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Streptococcus dysgalactiae의 침습적 감염 2예와 emm 유전자형 분석
허주연 ( Joo Yeun Hu ),김은희 ( Eun Hee Kim ),이혜원 ( Hye Won Lee ),차선아 ( Seon Ah Cha ),최준영 ( Joo Young Choi ),김윤정 ( Youn Jeong Kim ),김상일 ( Sang Il Kim ) 대한내과학회 2014 대한내과학회지 Vol.87 No.5
Recently, invasive infections with the human pathogen Streptococcus dysgalactiae subspeciesequisimilis (SDSE) have increased around the globe. Typing of the emm gene of SDSE, which encodes a virulence factor (M protein), has provided important information. Here, we report two cases of invasive SDSE infection that presented with endocarditis and bacteremia, and their emm gene types. (Korean J Med 2014;87:630-635)
뇌하수체 침범 뇌수막종 환자에서 고나트륨혈증에 의한 횡문근 융해증
이혜원 ( Hye Won Lee ),윤종민 ( Jong Min Yun ),허주연 ( Joo Yeun Hu ),김지은 ( Ji Eun Kim ),김영주 ( Young Joo Kim ),서경진 ( Kyung Jin Seo ),김영옥 ( Young Ok Kim ) 대한내과학회 2015 대한내과학회지 Vol.88 No.3
Hypernatremia is a rare cause of rhabdomyolysis. Here, we report a case of hypernatremia-induced rhabdomyolysis in a with meningioma involving the pituitary gland. A 61-year-old male was admitted for decreased mentality and poor oral intake. had undergone an operation for meningioma 10 years prior. At admission, he appeared lethargic and severely dehydrated with initial sodium level of 178 mEq/L. Hypernatremia remained persistent despite massive hydration and the serum creatine phosphokinase level was 18,047 U/L after 3 days. Bone scintigraphy also showed findings consistent with rhabdomyolysis. Brain magnetic resonance imaging revealed extensive masses involving the pituitary gland and an intranasal biopsy confirmed meningioma. Polyuria, and low anti-diuretic hormone levels supported the diagnosis of central diabetes insipidus-induced hypernatremia. Desmopressin was administered intranasally and the patient`s serum sodium and muscle enzyme levels were normalized. (Korean J Med 2015;88:324-329)
Hypervirulent Klebsiella pneumoniae에 의한 괴사근막염과 요근 농양
진수신 ( Su Sin Jin ),김윤정 ( Youn Jeong Kim ),김상일 ( Sang Il Kim ),허주연 ( Joo Yeun Hu ),김유승 ( Yu Seung Kim ),조성연 ( Sung Yeon Cho ),강문원 ( Moon Won Kang ) 대한내과학회 2013 대한내과학회지 Vol.85 No.5
A 62-year-old diabetic female was admitted to the hospital with fever and pain in both legs. Computed tomography scans of the abdomen revealed necrotizing fasciitis of the right thigh extending into the abdominal wall, and abscesses on the right psoas muscle. Magnetic resonance imaging showed increased T2 signal intensity along the peroneus muscle and fascia of the lower left leg. The patient received antibiotics and underwent debridement of the infected and necrotic tissue. Intra-abdominal abscesses were drained. Blood and pus cultures showed growth of Klebsiella pneumoniae, as had been suspected due to string test results showing hypermucoviscosity. Free-skin grafts were performed to repair tissue loss and the patient was subsequently discharged 82 days after admission. This represents the first reported case of necrotizing fasciitis and psoas muscle abscess caused by a hypervirulent strain of K. pneumoniae in Korea. (Korean J Med 2013;85:540-544)
즐례 : 대장내시경 시행 중 회장 삽관을 통해 우연히 발견된 무증상의 소장 림프종
김은희 ( Eun Hee Kim ),이래석 ( Rae Seok Lee ),허주연 ( Joo Yeun Hu ),최윤석 ( Yoon Seok Choi ),김교희 ( Gyo Hui Kim ),오정환 ( Jung Hwan Oh ),노상영 ( Sang Young Roh ) 대한내과학회 2014 대한내과학회지 Vol.86 No.1
Primary lymphoma of the small intestine is commonly diagnosed after serious complications, such as bowel perforation and bleeding. It results from vague symptoms and the lack of routine screening programs due to low prevalence. Ileal intubation can be used for screening and diagnosis of various small intestinal diseases. However, the value of routine terminal ileum intubation during colonoscopy remains controversial because of its low diagnostic yield. In Korea, there has been no report of asymptomatic primary lymphoma of the small intestine discovered through ileal intubation during colonoscopy. Thus, we report a case of asymptomatic primary lymphoma of the small intestine diagnosed incidentally through terminal ileum intubation during screening colonoscopy, and we review the literature on small intestinal lymphoma and the value of routine ileal intubation. (Korean J Med 2014;86:49-53)