The aspergillus tracheobronchitis is distinctive manifestation of invasive aspergillosis, in which infection is limited completely or predominantly to the tracheobronchial tree. It accounts for about 7 to 10 percent of cases of invasive disease. Grossly, such disease may take the mucosal exudate and obstruct partially the airway lumen or completely the occlusive mucous/fungus plugs. Microscopically, the superficial portion of the airway wall is acutely inflamed and contain fungal hyphae. However, infection is often limited to the mucosa. We report a case of aspergillus tracheobrochits in a 54 year-old man who presented cough, progressive dyspnea with wheezing, and mucus plug. Bronchoscopy showed mucosal exudate and plug.Bronchoscopic biopsy showed aspergillus hyphae and inflammation in the mucosa. He was successfully treated with itraconazole.
Aspergillosis ; Aspergillus* ; Biopsy ; Bronchoscopy ; Cough ; Dyspnea ; Exudates and Transudates ; Humans ; Hyphae ; Inflammation ; Itraconazole ; Mucous Membrane ; Mucus ; Respiratory Sounds ; Trees

We studied anti-HBs titer, positive and effective rate in relation to dosages(5microgram, 10microgram) and time interval after third vaccination in 23 infants born to HBsAg negative mother. The babies were divided into two groups. In one group(n=12), 5microgram of Hepavax was administered intramusculary at 1 month, 2 months and 6 months of age, in other group (n=11), 10microgram of Hepavax at same time interval. And the anti-HBs was studied at 2 months and 3 year after third vaccination by radioimmunoassay. The results were as follows: 1) The anti-HBs positive rate was 100% in two groups at 2 months and 3 years after vaccination. 2) The geometric mean anti-HBs titer at 2 months after third vacciantion was 9418.3+/-13041.5 IU/L in 5microgram group and 12750.0+/-12750.5 IU/L in 10microgram group, and 3 year after vaccination, 949.4+/-1404.0 IU/L in 5microgram group, 1067.4+/-1067.7 IU/L in 10microgram group. There were no significant difference between two groups, although mean anti-HBs titer decreased significantly after 3 years. 3) The effective rate at 3 years after vaccination was 66.7% in 5 microgram group and 72.8% in 10microgram group. There was no statistical significant difference between two groups.
Hepatitis B Surface Antigens ; Hepatitis B Vaccines ; Hepatitis B* ; Hepatitis* ; Humans ; Infant ; Infant, Newborn* ; Mothers ; Radioimmunoassay ; Vaccination*

No abstract available.
Blood Group Incompatibility* ; Bromelains*

No abstract available.

No abstract available.
Pericardial Effusion*

Pulmonary aspergillosis is classified as a saprophytic, allergic, and invasive disease. Chronic necrotizing pulmonary aspergillosis is categorized as an invasive pulmonary aspergillosis. Most invasive pulmonary aspergillosis have acute and toxic clinical features but chronic necrotizing pulmonary aspergillosis is characterized by a sub-acute infection, most commonly seen in patients with altered local defense system from preexisting pulmonary disease of in mild immunocompromised patients. Pulmonary artery aneurysm due to this infection is termed as a mycotic aneurysm, etiology of which are tuberculosis, syphilis, bacteria and fungus. We report a case chronic necrotizing pulmonary aspergillosis complicating pulmonary aneurysm is a 62 year-old man who was presented with cough, sputum, and fever. Chest radiographs showed a rapid, progressive cavitary lesion and pulmonary artery aneurysm. Angioinvastion of aspergillus was revealed by pathology after operative removal of left upper lobe containing the pulmonary artery aneurysm. He was treated with itraconazole.
Aneurysm* ; Aneurysm, Infected ; Aspergillus ; Bacteria ; Cough ; Fever ; Fungi ; Humans ; Immunocompromised Host ; Invasive Pulmonary Aspergillosis* ; Itraconazole ; Lung Diseases ; Pathology ; Pulmonary Artery* ; Pulmonary Aspergillosis ; Radiography, Thoracic ; Sputum ; Syphilis ; Tuberculosis

