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Transient Acquired Hemophilia Associated with Mycoplasma Pneumoniae Pneumonia
김민선,PaulE.Kilgore,김선영,강주성,이대열,김정수,황평한 대한의학회 2008 Journal of Korean medical science Vol.23 No.1
Acquired hemophilia is a rare disorder caused by autoantibodies to factor VIII (FVIII) (also referred to as factor VIII inhibitors or anti-FVIII) and may be associated with pregnancy, underlying malignancy, or autoimmune disorders. A 33-month-old girl who presented with hematochezia and ecchymotic skin lesions was diagnosed with Mycoplasma pneumoniae pneumonia by serology and polymerase chain reaction. Hematologic studies showed a prolonged activated partial thromboplastin time (aPTT), partially corrected mixing test for aPTT, reduced levels of FVIII, and the presence of antibodies against FVIII. She was treated conservatively with prednisone and intravenous immunoglobulin (IVIG) without FVIII transfusion and recovered without sequelae. This report provides the first description of acquired hemophilia due to anti-FVIII in association with M. pneumoniae in Korea. We discuss this case in the context of the current literature on acquired hemophilia in children.
Jacqueline K. Lim,김태희,Paul E. Kilgore,Allison E. Aiello,최병민,이광철,유기환,송영환,김윤경 대한의학회 2014 Journal of Korean medical science Vol.29 No.4
There are limited data evaluating the relationship between influenza treatment andhospitalization duration. Our purpose assessed the association between differenttreatments and hospital stay among Korean pediatric influenza patients. Total 770 children≤ 15 yr-of-age hospitalized with community-acquired laboratory-confirmed influenza atthree large urban tertiary care hospitals were identified through a retrospective medicalchart review. Demographic, clinical, and cost data were extracted and a multivariablelinear regression model was used to assess the associations between influenza treatmenttypes and hospital stay. Overall, there were 81% of the patients hospitalized withlaboratory-confirmed influenza who received antibiotic monotherapy whereas only 4% ofthe patients received oseltamivir monotherapy. The mean treatment-related charges forhospitalizations treated with antibiotics, alone or with oseltamivir, were significantlyhigher than those treated with oseltamivir-only (P < 0.001). Influenza patients treatedwith antibiotics-only and antibiotics/oseltamivir combination therapy showed 44.9% and28.2%, respectively, longer duration of hospitalization compared to those treated withoseltamivir-only. Patients treated with antibiotics, alone or combined with oseltamivir,were associated with longer hospitalization and significantly higher medical charges,compared to patients treated with oseltamivir alone. In Korea, there is a need for morejudicious use of antibiotics, appropriate use of influenza rapid testing.
Transient Acquired Hemophilia Associated with Mycoplasma Pneumoniae Pneumonia
Kim, Min Sun,Kilgore, Paul E.,Kang, Ju Sung,Kim, Sun Young,Lee, Dae Yeol,Kim, Jung Soo,Hwang, Pyoung Han Korean Academy of Medical Sciences 2008 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.23 No.1
Acquired hemophilia is a rare disorder caused by autoantibodies to factor VIII (FVIII) (also referred to as factor VIII inhibitors or anti-FVIII) and may be associated with pregnancy, underlying malignancy, or autoimmune disorders. A 33-month-old girl who presented with hematochezia and ecchymotic skin lesions was diagnosed with Mycoplasma pneumoniae pneumonia by serology and polymerase chain reaction. Hematologic studies showed a prolonged activated partial thromboplastin time (aPTT), partially corrected mixing test for aPTT, reduced levels of FVIII, and the presence of antibodies against FVIII. She was treated conservatively with prednisone and intravenous immunoglobulin (IVIG) without FVIII transfusion and recovered without sequelae. This report provides the first description of acquired hemophilia due to anti-FVIII in association with M. pneumoniae in Korea. We discuss this case in the context of the current literature on acquired hemophilia in children.
Lim, Jacqueline K.,Kim, Tae Hee,Kilgore, Paul E.,Aiello, Allison E.,Choi, Byung Min,Lee, Kwang Chul,Yoo, Kee Hwan,Song, Young-Hwan,Kim, Yun-Kyung The Korean Academy of Medical Sciences 2014 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.29 No.4
<P>There are limited data evaluating the relationship between influenza treatment and hospitalization duration. Our purpose assessed the association between different treatments and hospital stay among Korean pediatric influenza patients. Total 770 children 15 yr-of-age hospitalized with community-acquired laboratory-confirmed influenza at three large urban tertiary care hospitals were identified through a retrospective medical chart review. Demographic, clinical, and cost data were extracted and a multivariable linear regression model was used to assess the associations between influenza treatment types and hospital stay. Overall, there were 81% of the patients hospitalized with laboratory-confirmed influenza who received antibiotic monotherapy whereas only 4% of the patients received oseltamivir monotherapy. The mean treatment-related charges for hospitalizations treated with antibiotics, alone or with oseltamivir, were significantly higher than those treated with oseltamivir-only (P < 0.001). Influenza patients treated with antibiotics-only and antibiotics/oseltamivir combination therapy showed 44.9% and 28.2%, respectively, longer duration of hospitalization compared to those treated with oseltamivir-only. Patients treated with antibiotics, alone or combined with oseltamivir, were associated with longer hospitalization and significantly higher medical charges, compared to patients treated with oseltamivir alone. In Korea, there is a need for more judicious use of antibiotics, appropriate use of influenza rapid testing.</P>
국내 8개 병원을 대상으로 1999-2002년도의 로타바이러스 유행 양상 분석
강정옥,김미나,김정욱,서헌석,윤여민,장숙진,장철훈,최석우,BatumnkhHyambat,PaulE.Kilgore 대한진단검사의학회 2003 Annals of Laboratory Medicine Vol.23 No.6
배경 : 로타바이러스는 전 세계적으로 소아에서 심한 위장염을일으키는 가장 중요한 원인 인자이다. 국내에서도 1980년대 초부터 설사증으로 입원한 소아 환자를 대상으로 로타바이러스에 관1999-2002년도 로타바이러스 유행 양상 387한 많은 연구보고가 있었으나, 전국적인 규모의, 장기간에 걸친역학적인 연구 보고가 없었으므로, 전국 각 지역에서 8개 병원을선정하여 국내에서는 최초로 전국적인 규모의 역학조사를 실시하였다.재료 및 방법 :연구에 참여한 각 병원에서 최근 3년 간(1999년7월-2002년 6월)의 로타바이러스 검체수 및 양성검체수에 대한자료를 수집하였다. 네 병원은 라텍스응집법, 세 병원은 im uno-chromatography, 한 병원은enzyme-linked fluorescent immuno-assay법을 사용하여 로타바이러스를 검출하였다. 결과 : 총검체수 10,441건 중 23.9%가 로타바이러스 양성이었으며, 유행은 매년 12월 또는 1월부터 시작되어 4월 또는 5월에 끝나는 양상을 보였고, 여름, 가을, 겨울, 봄의 계절별 양성률은 각각 11.5%, 10.0%, 32.8% 및 30.0%였다. 병원별 양성률은 15.3%에서 44.2%로 다양하였으며, 2차 병원 양성률(27.5%)이, 3차 병원 양성률(21.1%)보다 유의하게 높았다. 전국 평균 양성률보다낮은 양성률을 나타내었던 세 병원은 80병상 이상의 대형 병원이었으며, 이 세 병원에서는 전형적인 겨울-봄 유행양상이 나타나지 않았다. 또한 몇몇 병원에서는 특이하게 여름철 유행이 관찰되기도 하였다.