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( Bomi Seo ),( Yeong Jin Jeong ),( Seokchan Hong ),( Yong-gil Kim ),( Chang-keun Lee ),( Bin Yoo ) 대한류마티스학회 2016 대한류마티스학회지 Vol.23 No.4
Tumor necrosis factor (TNF) inhibitors are increasingly used in treatment of rheumatoid arthritis (RA), ankylosing spondylitis, psoriatic arthritis, and inflammatory bowel diseases including Crohn’s disease and ulcerative colitis. Rarely, anti-TNF therapy is associated with neurological complications, including both central and peripheral nervous system disorders. To the best of our knowledge, only one case of infliximab-associated multifocal motor neuropathy with conduction block in a patient with spondyloarthropathy has been reported to date in Korea. Here, we report on the case of a 58-year-old Korean woman affected by RA who developed multifocal motor neuropathy after infliximab treatment. (J Rheum Dis 2016;23:250-255)
Seo Bomi,Yang Min-Suk,박소영,Park Bo Young,Kim Jung-Hyun,송우정,Kwon Hyouk-Soo,Chang Yoon-Seok,Cho You Sook,Kim Sae-Hoon,Kim Tae-Bum 대한의학회 2023 Journal of Korean medical science Vol.38 No.8
Background: Adverse drug reactions (ADRs) are escalating, and their socioeconomic burden is increasing. However, large-scale prospective studies investigating ADRs during hospitalization are rare in Korea. We prospectively investigated the incidence, characteristics, and economic burden of ADRs in hospitalized patients based on electronic medical records (EMRs). Methods: Among patients admitted to three hospitals from October 2016 to October 2017, 5,000 patients were randomly selected and prospectively observed during hospitalization. Research nurses monitored and detected patients who had symptoms, signs, or laboratory findings suspicious for ADRs using an EMR-based detection protocol. Next, allergy and ADR specialists reviewed the medical records to determine the relationship between adverse reactions and drugs. Cases in which a causal relationship was certain, probable/likely, or possible were included in the ADR cases. Clinically meaningful ADR cases or those leading to prolonged hospitalization were defined as significant ADRs. Results: ADRs occurred in 510 (10.2%) patients. The mean length of hospital stay was approximately 5 days longer in patients with ADRs. Opioids accounted for the highest percentage of total ADRs. Significant ADRs were observed in 148 (3.0%) patients. Antibiotics accounted for the highest percentage of significant ADRs. Drug hypersensitivity reactions (DHRs) occurred in 88 (1.8%) patients. Antibiotics accounted for the highest percentage of DHRs. The average medical expenses for one day of hospitalization per patient were highest in significant ADRs, followed by non-significant ADRs, and non-ADRs. Conclusion: ADRs in hospitalized patients are an important clinical issue, resulting in a substantial socioeconomic burden. EMR-based strategy could be a useful tool for ADR monitoring and early detection.
S-368 A case of isolated amebic lung abscess (extraintestinal amebiasis without hepatic involvement)
( Bomi Kim ),( Byung Ju Kang ),( Seung Won Ra ),( Kwang Won Seo ),( Yangjin Jegal ),( Jae-bum Jun ),( Jiwon Jung ),( Joseph Jeong ),( Jong Joon Ahn ),( Taehoon Lee ) 대한내과학회 2016 대한내과학회 추계학술발표논문집 Vol.2016 No.1
Amebiasis is a disease caused by the protozoa Entamoeba histolytica. Although, most amebiasis are asymptomatic, intestinal amebiasis (amebic dysentery) and extraintestinal amebiasis might arise. Extraintestinal amebiasis occurs most frequently as liver abscess by portal venous inoculation of ameba. Occasionally, amebic liver abscess could rupture into thoracic cavity, complicating lung abscess. We recently experienced a case of amebic lung abscess without hepatic involvement. Since isolated amebic lung abscess has not been reported before, we report here the case. A 75-year-old woman was transferred to our hospital with a complaint of persistent fever. 15 days ago, she visited local hospital due to 1-day fever. There were no other symptoms/signs other than fever. On initial investigations, chest radiography was normal, and pyuria was observed. She was treated with ciprofloxacin under the diagnosis of urinary tract infection. Despite 5-day ciprofloxacin, fever persisted. Follow-up chest radiography showed consolidation of left lung. On chest computed tomography (CT), sub-lobar consolidation was noted at left upper lobe. She was hospitalized, and meropenem was started. Despite 10-day intravenous meropenem, fever was continued, and the lung consolidation was gradually changed into abscess. She was transferred to our hospital for further evaluation. Bronchoalveolar lavage (BAL) was performed at the site of lung abscess. On wet smear of BAL fluid, motile macrophage-like pathogens with pseudopod were noted. By iron-hematoxylin stain, it was confirmed as E. histolytica. Any other pathogens (including mycobacteria, fungus, bacteria, or virus) were not identified. Abdomen CT, sigmoidoscopy and stool microscopy were performed to detect the evidence of intestinal/hepatic amebiasis, but there was no abnormality. Isolated amebic lung abscess was diagnosed, and metronidazole was started. After 5 days of metronidazole, defervescence was achieved. The abscess also gradually shrinked. Metronidazole was used for 4 weeks, and she was completely recovered.