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정규원(Kyu Won Chung),선희식(Hee Sik Sun),김부성(Boo Sung Kim),정인식(In Sik Chung),이영석(Young Suk Lee),안병민(Byung Min Ahn),오수혁(Soo Hyuk Oh),유진홍(Jin Hong You),정한국(Han Kook Chung) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1
N/A Percutaneous liver biopsies were performed in 146 patients with acute and chronic liver diseases, including neoplastic diseases. Among 146 patients, 28 patients had undergone liver biopsy under laparoscopic examination and 118 patients by blind intercostal biopsies. Ultrasonographic examination was performed before biopsy and 24 hours after biopsy. Blood pressure and pulse rate were also examined in all 146 hospitalized patients. The following results were obtained. 1) Development of intrahepatic hematoma was found by ultrasound in one case (0.6%) which the biopsy had been done under laparoscopic examination, however there were no significnt hemodynamic changes in blood pressure, hemoglobin level and pulse rate. 2) No significant hemodynamic changes noted between the prebiopsy and six hours after biopsy. 3) No other serious complications encountered in all 146 cases of liver biopsy. It is concluded that routine post-biopsy ultrasonographic examination may be unnecessary in patients undergone percutaneous liver needle biopsy if a skillful personnel and good indications were applied.
A Case of Disseminated Cryptococcosis in an Immunocompetent Adult
Park, Sun Hee,Choi, Su-Mi,Kim, Yang-Ree,Lee, Dong-Gun,Kim, Sang-Il,Wie, Seong Heon,Kim, Myung Seok,Jung, Ji Han,Choi, Jung-Hyun,You, Jin-Hong,Lee, Kyo Young,Shin, Wan-Shik,Kang, Moon-Won 대한감염학회 2004 감염과 화학요법 Vol.36 No.4
Cryptococcus neoformans는 비둘기 배설물이나 비둘기 배설물로 오염된 토양에서 흔히 발견되는 효모양 진균으로 호흡기를 통해 신체 내부로 침입하여 폐에 병변을 일으키고 혈액을 따라 전신으로 파급되어 주로 중추신경계를 침범하며 그외 골격계, 임파조직, 전립선, 피부 등을 침범한다. 크립토코쿠스증은 면역저하 환자, 특히 세포면역이 저하된 환자에서 발생하나 정상 면역 환자에서도 발생할 수 있고, 국내에서도 정상 면역 환자에서 고립성 폐 크립토콕쿠스증 또는 피부 크립토콕쿠스증에 대한 보고들이 있었다. 그러나 정상 면역 성인에서 림프절, 피부, 폐 및 중추신경계를 침범하는 파종성 크립토콕쿠스증은 아직 국내에서 보고된 바 없다 저자들은 발열과 림프절 종대를 주소로 내원한 정상적인 면역상태의 젊은 남자에서 피부, 폐 및 중추신경계를 침범한 파종성 크립토콕쿠스증을 림프절 및 피부 조직생검과 조직배양으로 진단하였고, 2주간 amphotericin B와 flucytosine을 정맥투여하고 8주간 fluconazole을 경구투여 후 2년간 재발하지 않고 추적관찰 중인 증례를 경험하였기에 보고하는 바이다. Disseminated cryptococcosis is a systemic infection that occurs most commonly in immunocompromised patients, especially those with human immunodeficiency virus (HIV) infection. Although the attack rate is much higher among immunocompromised patients, cryptococcal disease does occur in persons without any apparent predisposing conditions. A previously healthy 26-yearold man was admitted to the hospital because of persistent fever and cervical lymphadenopathy. Despite empirical antibiotic therapy, he developed cutaneous erythematous papules, generalized lymphadenopathy, miliary pulmonary infiltration, and meningitis successively soon after admission. Biopsy of the skin and the cervical lymph node revealed chronic granuloma with cryptococcal organisms and tissue culture of lymph node confirmed cryptococcal infection. He was treated with intravenous amphotericin B plus flucytosine for 2 weeks, and then with fluconazole for 2 months. After the therapy, there was no evidence of recurrence for 2 years.