung Kim),김성림(Seong Lim Kim),이광섭(Kwang Sub Lee),김종만(Jong Mann Kim),장미영(Mi Young Jang),조준길(Joon Gil Cho),이효진(Hyo Jin Lee) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
N/A Anisakiasis is infection of man by larval nematodes of the family Anisakidae and is encountered in people who eat inadequately prepared salt-water fish or sashimi. The clinical symptoms of acute cramping pain, nausea and vomiting after ingestion of raw sea fish or sashimi can make the diagnosis of Anisakiasis and are relieved by immediate endoscopic extraction of the parasite. Nine cases of acute gastric Anisakiasis who took raw sea fish and had suffered from gastric symptoms were experienced. Immediate endoscopic examination showed the whitish linear worm mostly on the gastric body and removal gave the symptomatic relief. Pathologic specimen turned out to be the Anisakis. More prevailing cases of Anisakisis could be found by the meticulous endoscopy especially to those Korean people who are eager to eat the raw sea fish. Public education about the possibility of Anisakiasis after sashimi is required.
이광섭,김신응,김성림,최광섭,장미영,김종만,이효진 대한내과학회 1992 대한내과학회지 Vol.42 No.4
식도유두종 그 자체는 양성종양으로서 대부분 증상이 없으며 크기도 작기 때문에 내시경 검사에서 우연히 발견되지만 다른 악성종양과의 감별이 중요하며, 또한 다른 부위에 동반된 질환이 없는지를 관찰하여야 한다. 저자들은 26세 남자에서 내시경검사상 우연히 발견한 식도 유두종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Squamous cell papilloma is a rare benign esophageal tumor which is usually small asymptomatic and is an incidental finding at esophagogastric endoscopy. It is important to confirm the diagnosis of esophageal papilloma histologically since this lesion may be confused with verrucous carcinoma of the esophagus on visual inspection. A case of 26-year-old man with epigastric pain and discomfort but no dysphagia was experienced. During endoscopy, small warty tumor with 1㎝ in size was found at 24㎝ portion of the incisor incidentally and biopsy turned out to be squamous cell papilloma on the esophagus.
김종만,홍선미,장미영,이광섭,김신응,조준길,선우인철 대한내과학회 1992 대한내과학회지 Vol.43 No.6
The tissue damage associated with an electrical injury occurs when electric energy is converted to thermal energy or heat according to Joule's law, and it occurs not only cutaneous contact site but may also involve underlying tissue and organs along the route taken by the current between the entrance and exit sites. Among multiple interacting variables, inc1uding voltage, amperage, tissue resistance, type of current and current pathway, amperage is most important factor which relates closely to deep tissue injury and mortality. A case of 33 year old laborer with left hemiplegia after electric current of AC 380 voltage, 60 Hz was experienced. Normal initial brain CT scan turned out to have right hemorrhagic infarct 5 days later, and decreased infarct size 2 months later, with neurological sequelae of left hemiplegia.
이효진,김성림,이광섭,김종만,장미영,박희철,김신응,조준길,홍기웅 대한내과학회 1991 대한내과학회지 Vol.41 No.1
Paragonimiasis is a lung infection of man acquired by ingestion of fresh water crabs or crayfish infested with larvae of Paragonimus. Of the many ectopic foci, the liver is very rarely involved by paragonimus. A case of year old woman with epigastric pain of 2 months duration who had no history of crab ingestion, was experienced. Special studies of abdominal CT scan and celiac angiography showed a mass lesion on the left hepatic lobe. Preoperative diagnosis of liver tumor turned out to be paragonimiasis composed of necrosis, granuloma and egg shells. Treatment with praziquantel for 2 days gave her symptomatic improvement.