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지속성외래복막투석 환자에서 Agrobacterium 복막염 1예
이종욱,이승우,김문재,강문수,주명선,배수환 대한신장학회 1999 Kidney Research and Clinical Practice Vol.18 No.1
Agrobacterium radiobacter is a rare human pathogen and a few cases were reported in the world. The peritoneal cavity in patient maintained on peritoneal dialysis serves as an excellent incubator and culture medium for microorganisms. We experienced a rare human infection as peritonitis with A. radiobacter in Inha University Hospital, Inchon, Korea. The patient was 36 year-old female and maintained on CAPD for one year. She had two times of CAPD peritonitis. She visited to the hospital because of turbid peritoneal fluid. On initial physical examination, she showed mild abdominal tenderness and elevated body temperature. Laboratory findings showed leukocytosis and anemia with elevated serum creatinine level. The analysis of peritoneal fluid showed white blood cell count as many as 1860/mm3 and it's culture revealed A. radiobacter. She received vancomycin and aminoglycoside antibiotics via intraperitoneal route and the CAPD catheter was removed. She was maintained on hemodialysis and reveived isepamicin 100mg a day via intravenous for 7 days. We report our experience of peritonitis caused by A. radiobacter and review the literature of similar cases of peritonitis.
H. pylori 검출의 내시경실 검사로서 5분 Urease 검사법의 의의
김영수,김명식,박기수,신용운,권계숙,정석,주명선 대한소화기학회 1998 대한소화기학회지 Vol.31 No.3
Background/Airns: We examined the diagnostic efficiency of ultrarapid urease test (1 minute record and 5 minutes record). From our previous study, we already demonstrated that ultrarapid urease test was a reliable diagnostic tool and the 5 minutes record was more sensitive than the 1 minute record. In this study, we check the possibility that the 5 minutes urease test can replace the CLO^(R) test used as the standard endoscopy room test. Methods: One hundred three patients (58 nonulcer dyspepsias; 21 gastric ulcers; 17 duodenal ulcers; 7 gastric cancers) were included in our study and gastroduodenoscopic antral biopsies were carried out. To detect Helicobacter pylori (H. pylori), three diagnostic tests were performed. 1) In tbe histology, 2 or 3 antral biopsies were treated with hematoxyline & erosin, Giemsa stain. 2) In the CLO test, we used one antral biopsy and recordled the result at 20 minutes & 24 hours later. 3) In five minutes urease test, one antral tissue was placed in ultrarapid urease test kit (capped test tube with 5 ml of 10 % urea & two drops of 1 % phenol red) and incubated at 37℃ for 5 minutes. If the color was chaged to red, we regarded it as the positive result. When the results of histology and CLO test were positive concunently, we considered as the patient is infected by H. pylori. Results: By this criteria of positivity, the 5 minutes urease test produced a sensitivity of 98.2 % and a specificity of 100%. Conclusions: In comparision with the histology and CLO test, tbe 5 minutes urease test is quicker and cheaper diagnostic test to detect H. pylori. It also provide the almost same accuracy as that of CLO test. (Korean J Gastroenterol 1998;31:298 - 301)
식도에서 발생한 Angiocentric T-Cell Lymphoma 1예
김영수,신용운,이돈행,김범수,황태숙,배성권,주명선,조현근,권은성,최원 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.4
In this study we present a case of an angiocentric T-cell lymphoma (ACTL) which involve the esophagus. A 37-year-old male was admitted with dysphagia, odynophagia, and weight loss for 3 months. Two months before his admission, he had undergone on endoscopy with a biopsy. The first endoscopic findings revealed a large ulcerative lesion on the esophagus, although there had been no evidence of lymphoma upon microscopic examination. On the follow up endoscopic examination, this ulcerative lesion revealed progressive and destructive change. Histopathology of the third biopsied specimens showed large atypical lymphocyte infiltrates with angiocentric and angioinvasive features. Immunohistochemical studies revealed that the atypical (large) lymphocytes had T-cell phenotypes (CD3+, CD5+, and CD43+) and contained few reactive B-cells (CD20+), We assume that this is the first case of ACTL involving the esophagus and larynx.