Two cases of cutaneous sporotrichosis, especially one of which was verrucous type in baby aged 4 months, were described. Throush the literatures the verrucous manifestation in baby was not yet reported. It is known that verrucous sporotrichosis is to be developed in individual who has had local and general resistance obtained by the previous cutaneous infection or by the infection of internal organ. But no such evidences were noticed in our case.
Sporotrichosis*

A case of 24 years old male with perifolliculitis capitis abscedens et suffodiens was reported This is, I presume the first case to be reparted in Korea. Clinically, the skin lesions were characterized by tbe multiple confluented indolent abscesses and hypertrophic scars which were developed on the vertex. On these lesions, there were also noticed complete alopecia and several dilated hair follicle orifices plugged by keratinous materials. The regional lymphnodes were not enlarged and the abscesses were proved bacteriologically sterile.
Abscess ; Alopecia ; Cicatrix, Hypertrophic ; Hair Follicle ; Humans ; Korea ; Male ; Skin ; Young Adult

No abstract available.

No abstract available.
Ankle*

Ceftizoxime sodium is a new synthetic β-lactam antibiotic combining potent antibacterial activity with high stability to a wide range of bacterial β-lactamase. This experiment was achieved to evaluate the antibacterial activities of ceftizoxime sodium against. Gram negative enteric bacteria isolated from in outpatient visiting Yeungnam university hospital and to study the emergence of drug induced bacterial variants which resist to ceftizoxime in vitro. The antibacterial activity of the ceftizoxime was compared with that of antibiotics and its effect on population of normal intestinal flora in mice was observed. The results are summarized as follows: 1. Highly effective antibacterial activity of ceftizoxime against Gram negative enteric bacilli was demonstrated and this antibacterial activity was superior to that of ampicillin. 2. Several test strains shows multiple antibiotic resistance. Among 15 strains of Escherichia coli, 1 strain was resistant to ampicillin, cefadroxil, gentamicin, tetracycline, and 2 strains were resistant to ampicillin, cefadroxil, tetracycline, five strains of Escherichia coli and Enterobacter cloacae was resistant to ampicillin, tetracycline and Shigella dysenteriae was resistant to ampicillin, gentamicin, tetracycline. 3. The frequency of in vitro emergence of resistant variants among ceftizoxime sensitive bacteria in the presence of increasing concentrations of the compound was found to be low. 4. Plasmid was isolated in 6 of 9 strains (6 strains of Escherichia coli, Shigella dysenteriae, Enterobacter cloacae and Salmonella typhi). That showed different antibiotic resistance. They were 5 strains of Escherichia coli and 1 strain of Shigella dysenteriae. However, plasmid could not be considered as a hallmark for antibiotic resistance by this Further studies with curing experiment are to be accomplished for this purpose. 5. Changes in the bacterial count of normal intestinal flora following 25 mg/kg/day administration of ceftizoxime over 5 consecutive days were not significant. In conclusion, ceftizoxime appeared to be a drug of choice in the treatment of Gram negative enteric bacilli infection.
Ampicillin ; Animals ; Anti-Bacterial Agents ; Bacteria ; Bacterial Load ; Cefadroxil ; Ceftizoxime* ; Drug Resistance, Microbial ; Enterobacter cloacae ; Enterobacteriaceae* ; Escherichia coli ; Gastrointestinal Microbiome ; Gentamicins ; Humans ; In Vitro Techniques* ; Mice ; Outpatients ; Plasmids ; Salmonella ; Shigella dysenteriae ; Tetracycline

PURPOSE: Neck masses are frequently encountered in pediatric practice, and have various underlying diseases. If the underlying diseases of the neck mass are not confirmed by its clinical characteristics, it can be done by neck mass biopsy. To define the necessity and the appropriate time of neck mass biopsy is very difficult and also important. Therefore the authers have conducted this study to have aids in differential diagnosis of neck mass in children by analyzing the clinical manifestations of underlying diseases of neck mass. METHODS: The authors have reviewed 390 children under 15 years of age who visited and admitted with neck masses to Shinchon Severance Hospital between Jan. 1987 and Dec. 1994. In order to elucidate the nature and etiologic diseases of neck masses, we classify and analyze the neck masses by age and sex distribution, duration of symptoms and signs, size and consistencies and by site and number of neck masses, and finally by underlying diseases. RESULTS: 1)Of the overall sex distribution, male patients were more than female, the male to female ratio was 1.32 : 1(222:168). The most common age group was 2-5 years of age. The most common acompanying symptoms were upper respiratory tract infection symptoms, comprising 37.7 % of all, and the most common duration of symptoms and signs was within 3 months, comprising 65.6 % of all. 2)Of the underlying diseases of the neck masses, the largest proportions were inflammatory masses, which comprising 49.2 % of all cases, among these, nonspecific cervical lymphadenitis was most common(65.6 %). 3)We could also confirm the nonspecific cervical lymphadenitis by clinical manifestations, blood exams and neck ultrasonography except neck mass biopsy. 4)For the diagnosis of tuberculous lymphadenitis, the family history of tuberculosis, PPD skin test, and chest X- ray findings are almost helpful, but the neck mass biopsy was essential. 5)Malignant tumors were 24 cases, which comprise 6.2 % of all. CONCLUSIONS: For the appropriate differential diagnosis of neck masses in children, we should observe and describe accurately the clinical characteristics of the neck masses. On physical examination, if we can not rule out the possibility of tuberculous lymphadenitis or malignant tumors, the neck mass biopsy should be done immediately, but if it is likely the nonspecific cervical lymphadenitis, we must wait until the size of neck masses decrease or other symptoms disappear after empirical antibiotics therapy.
Anti-Bacterial Agents ; Biopsy ; Child* ; Diagnosis ; Diagnosis, Differential ; Female ; Humans ; Lymphadenitis ; Male ; Neck* ; Physical Examination ; Respiratory Tract Infections ; Sex Distribution ; Skin Tests ; Thorax ; Tuberculosis ; Tuberculosis, Lymph Node ; Ultrasonography

