http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
동종 골수이식 후 만성 이식편대숙주반응 환자에서 발생한 폐렴구균에 의한 수막뇌염 1예
신완식,김병욱,유진홍,김동집,김춘추,박종원,이종욱,김동욱,강문원,김양리 대한감염학회 1993 감염 Vol.25 No.3
Graft-versus-host disease (GVHD) is a frequent complication after bone marrow transplantation. Infectious complications are common in GVHD patients due to defect in cell-mediated immunity. A rare case of S. pneumoniae meningoencephalitis occured in a patient with extensive form of chronic GVHD after allogeneic bone marrow transplantation. He was immediately treated with full dosage of ceftriaxone and ampicillin. He suffered from various complications such as sepsis, acute renal failure, atelectasis, and seizure. Despite of aggressive treatment, he died probably due to renal shutdown and massive subacute cerebral infarction of left cerebral hemisphere. This report showed two unusual and rare features. First, the infection site was CNS rather than respiratory system. Second, the causative organism was S. pneumoniae, which is rare cause of CNS infection in immunocompromised patients.
柳總根,朱翼淳,金洙慶 中央醫學社 1967 中央醫學 Vol.12 No.4
To observe the absorbability of the dietary V-C in the body, the study was carried on the V-C concentration in the blood and urine after meal. The subjects, two of the nineteen years old boys were fed spinach, pickled radishes, tomato or vitamin C powder which were contained as much 200 mg as V-C respectively. The results obtained are summarized as follows, 1) Total V-C concentration in the blood showed the highest value at 3-4 hours after meal. 2) The highest V-C value in the blood was 1.89+0.13 mg/dl and it was in the saturated condition where as the total V-C excretion in the urine was about 47mg/day. 3) It seemed that the gut has a limitationn on the V-C absorption when a large amount of V-C was ingested.
혈액종양 병동에서 발생한 Escherichia coli 균혈증의 분자역학적 분석
박종원,유진홍,허동호,김동욱,한치화,김양리,김경미,신완식,김춘추,강문원,김동집 대한감염학회 1995 감염 Vol.27 No.2
목적:'94년 7월부터 9월사이에 가톨릭의대부속성모병원 혈액종양병동에서 발생한 E.coli 균혈증 8예를 대상으로 분리된 균주에 대한 분자역학적 분석을 통해 병원내 전파가능성 여부를 비롯한 발생원인의 규명을 하고자 연구를 시작하였다. 방법:혈액배양에서 분리된 E.coli 8균주를 대상으로 입원당시의 의무기록에 대한 컴토분석과 병행하여 플라스미드 형별 및 FIGE를 시행하여 균주간의 일치도 여부를 분석하였다. 결과: 1)8에 모두 급성백혈병 환자였으며 이중 4명이 같은 병실에 입원하고 있었다. 8명 모두 발병당시 백혈구수가 1,000/㎕ 미만이었다. 2)8예 모두 fluoroquinolone에 100% 의 내성율을 보였다. 3)FIGE상 8예 모두 다른 유형을 보였다. 4)플라스미드 형별상 8예 모두 다른 유형을 보였다. 결론:이상의 결과로 보아 혈액종양병동에서 발생된 E.coli 균혈증은 어느 특정한 단일 클론에 의해 전파되었을 가능성은 적다고 사료된다. Background: In order to analyze an Escherichia coli bacteremic outbreak in eight leukemic patients in hemato-oncology unit from July to September, 1994. Methods: We have examined the antibiogram, plasmid typing, and field inversion gel electrophoresis of eight isolates of E.coli. Results: All patients were diagnosed as acute leukemia. Among them, four patients were in the same room at the time of the outbreak. All showed granulocytopenia and had received ciprofloxacin as a gut decontamination regimen. All strains showed resistance to fluoroquinolones. The plasmid typing patterns were quite different from each other. The analysis of field inversion gel electrophoresis also revealed eight different patterns. Conclusion: Disproving our initial assumption that the outbreak might have originated from a single clone, the genotyping patterns showed little evidence of person-to-person transmission. We have shown that molecular typing is useful in distinguishing individual strains of E.coli isolates for epidemiological purposes.