Scleredema is a rare connective tissue disease of unknown etiology and characterized by non-pitting thickening of subcutaneous tissue of the neck, face, head, upper trunk and arms. We present a 28 year-old man with extensive skin changes following upper respiratory infection, who have not any concurrent disorders such as diabetes mellitus. Histopathological findings of skin showed normal epidermis with a widening of spaces between collagen bundles by infiltration of acid mucopolysaccharide in the dermis.
Adult ; Arm ; Collagen ; Connective Tissue Diseases ; Dermis ; Diabetes Mellitus ; Epidermis ; Head ; Humans ; Neck ; Scleredema Adultorum* ; Skin ; Subcutaneous Tissue

Curvularia species is a genus of dematiaceous fungi that resides primarily in soil, and rarely causes human infections. The infection caused by Curvularia species usually occurs in immunocompromised patients, but a few reported cases have occurred in immunocompetent patients with no prior disease. A 55-year-old woman, previously in good health, complained of a dystrophic nail of the left big toe. Sampling from the lesion was made by scraping of the diseased nail plate. The specimens were examined in KOH and inoculated on slants containing Sabouraud's dextrose agar with chloramphenicol and Dermatophyte test Medium (DTM) which were incubated at room temperature. Direct microscopic examination, using KOH, showed septated hyphae. Culture on Sabouraud's dextrose agar yielded a filamentous dematiaceous fungus, which was identified as Curvularia species. This is the first case of onychomycosis as well as human infection caused by Curvularia species in Korea. ME: Curvularia species, Onychomycosis
Agar ; Arthrodermataceae ; Chloramphenicol ; Female ; Fungi ; Glucose ; Humans ; Hyphae ; Immunocompromised Host ; Korea* ; Middle Aged ; Onychomycosis* ; Soil ; Toes*

Vibrio damsela was isolated from a wound infection of a 71 year-old patient with chronic renal failure. She complained of severe pain, swelling and erythema in her right hand and fingers, which developed after a puncture injury by a crab, Portunus trituberculatus. Her wound infection was improved after pus drainage and antibiotic therapy. This represents the first reported case of wound infection due to V. damsela in Korea.
Aged ; Drainage ; Erythema ; Fingers ; Hand ; Humans ; Kidney Failure, Chronic ; Korea ; Punctures ; Suppuration ; Vibrio* ; Wound Infection* ; Wounds and Injuries*

We report a case of hemolytic uremic syndrome (HUS) associated with hemorrhagic colitis. A 35-year-old man was admitted to a local hospital because of abdominal pain and watery diarrhea that had developed about 6 hours after taking roast beef. He was treated with intravenous fluids and antibiotics, but watery diarrhea changed to bloody in nature from the next day. He was transferred to our hospital due to progressive ascites and jaundice on his 8th day of illness. Examinations revealed ascites, jaundice, microangiopathic hemolytic anemia, thrombocytopenia and uremia. Sorbitol-negative Escherichia coli was isolated from his stool, which proved as Shiga-like toxin-negative E. coli, serotype O25. His conditions improved markedly after three times of plasmapheresis and intravenous fluid therapy, and the organism was not isolated from the follow-up stool culture.
Abdominal Pain ; Adult ; Anemia, Hemolytic ; Anti-Bacterial Agents ; Ascites ; Colitis* ; Diarrhea ; Escherichia coli ; Fluid Therapy ; Follow-Up Studies ; Hemolytic-Uremic Syndrome* ; Humans ; Jaundice ; Plasmapheresis ; Thrombocytopenia ; Uremia

Pasteurellae are aerobic gram-negative coccobacillary organism and usually pathogenic to domestic animal, but rarely to human beings. Human Pasteurella infections are mostly caused by animal but occasionally happens without known history of animal contacts. Pasteurella infection of human has been reported in numerous systems including pneumonia, empyema, meningitis, peritonitis, bone and joint infection and septicemia. This organism was difficult to identify because of its superficial resemblance to other organism, until recently a new technique used a requirement of X, V factor is developed. This organism is susceptible to many antimicrobial agents. A 55-year-old man was admitted to Seoul Paik Hospital Inje University due to fever and pleuritic chest pain for 2 weeks. He denied any animal contact history. Pasteurella hemolytica was recovered from pleural effusion. This is the first case report of empyema caused by Pasteurella hemolytica in Korea and provides another definitive causative organism of empyema.
Animals ; Animals, Domestic ; Anti-Infective Agents ; Chest Pain ; Empyema* ; Fever ; Fibrinogen ; Humans ; Joints ; Korea ; Mannheimia haemolytica* ; Meningitis ; Middle Aged ; Pasteurella Infections ; Pasteurella* ; Peritonitis ; Pleural Effusion ; Pneumonia ; Seoul ; Sepsis

No abstract available.
Arthritis, Infectious* ; Hip Joint* ; Hip*

No abstract available.
Candidiasis* ; Fluconazole*

No abstract available.
Candidiasis*

No abstract available.
Diabetes Mellitus* ; Humans ; Neutrophils* ; Superoxides*

No abstract available.
Prescriptions*