1.Acute Pulmonary Coccidioidomycosis and Review of Published Cases with Lung Involvement in Korea.
Ji Hyun OH ; Hyo Shik KIM ; Kyu Tae YOON ; Yena KANG ; Changwook MIN ; So My KOO ; Jung Hwa HWANG ; Ki Up KIM
Soonchunhyang Medical Science 2015;21(2):159-163
Coccidioidomycosis is a fungal infection caused by Coccidioides immitis. The endemic area is mostly south-western United States. As increasing in overseas travel to endemic areas, the incidence rate has been recently increased in non-endemic areas. The diagnosis may be delayed in non-endemic area. It is important to elicit traveling histories and to differentiate lung consolidation with eosinophilia, for timely diagnosis of coccidioidomycosis. Recently, we experienced a case with pulmonary coccidioidomycosis in a Korean American who visited Korea showed consolidation in right lower lobe on chest X-ray and prolonged eosinophilia. In the case, a confirmatory diagnostic method was percutaneous transthoracic needle biopsy of lung. We report acute pulomonary coccidioidomycosis case and review previous published reports with pulmonary manifestation in Korea.
Asian Americans
;
Biopsy, Needle
;
Coccidioides
;
Coccidioidomycosis*
;
Diagnosis
;
Endemic Diseases
;
Eosinophilia
;
Humans
;
Incidence
;
Korea*
;
Lung Diseases, Fungal
;
Lung*
;
Thorax
;
United States
2.A Case of Huge Anal Fibroepithelial Polyp with HemorrhoidsMisdiagnosed as Anal Cancer.
Kwan Woo KIM ; Tak Yong KIM ; Jung Ho PARK ; Su Chan BAE ; Eun Jin GANG ; Sa Ra LEE ; Min Woong KIM ; Ji Hoon YOON ; Hwa My KANG ; Jong Hwan PARK ; Chi Hoon KIM ; Seung Keun PARK ; Hee Ug PARK ; Hye Sook KIM
Korean Journal of Gastrointestinal Endoscopy 2005;30(1):43-46
The anal fibroepithelial polyps are well-known polypoid conditions histologically consisting of connective tissue response resulting from local irritation, which is closely associated with hemorrhoids. As previously reported, the size of the polyps ranged from 3 to 19 mm, average 9 mm. A 60-year-old women was admitted complaining of anal bleeding and constipation. Colonoscopy revealed a 3.0 2.5 cm sized, subpedunculated polyp on the dendate line. We removed the polyp by per anal local excision due to its hard stalk after failure of colonoscopic removal. The histologic examination was showed mature stratified squamous epithelium with hyalinized vascular changes. We report a case of huge and hard anal fibroepithelial polyp with hemorroids misdignosed as cancer.
Anal Canal
;
Anus Neoplasms*
;
Colonoscopy
;
Connective Tissue
;
Constipation
;
Epithelium
;
Female
;
Hemorrhage
;
Hemorrhoids
;
Humans
;
Hyalin
;
Middle Aged
;
Polyps*