No abstract available.
Follow-Up Studies* ; Stomach Neoplasms* ; Stomach*

Dermatophytes have been demonstrated infrequently in viable tissues such as dermis, subcutis, lymph nodes, bones and other organs. Mycetoma-like lesions caused by dermatophytes, known as pseudomycetoma, have been very rarely reported. A 56-year-old woman presented with several protruding bean to chestnut-sized subcutaneous nodules on the occipital region of the scalp. She had a long term history of epidermolysis bullosa acquisita and intermittent administration of systemic corticosteroids for 5 years. Histopathology of the subcutaneous nodules showed a well encapsulated granuloma containing characteristic lobulated granules consisted of mycelial aggregates. Trichophyton mentagrophytes grew out on the cultures of Sabouraud's media with excised tissues. Surgical excision and itraconazole 200mg per day for 10 weeks was tried and skin lesions are improved with focal recurrence.
Adrenal Cortex Hormones ; Arthrodermataceae ; Dermis ; Epidermolysis Bullosa Acquisita ; Female ; Granuloma ; Humans ; Itraconazole ; Lymph Nodes ; Middle Aged ; Recurrence ; Scalp ; Skin ; Trichophyton*

We were recently encountered a cases of newborn infant with a congenital lumbar mass with associated anomalies which proved to be quite bizarre. This case if presented with review of the literatures because we were seldom able to find a cases of myelomeningocele as usual, interesting as this. A 15 day-old infant, the product of full term, was admitted to Busan National University Hospital on May 26th, 1972, because of a large pedunculated lumbar mass without any neurologic deficits. The tumor mass was translucent, flabby, infected and increased in tension when the infant cried. Chest film showed the underdeveloped with agenesis and fork rib in right upper 5 ribs and narrowed intercostal spaces between right 5,6,7 and 8th ribs. Right scapula was higher in position of axis. Total spine films showed non-fusion pattern of 3rd and 4rh thoracic vertebral bodies with cleft vertebrae, scoliosis in upper thoracic region, widening of lumbar canal, a large soft tissue mass overlying the abdominal region and hypoplasia of the spinous process at 4th lumbar vertebra. The sac of myelomeningocele was repaired successfully. He has regularly been followed up in the out-patient after discharge and has remained well. Repeated neurologic examination performed after discharge showed no neurologic deficits. We feel our present case will be of added interest.
Axis, Cervical Vertebra ; Busan ; Humans ; Infant ; Infant, Newborn ; Meningomyelocele* ; Neurologic Examination ; Neurologic Manifestations ; Outpatients ; Ribs ; Scapula ; Scoliosis ; Spine ; Thorax

Mycobacterium neoaurum is rapidly growing mycobacteria that can cause human infections. It commonly causes bloodstream infections in immunocompromised hosts, and unlike other mycobacteria species, it rarely causes pulmonary infections. We confirmed the first pulmonary infection case in Korea caused by M. neoaurum using full-length 16S rRNA gene sequencing.
Adult ; Female ; Humans ; Lung Diseases/*diagnosis/microbiology ; Mycobacterium/genetics/*isolation & purification ; Mycobacterium Infections/*diagnosis/microbiology ; Nontuberculous Mycobacteria/genetics/isolation & purification ; RNA, Ribosomal, 16S/genetics ; Republic of Korea ; Sequence Analysis, RNA

