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염준섭 ( Joon Sup Yeom ) 대한내과학회 2014 대한내과학회지 Vol.86 No.3
Vivax malaria has occurred every year since its re-emergence in 1993. The majority of malaria infections in the Republic of Korea occur among person living in the vivax malaria-risk area. In the early period, most of the cases were from soldiers stationed in the Demilitarized Zone. But since the year 2000, epidemiologic characteristics have changed. In 2013, 453 cases occurred which is the lowest number since 1996 and more than half of the annual cases are occurring from civilian. Although number of malaria infection occurring among persons who traveled to regions with ongoing malaria transmission is relatively small, imported malaria is the important health concern. Imported malaria infections, especially falciparum malaria can be fatal if not diagnosed and treated promptly with appropriate antimalarial drugs. Even though malaria chemoprophylaxis will prevent majority of malaria infection, majority of persons with imported malaria did not take chemoprophylaxis. For proper prescription of prophylactic antimalarial medications and treatment, clinicians should consider likely country of malaria acquisition and drug resistance situation of that country.
증례 : 감염 ; 나이지리아에서 유입된 사일열 말라리아의 국내 첫 증례보고
송호섭 ( Ho Sup Song ),김지명 ( Ji Myung Kim ),나동집 ( Dong Jib Na ),김정연 ( Jung Yeon Kim ),김연주 ( Yeon Joo Kim ),염준섭 ( Joon Sup Yeom ),윤희정 ( Hee Jung Yoon ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
한국에서도 다양한 종류의 말라리아 보고가 많았지만, 1962년 이후 사일열 말라리아의 보고는 이제까지 없었다. 사일열 말라리아는 사하라이남 아프리카에서 가장 많지만, 다른 말라리아에 비해서는 흔하지 않고, 경한 임상과정과 낮은 치명률을 보이며 치료도 대부분 클로로퀸에 감수성이 있다. 저자들은 특이한 과거력이 없던 건강한 성인이 나이지리아 여행 후 사일열 말라리아에 걸려 내원하여 말초혈액도말검사와 중합효소연쇄반응 검사에 의해 진단하고, atovaquone-proguanil으로 치료된 증례를 경험하고 국내에서 처음으로 보고하는 바이다. There have been several reports of malaria in Korea; however, there have been no reports of Plasmodium malariae infection since 1962. P. malariae infection is most common in sub-Saharan Africa and is described as an infrequent infection with a relatively mild clinical course, low mortality, and high sensitivity to chloroquine. Here we report a case of P. malariae infection, in a previously healthy man, that was imported from Nigeria to Korea. The patient was diagnosed using a malaria smear and nested polymerase chain reaction, and was first treated with atovaquone/proguanil in Korea. (Korean J Med 77:S1323-S1327, 2009)
윤희정 ( Hee Jung Yoon ),염준섭 ( Joon-sup Yeom ) 대한내과학회 2016 대한내과학회지 Vol.91 No.1
Zika virus was first isolated in from nonhuman primate in 1947. It is in the genus Flavivirus, closely related to other flavivirus like Dengue, West Nile, Yellow fever and Japanese encephalitis virus. Since 2007 epidemic in Yap island, zika virus infections had spread to the countries in Micronesia and South Pacific. In 2015, Zika virus outbreak occurred in Brazil and now more than 40 countries in American continents reported autochthonous infection. The virus is transmitted mainly by Ae. aegypti mosquito with many other Aedes mosquito species known as vector. Recently, Zika virus infection is known to cause severe neurological complications and congenital malformation. In this paper, we will review current knowledge on Zika virus history, biology, clinical characteristics and preventive method. (Korean J Med 2016;91:5-11)
치유된 대상포진 부위에 동소반응으로 발생한 AIDS 관련형 카포시 육종
김태환 ( Tae Hwan Kim ),김동훈 ( Dong Hoon Kim ),염준섭 ( Joon Sup Yeom ),이가영 ( Ga Young Lee ),김원석 ( Won Serk Kim ),김계정 ( Kea Jeung Kim ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.10
Kaposi`s sarcoma (KS) is a neoplastic, vascular tumor that involves the skin or internal organs. KS is an extremely common tumor in tropical Africa and it is also a prime marker of acquired immunodeficiency syndrome (AIDS). An isotopic response describes the occurrence of a new skin disorder on the site of another, unrelated and already healed skin disease. The most common cause of an isotopic response in the skin is the herpes zoster virus. We report here on a rather interesting case of Kaposi`s sarcoma distributed on a dermatome that was previously involved by herpes zoster. (Korean J Dermatol 2009;47(10):1172∼1176)
김은숙(Eun Sook Kim),박효진(Hyo Jin Park),염준섭(Joon Sup Yeom),권선옥(Sun Ok Kwon),정준표(Jun Pyo Chung),이관식(Kwan Sik Lee),이상인(Sang In Lee),박인서(In Suh Park) 대한내과학회 1997 대한내과학회지 Vol.52 No.4
Objectives: Gastroptosis is defined as a condition in which the gastric angel is located below the interiliac line in standing position in the UGI barium study. The present study was designed to evaluate its prevalence, relation to clinical symptoms, body weight and gastric emptying time. Methods: Two hundred-twenty seven consecutive subjects undertaken a UGI barium study for general check-up. We analyzed age, sex distribution, body weight percentile according to ideal body weight, and clinical manifestations. Gastric emptying scan was performed with a semi-solid test meal (2mCi of labeled (99m)Tc-suifur colloid-scrambled egg) on 12 healthy, asymptomatic subjects and 17 patients with gastroptosis. Results: Twenty-one (9.3%) of the 227 subjects had gastroptosis. The ratio of male to female was 1 to 4.57. In age, three (16.7%) of the patients were below the age 40, 14 (8.9%) were between 40 to 49, 4 (7.8%) were above 50. According to the percentile of ideal body weight, 4 (8.6%) of the 14 subjects were under the 90 percentile, 15 (12.6%) of the 179 subjects were between 90 to 110 percentile, and 2 (0.02%) of the 94 were above 110 percentile, which significantly higher in that of under 110 percentile of ideal body weight. The symptoms, which were complained in 8 of the 21 patients, were epigastric discomfort, belching, hunger pain, constipation, and nausea. The mean gastric emptying time (T1/2) was 69.8min and 92.6min in control and gastroptosis group, respectively. T1/2 was delayed in 7 (63.6%) patients with symptomatic gastroptosis and 1 control. Conclusion: The gastroptosis was more common in female and lower body weight group and had a tendency of delay in T1/2z. We consider that gastroptosis may be one of the possible cause of non-ulcer dyspepsia in Korea.