No abstract available.
Cesarean Section* ; Cicatrix* ; Endometriosis* ; Female ; Pregnancy

The objective of this study was to evaluate outcome for the patients of the intensive care unit, using APACHE III prognostic system. We prospectively collected the information of 429 patients in intensive care units at 2 tertiary care hospitals and 4 secondary care hospitals in PUSAN who had been admitted from December 1, 1993 to February 28, 1994. The results were as follows. 1. APACHE 111 scores were various from 0 to 173. But the distribution of the scores were similar between tertiary care hospitals and secondary care hospitals. 2. The mortality rate significantly increased as APACHE 111 score rised (P<0.001). Within the interval of same score, generally, the mortality of operative patients was higher in secondary care hospitals but in the case of nonoperative patients higher in tertiary care hospitals. 3. when the tertiary care hospitals compared with secondary for ratio of the predicted mortality rate to the actual mortality rate, there was little difference. 4. when we compared the 6 hospitals, one hospital had significantly better results and another hospital was significantly inferior (P<0.05).
APACHE* ; Busan ; Humans ; Intensive Care Units* ; Critical Care* ; Mortality ; Prospective Studies ; Secondary Care ; Tertiary Healthcare

Cardiac rupture following blunt thoracic trauma is rarely encountered, since it commonly causes death at the scene. With advances in critical care, blunt cardiac rupture has been successfully treated with well-organized team approach including an emergency physician, anesthesiologist, and cardiac surgeon. We encountered a patient with blunt cardiac rupture of the junction of the superior vena cava and right atrium that extended 7 cm to the right ventricular junction. The patient was successfully resuscitated after a closed thoracostomy and pericardiocentesis with fluid loading. Cardiac injury was repaired via mid-sternotomy without cardiopulmonary bypass. The patient recovered without complications and was discharged on the 7th day after surgery.
Cardiopulmonary Bypass ; Critical Care ; Emergencies ; Heart Atria* ; Heart Injuries ; Heart Rupture* ; Humans ; Pericardiocentesis ; Thoracostomy ; Vena Cava, Superior*

PURPOSE: This retrospective study was designed to review and analyze the results of Delorme's procedure for rectal prolapse. METHODS: Between 1990 and 1999, twenty-nine patients with rectal prolapse underwent Delorme's procedure. These patients had had no previous operation for rectal prolapse. This study was proceeded retrospectively through the out-patient clinic and by telephone questionnare. RESULTS: Twelve cases (41%) were males and 17 cases (59%) were females. Mean age was 55.5 years (range, 23~86 years). The duration of the symptoms was ranged from 3 months to 60 years, with the mean period of 12.2 years. The follow-up period after the operation was from 3 months to 10 years (mean follow-up, 45 months). The internal rectal prolapses were 11 cases (38%), and the complete rectal prolapses were 18 cases (62%). The common preoperative bowel habits were incontinence with 6 cases (21%) and constipation with 10 cases (34%). After the operation, incontinence and constipation were improved in 4 cases (67%) and 6 cases (60%) respectively. Additional 2 cases of constipation occurred among 19 cases who hadn't had it preoperatively but the use of laxative helped in improving the symptom. The mean operation time was 71 minutes and in 24 cases (83%), the operation was proceeded with spinal anesthesia. In 27 cases (93%), the amount of bleeding during the operation was less than 100 cc, and in 1 case (3.4%), blood transfusion was needed because the amount was more than 400 cc. The three patients (10%) had postoperative complications(one perianal abscess due to anastomotic dehiscence and two urinary retention). There was one case of recurrence (3.4%) after the operation and no postoperative mortality. CONCLUSIONS: Delorme's procedure has the short operation time, causes less bleeding and is possible with regional anesthesia. Delorme's procedure has low complication rate, results in good bowel function and has a low recurrence rate. Therefore, Delorme's procedure can be performed with satisfactory outcome in elderly patients and the poor general conditioned patients as well as younger patients. As recurrence rates is low and continence is improved, this procedure may be the preferred initial treatment of all patients with rectal prolapse.
Abscess ; Aged ; Anesthesia, Conduction ; Anesthesia, Spinal ; Blood Transfusion ; Constipation ; Female ; Follow-Up Studies ; Hemorrhage ; Humans ; Male ; Mortality ; Outpatients ; Rectal Prolapse* ; Recurrence ; Retrospective Studies ; Telephone