No abstract available.
Paralysis* ; Phrenic Nerve*

BACKGROUND: Although operative outcome is progressing due to the development of operative techniques and myocardial protection, some patients face an increased morbidity and mortality. Therefore, it has become increasingly important to predict the operative morbidity and mortality. MATERIAL AND METHOD: This retrospective study reports the results of risk factor analysis of morbidity and mortality of 137 consecutive patients who were underwent coronary artery bypass graft surgery (CABG). Preoperative variables were age, sex, preoperative myocardial infarction, operative priority, left ventricular ejection fraction, obesity and triple vessel disease. Postoperative morbidities were arrhythmia, wound infection, cerebral infarction, prolonged postoperative hospitalization, pneumonia, acute renal failure, prolonged use of ventilator and operative death. RESULT: The mean age of total patients was 56.7 years, from 27 to 74. The overall mortality was 6.6% (9 of 137) with the mortality of 3.9% (5 of 128) for elective operation, and 44.4% (4 of 9) for emergent or urgent cases. The morbidity of patients over 65 years was stastistically higher than that of under 65 years. Sex distribution showed no difference in morbidity, however operative mortality rate was slightly higher in women (5/41, 12.19%) than in men (4/96, 4.17%). Morbidity of emergent or urgent operation was 100%, much higher than that of the elective operation. Mortality of the patients whose left ventricular ejection fraction was under 50% was higher than that of those over 50%. CONCLUSION: We concluded that the risk factors of morbidity after CABG were old age above 65 years and emergent or urgent operation, and that risk factors of mortality were low left venticular ejection fraction under 50% and emergent or urgent operation.
Acute Kidney Injury ; Arrhythmias, Cardiac ; Cerebral Infarction ; Coronary Artery Bypass* ; Coronary Vessels* ; Female ; Hospitalization ; Humans ; Male ; Mortality* ; Myocardial Infarction ; Obesity ; Pneumonia ; Retrospective Studies ; Risk Factors* ; Sex Distribution ; Stroke Volume ; Transplants ; Ventilators, Mechanical ; Wound Infection

BACKGROUND AND OBJECTIVES: Microphones designed to measure otoacoustic emissions (OAEs) from the human ear canal typically sample the sound field in the canal some 15-20 mm away from the tympanic membrane. Discrepancies inevitably arise at high frequencies between the sound pressure at the tympanic membrane and at the entrance to the emission probe from sound reflected by the tympanic membrane due to incomplete absorption. A previous work on the ear canal acoustics suggests the emission probe underestimate the sound pressure level of the stimulus at the tympanic membrane by as much as 15-20 dB for the stimulus frequencies near 5-7 KHz. Materials and Method: This study checked the variation of transiently evoked otoacoustic emissions (TEOAEs) and distorsion product otoacoustic emissions (DPOAEs) for the situations of probe which were controlled by ear canal volume. RESULTS: All mean values on TEOAEs (stimulus level, echo response, reproducibility) significantly increased (p 0.05) as the ear canal volume decreased. The mean amplitude of DPOAEs significantly increased at 1.6, 2, 25, 3.2, 4 (F2 frequency) and the variation of the mean noise level was statistically significant at 1, 2, 4 KHz (F2 frequency). The mean signal to noise ratio on DPOAEs significantly increased at 1, 2, 3.2, 4, 6.3 KHz (F2 frequency). CONCLUSION: These results suggest that the reliability of measurements of otoacoustic emissions should be improved when the probe is located nearer to the tympanic membrane.
Absorption ; Acoustics ; Ear Canal ; Humans ; Noise ; Signal-To-Noise Ratio ; Tympanic Membrane

We have seen a case of oligodendroglioma arising in the left frontal lobe of 64-year-old woman. She had complained of longstanding headache with occasional seizures and episodic dysarthrias for six years before admission. On admission there were drowsy mentality and bilateral papilledema of 3 diopters without other neurological abnormality. The tumor was showed as a calcified mass of an egg size in the left frontal lobe even on the plain skull X-ray films. The tumor was totally removed by surgery and measured 4(5(4cm. On microscopic examination it was a typical oligodendroglioma. The patient was discharged in good condition on the twelfth postoperative day. Many authors reported that the incidence of oligodendrogliomas in all glioma group was relatively rare. In Korea there was no clinical report of oligodendroglioma except only two cases reported by Dr. Lee et al. in 1966. So we present this case, though it was typical and classical in pathological nature and clinical process.
Dysarthria ; Female ; Frontal Lobe ; Glioma ; Headache ; Humans ; Incidence ; Korea ; Middle Aged ; Oligodendroglioma* ; Ovum ; Papilledema ; Seizures ; Skull ; X-Ray Film