1980 년대와 1990 년대의 불명열 원인의 비교분석
김영근(Young Keun Kim),김명수(Myoung Soo Kim),이꽃실(Kkot Sil Lee),허애정(Ae Jung Huh),염준섭(Joon Sup Yeom),홍성관(Sung Kwan Hong),장경희(Kyung Hee Chang),송영구(Young Goo Song),김준명(June Myung Kim) 대한내과학회 2001 대한내과학회지 Vol.61 No.5
Background : Physicians find fever of unknown origin (FUO) a difficult problem to solve. Analysis of the causes of FUO may be useful in the diagnosis of FUO. We investigated the causes of FUO in the last two decades from 1980 to 1999 and compared the two decades to seek for a trend of changes of the causes of FUO. Methods : Among 854 patient s diagnosed as FUO on discharge, we retrospectively reviewed 278 patient s compatible with the Petersdorf`s criteria through inpatient and outpatient medical records . Results : There were 144 (51.5%) men and 134 (48.2%) women. Among the 98 patients in the 1980s, infectious disease was the cause in 37 (37.8%) patients, collagen vascular disease in 17 (17.3%), malignancy in 8 (8.2%), miscellaneous in 11 (11.2%), and unidentifiable cause in 25 (25.5%) patients. Among the 180 patients in the 1990s, infectious disease was the cause in 45 (25.0%) patients, collagen vascular disease in 37 (20.5%), malignancy in 34 (18.9%), miscellaneous in 45 (25.0%), and unidentifiable cause in 19 (10.6%) patients. According t o the order of frequency, the causes of infectious disease were pulmonary tuberculosis (19.4%), extrapulmonary tuberculosis (8.2%), liver abscess (4.1%) in the 1980s and extrapulmonary tuberculosis (17.2%), pulmonary tuberculosis (4.4%), liver abscess (1.1%) in the 1990s. The diagnostic methods for evaluation of FUO were culture (45.6%), radiology (17.6%), serology (16.2%), and biopsy (10.3%) in the 1980s and radiology (31.5%), biopsy (26.9%), culture (21.5%) and serology (20.0%) in the 1990s. Conclusion : Among the causes of FUO, infectious disease decreased and collagen disease and malignancy increased with time. The most common cause of infectious disease was pulmonary tuberculosis in the 1980s but extrapulmonary tuberculosis in the 1990s. Use of radiology and biopsy as diagnostic methods for FUO increased.(Korean J Med 61:546- 552, 2001)
김명수(Myung Soo Kim),김자경(Ja Kyung Kim),김영근(Young Keun Kim),이꽃실(Kkot Sil Lee),염준섭(Joon Sup Yeom),허애정(Ae Jung Huh),장경희(Kyung Hee Chang),송영구(Young Goo Song),김준명(June Myung Kim) 대한내과학회 2002 대한내과학회지 Vol.62 No.5
Dengue fever (DF) is an acute febrile viral disease frequently presenting with headache, bone or joint and muscular pain, rash and leukopenia. Dengue hemorrhagic fever (DHF) is characterized by four major clinical manifestations: high fever, hemorrhagic phenomena, often with hepatomegaly and in severe cases, signs of circulatory failure. Such patients may develop hypovolemic shock resulting from plasma leakage. This is called dengue shock syndrome (DSS) and can be fatal. The disease is one of the leading causes of hospitalization and death in children in several Asian, central and south American and African countries. Dengue fever and Dengue hemorrhagic fever have steadily increased in both incidence and distribution over the past 40 years. With an increased air travel, more travelers to the tropics and subtropics are returning within the incubation period of acute febrile infection. We experienced a Korean engineer with complaints of fever, chill, headache, nausea and myalgia after return from Malaysia and confirmed as dengue fever.(Korean J Med 62:548-551, 2002)