1.The Study of Identification of Methicillin-Resistant Staphylococcus Aureus using Polymerase Chain Reaction.
Youn Gyoung GIL ; Jin Hong JEONG ; Chan Bin IHM ; Youn Sik SHIN ; Sun Hoe KOO
Korean Journal of Clinical Pathology 1997;17(4):581-587
BACKGROUND: Rapid and accurate identification of methicillin-resistant Staphylococcus (MRSA) is very important for patients because they are one of the most common etiologic agents of hospital infection. Conventional identification methods for MRSA are influenced by various factors such as pH, concentration of salt, conditions of media. METHODS: 53 methicillin resistant staphylococcus strains identified by ATB plus system (Biomerieux, France) were preformed the polymerase chain reaction (PCR), Southern blot hybridization fort the detection of mec A gene, and subcultured in Meuller-Hinton media containing 4 microgram/mL oxacillin for the comparison. RESULTS: The correlation of detection rate of mec A gene PCR and ATB plus systems was 81.6%. The correlation of mec A gene PCR and MRSA on Mueller-Hinton media containing 4 microgram/mL oxacillin was 80%. We confirmed by Southern blot hybridization the amplified mer A gene originated from chromosome of MRSA. As the results of oxacillin sensitivity test, minimal inhibitory concentrations of MRSA were distributed between 40 microgram/mL and 320 microgram/mL. When compared with executing time, ATB plus system took 24 hours, but PCR took 5 hours for identification. CONCLUSION: We concluded that mec A gone PCR techniques were simple and rapid for detection of MRSA comparative to conventional methods.
Blotting, Southern
;
Cross Infection
;
Genes, vif
;
Humans
;
Hydrogen-Ion Concentration
;
Methicillin Resistance*
;
Methicillin-Resistant Staphylococcus aureus*
;
Oxacillin
;
Polymerase Chain Reaction*
;
Staphylococcus
2.A case of giant nasopharyngeal malignant fibrous histiocytoma(MFH) causing acute respiratory distress.
Uk LIM ; Chan Sik SHIN ; Kyung Rae KIM ; Hyung Seok LEE
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(1):150-155
No abstract available.
3.Rhodontodular glitinis peritonitis in patient undergoing continuous ambulatory peritoneal dialysis.
Joo Hyun PARK ; Chul Woo YANG ; Dong Chan JIN ; Wan Shik SHIN ; In Seok PARK ; Yoon Sik CHANG ; Byung Kee BANG
Korean Journal of Nephrology 1992;11(1):85-87
No abstract available.
Humans
;
Peritoneal Dialysis, Continuous Ambulatory*
;
Peritonitis*
4.Comparison of ultrasonic study following transabdominal and transvaginal procedure between normal and abdominal pregnancy.
Kyo Sik SHIN ; Sung Yong LEE ; Chan Young JUNG ; Gil Soo KO ; Pong Rheem JANG ; Yang Suh PARK
Korean Journal of Obstetrics and Gynecology 1993;36(3):303-311
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Abdominal*
;
Ultrasonics*
5.A Case of Gitelman's Syndrome Presented with Chest Pain and Syncope.
Korean Journal of Nephrology 2006;25(6):1013-1017
Gitelman's syndrome is a rare autosomal recessive, inherited renal tubular disorder, first described by Gitelman et al. in 1966, and it is characterized by hypokalemic metabolic alkalosis, hypomagnesemia, salt wasting, normal to low blood pressure and rather low urinary calcium excretion rates with elevated plasma renin activity. This syndrome is caused by inactivating mutation in the SLC12A3 gene coding for the thiazide-sensitive sodium chloride cotransporter in the distal convoluted tubule. In most of the patients with Gitelman's syndrome, the disease manifests with transient episodes of muscular weakness and tetany in the adulthood. Herein, we report a case of Gitelman's syndrome atypically presented with chest pain and syncope.