Posterior fossa injury is a relatively infrequent in all craniocerebral injuries, which may be a rapidly fatal disease unless the diagnosis and prompt treatment are made. Delay in operation or failure to make the diagnosis early may result in death from medullary decompensation. An injury to the occipital region, followed by signs and symptoms of cerebellar or medullary nerve dysfunction, should cause one to suspect the existence of this lesion. It is well to remember that neither the surgically demonstrated presence of a supratentorial clot nor the roentgenological failure to demonstrate an occipital fracure excludes the presence of a mass lesion in the posterior fossa. Authors studied 104 cases of posterior fossa injury admitted at Department of Neurosurgery, Kyung Hee Medical Center from October 5 th, 1971 to August 30 th, 1974. The results were as follows: 1) The incidence of posterior fossa injury was 5.7% of all craniocerebral injuries. 2) The age incidence was greatest in the age group between 10 and 20. 27.9% of all cases were belonged in this group. 3) Common causes were traffic accident(82 cases:78.8%), falls from(14 cases:13.5%) and direct blow(6 cases:5.8%). 4) Male outnumbered female by almost 2 to 1. 5) Common symptoms were disturbance of consciousness(67 cases:64.4%), headache(43 cases:41.3%) and vomiting(24 cases:21.3%). 6) Scalp injuries were demonstrated in 95 cases and occipital, bone fracture in 58 cases under gross and radiological examination of posterior fossa. 7) Time interval between injury and operation was greatest at 3 to 6 hours. 8) In 30 cases of operation, massive cerebellar contusion was 13 cases, extradural hematoma was 7 cases and subdural hematoma was 2 cases and negative exploration was 6 cases. 9) The overall mortality rate was 25%.
Contusions ; Craniocerebral Trauma ; Diagnosis ; Female ; Fractures, Bone ; Hematoma ; Hematoma, Subdural ; Humans ; Incidence ; Male ; Mortality ; Neurosurgery ; Scalp

BACKGROUND: We established a bloodless center at Soonchunhyang University Hospital (SCH) in 1996 and have provided medical and surgical care for Jehovah's Witness patients. In this study, we evaluated their outcomes to provide the basis of bloodless medicine and surgery in Korea. METHODS: A retropective review of the medical records of 757 Jehovah's Witness patients admitted in the SCH Bloodless Center from December 1996 to July 2003 was performed. RESULTS: Among 757 patients, 19 (2.5%) expired during treatment and 4 of them died of cardiopul-monary dysfunction secondary to anemia. As alternatives to blood transfusion, 85 (11.2%) patients were treated with iron, 81 (10.7%) with erythropoietin, 49 (6.5%) with aprotinin, 31 (4.1%) with hemodilution and 28 (3.7%) with cell saver. Four hundreds fifteen (54.8%) of 757 patients underwent surgery. The most frequently involved cinical department was Obstetric/Gynecology (23.8%). The ratio of female and the percentage of cases treated with alternatives to blood transfusion were higher in surgery group than non-surgery group patients.(Chi-square test, P<0.01) CONCLUSIONS: Most Jehovah's Witness patients were treated successfully in our bloodless center with various alternatives to blood transfusion, such as erythropoietin, intraoperative autotransfusion, acute normovolemic hemodilution etc. Collaboration and good communication among surgeons, anesthesiologists, hematologists and blood bank physicians are very important to provide qualified medical or surgical treatment to the patients who have a religious objection to receiving blood or blood-related products.
Anemia ; Aprotinin ; Blood Banks ; Blood Transfusion ; Blood Transfusion, Autologous ; Cooperative Behavior ; Erythropoietin ; Female ; Hemodilution ; Humans ; Iron ; Korea ; Medical Records