Alkalosis
;
Calcium
;
Chest Pain*
;
Clinical Coding
;
Gitelman Syndrome*
;
Humans
;
Hypotension
;
Muscle Weakness
;
Plasma
;
Renin
;
Sodium Chloride Symporters
;
Syncope*
;
Tetany
;
Thorax*
6.Chevron Osteotomy for the Treatment of hallux Valgus
Yong Girl LEE ; Sang Soo DO ; Seung Ki JEONG ; Hyung Joo KIM ; Chan Seog AHN ; Tae Sik SHIN
The Journal of the Korean Orthopaedic Association 1990;25(6):1712-1717
Hallux valgus has been defined as a static subluxation of the first metatarsophalangeal joint with lateral deviation of the proximal phalanx on the first metatarsal head from the longitudinal axis of the first metatarsal with medial deviation of the first metatarsal. And first-second metatarsal angle is increased as well as bursal hypertrophy over the medial eminence of the first metatarsal head. Many procedures have been reported for the treatment of the hallux valgus ranging from resection arthroplasty to distal first metatarsal or basal first metatarsal osteotomy. Of these, Johnson and Corless have required sufficiently good results in the modifying Mitchell osteotomy into Chevron osteotomy. The Chevron procedure is an osteotomy involving the distal portion of the first metatarsal, lateral displacement of the metatarsal head with exostosectomy, and tightening of the medial capsular structures. Authors studied 17 cases in 10 patients with the hallux valgus deformity treated by Chevron osteotomy at the Department of Orthopedic Surgery, Capital Armed Forced General Hospital from September 1987 to September 1989. The results were as follows; 1. Seven patients (12 cases) were male and three patients (5 cases) were female. All patients had bilateral hallux valgus deformity. 2. The average first-second intermetatarsal angle was 11 degrees and average valgus angle was 32 degrees, preoperatively. They were corrected to 9 degrees and 14 degrees respectively. 3. The metatarsalgia of the great toe was subsided in all cases and they were satisfied with the result of their operations in respect to cosmetically and functionally. Avascular necrosis of capital fragment, nonunion, and dorsal angulation were not developed in any case. But, one case had marginal skin necrosis, presumably due to excessive compressive dressing. 4. Chevron osteotomy is a technically easy procedure and it can be obtained early bone healing with less complication.
Arm
;
Arthroplasty
;
Bandages
;
Congenital Abnormalities
;
Female
;
Hallux Valgus
;
Hallux
;
Head
;
Hospitals, General
;
Humans
;
Hypertrophy
;
Male
;
Median Eminence
;
Metatarsal Bones
;
Metatarsalgia
;
Metatarsophalangeal Joint
;
Necrosis
;
Orthopedics
;
Osteotomy
;
Skin
;
Toes
7.Spontaneous Bilateral Achilles Tendon Rupture after Local Steroid Injection for Carpal Tunnel Syndrome in a Diabetic Patient: A case report.
Shin Kyoung KIM ; Jong Moon KIM ; Hyun Sik PARK ; Hyun Joon SHIN ; Chan Ho HWANG
Journal of the Korean Academy of Rehabilitation Medicine 2009;33(6):715-717
Achilles tendon injuries are one of the most common tendon injuries in the lower extremities, but spontaneous bilateral achilles tendon rupture without any external force is extremely rare. We present a case of a patient who had spontaneous bilateral achilles tendon rupture related to multiple steroid injections for carpal tunnel syndrome in diabetes. According to this case, we suggest that we should take special precaution to use steroid to the diabetes though it is not applied to the achilles tendon directly.
Achilles Tendon
;
Carpal Tunnel Syndrome
;
Diabetes Mellitus
;
Humans
;
Lower Extremity
;
Rupture
;
Tendon Injuries
8.A Case of Palmoplantar Lichen Planus Mimicking Secondary Syphilis.
Young Sik KIM ; Mi Hye KIM ; Chan Woo KIM ; Dong Hoon SHIN ; Jong Soo CHOI ; Ki Hong KIM
Annals of Dermatology 2009;21(4):429-431
Lichen planus is a chronic inflammatory disease that affects skin, mucous membranes, hairs, and nails. According to the site of involvement, lichen planus can be subdivided into palmoplantar, mucosal, nail, or scalp types. Palmoplantar lichen planus is a rare subtype of lichen planus which may create difficulty in diagnosis, as the lesion is limited to the palms and soles. We report a case of a 37-year-old male with lichen planus who presented with multiple erythematous, scaly, hyperkeratotic papules on his palms and soles mimicking secondary syphilis.
Adult
;
Hair
;
Humans
;
Lichen Planus
;
Lichens
;
Male
;
Mucous Membrane
;
Nails
;
Scalp
;
Skin
;
Syphilis
9.A Case of Scabies in an Infant: Presumably Infested from His Nursery Nurse.
Young Sik KIM ; Mi Hye KIM ; Chan Woo KIM ; Dong Hoon SHIN ; Jong Soo CHOI ; Ki Hong KIM
Korean Journal of Dermatology 2009;47(8):925-929
Scabies is a skin disease involving infestation by Sarcoptes scabiei. The incidence of scabies in Korea has decreased during the past 20 years. Atypical cases can be misdiagnosed and can be a source of spreading in a family. A 2 month old infant had multiple erythematous papules, vesicles and yellowish crusted lesions on the trunk, extremities, face, palms and soles. It did not clear with treatments administered by local clinics. Clinical differential diagnoses included incontinentia pigmentii, erythema neonatorum, allergic contact dermatitis, and insect bite. Skin biopsy and mineral oil examination revealed scabies mites and eggs. A history from the family suggested that a nursery nurse taking care of the infant after his birth might be an infection source. His parents, his elder sister, his maternal grandmother and 2 other relatives were also infected from him.
Biopsy
;
Dermatitis, Allergic Contact
;
Diagnosis, Differential
;
Eggs
;
Erythema
;
Extremities
;
Humans
;
Incidence
;
Infant
;
Insect Bites and Stings
;
Korea
;
Mineral Oil
;
Mites
;
Nurseries
;
Ovum
;
Parents
;
Parturition
;
Sarcoptes scabiei
;
Scabies
;
Siblings
;
Skin
;
Skin Diseases
10.Relationship between T cell subset and clinical characteristics in bronchlal asthma.
Sook Young LEE ; Hyoung Kyu YOON ; Yoon SHIN ; Sang Haak LEE ; Seok Chan KIM ; Kwan Hyuong KIM ; Hwa Sik MOON ; Jeong Sup SONG ; Sung Hak PARK
Journal of Asthma, Allergy and Clinical Immunology 1999;19(6):904-911
BACKGROUND AND OBJECTIVE: T cells play a pivotal role in initiating and orchestrating bronchial inflammation in asthma. However, little is known about changes in T cell subset in the airways. Our objective was to study whether the proportion of CD4+ or CD8+ T cells in the bronchoa1veolar lavage fluid (BALF) of bronchial asthma is different from normal subjects, and whether it is associated with clinical characteristics. METHODS: We examined the percentage of CD4+ and CD8+ cells in the BALF of 37 patients with bronchial asthma and 14 normal controls by flow cytometry. Bronchial asthma was classified as mild, moderate and severe according to bronchial hyperresponsiveness. Skin prick test and pulmonary function tests were performed. RESULTS: The percentage of CD4+ cells in BALF did not differ between asthmatics and controls, however, the percentage of CD8+ cells was significantly higher in asthmatics than contro1s, In asthmatics, the percentage of CD4+ cells and CD8+ cells did not differ between atopic and nonatopic asthmatics. The percentage of CD8+ cells in addition to CD4+ cells was correlated with the percentage of eosinophils in BALF, and the percentage of CD8+ cells also showed negative correlation with FEV, and FEF25-75% CONCLUSION: These results suggest that CD8+ cells as well as CD4+ cells are associated with airway inflammation in bronchial asthma.
Asthma*
;
Eosinophils
;
Flow Cytometry
;
Humans
;
Inflammation
;
Respiratory Function Tests
;
Skin
;
T-Lymphocytes
;
Therapeutic Irrigation