Taking eyedrops according to prescription is an important factor in the management of glaucoma. In this study, we investigated th causes, forms, and sociological variables associated with patient noncompliance and measures to improve compliance. We surveyed 184 patients using eyedrops as prescribed for glaucoma to evaluate compliance. The frequency of missing eyedrops were as follows. Fifty patients missed taking eyedrops more than once per week, 17 missed once per 2 weeks, therefore, 39% of the total patients missed taking eyedrops more than once per 2 weeks. We defined the good compliance group as those who missed taking eyedrops once or less per month and inquired into the factors affecting compliance. Lesser frequency of taking eyedrops and no experience of side effects, resulted in good compliance, whereas age, sex, duration of disease, the standard of living, understanding the doctor's prescription, marital status, and fear of blindness did not affect compliance. Regarding understanding the doctor's prescription, 74.7% of the patients answered 'fully understood', however, 64.3% of the patients answered 'No' when questioned 'Did you press your punctum or close your eyes for five minutes after taking eyedrops?' showing discrepancy between performance and understanding the doctor's prescription. Therefore, we have to make to make an effort to promote compliance by considering these factors in treatment of glaucoma patients.
Blindness ; Compliance* ; Glaucoma* ; Humans ; Marital Status ; Ophthalmic Solutions* ; Patient Compliance ; Prescriptions ; Socioeconomic Factors

OBJECTIVE: To compare physiological cost index of the two manual wheel chair propulsion methods: pushing the handrim forward and reversely, and to find out whether the reverse propulsion method will help prevention of the carpal tunnel syndrome in manual wheelchair users. METHOD: The subjects were thirty healthy men in their twenties. All of them performed two manual wheelchair propulsion methods for two days, foreward propulsion on the first day and reverse propulsion the next day. Duration of the wheelchair propulsion was ten minutes. Electromyography (EMG) of wrist extensor groups, biceps brachii, pectoralis major, trapezius, and triceps brachii, and heart rates were recorded. The EMG activity of each individual was transformed to root mean square (RMS), EMG activity appearance time (%), and EMG activity continuance time (%). RESULTS: EMG activity of the wrist extensors in reverse propulsion of the wheelchair was less active compared to forward propulsion. In reverse propulsion method, energy efficiency was not significantly increased, but RMS of wrist extensor groups was significantly reduced. Contractions of trapezius and biceps brachii muscles appeared in earlier phase of propulsion. CONCLUSION: We concluded that reverse propulsion of the wheelchair will be more effective method of wheelchair propulsion compared to forward propulsion in preventing carpal tunnel syndrome in long-term wheelchair users. The reverse propulsion method in this study uses wrist extensor less, which can reduce the wrist extension movement during wheelchair propulsion. It can possibly contribute on the prevention of carpal tunnel syndrome in long-term wheelchair users.
Carpal Tunnel Syndrome ; Electromyography ; Heart Rate ; Humans ; Male ; Muscles ; Superficial Back Muscles ; Upper Extremity* ; Wheelchairs* ; Wrist

A 29-year-old woman presented with secondary amenorrhea, primary infertility, and virilization, which had developed over the past 2 years was suspected to have a virilizing tumor at her left ovary. Her serum testosterone level was markedly elevated (380 ng/dL). Left salpingooophorectomy was performed, and histopathological examination revealed a thecoma of the left ovary. The postoperative serum testosterone level returned to 65 ng/dL. The patient did not have regression of virilism soon. However, the patient had a normal menstruation 29 days after surgery and gave birth to a baby 13 months after surgery.
Adult ; Female ; Humans ; Menstruation ; Ovarian Neoplasms/blood/*complications/*surgery ; Ovariectomy ; Pregnancy ; Pregnancy Outcome ; Testosterone/blood ; Thecoma/blood/*complications/*surgery ; Virilism/blood/*etiology/surgery

Congenital nasolacrimal duct obstruction is a major cause of epiphora in infants and the incidence is known to be 1.75% to 12.5%. Debates continues about optimal management for patient`s age. Both early intervention and late intervention have advantages and disadvantages. This study was designed to evaluate the effect of probing for congenital nasolacrimal duet obstruction in association with the patient` s age to decide the optimal timing for probing. From January 1993 to November 1996, 85 eyes of 68 patients were diagnosed as congenital nasolacrimal duct obstruction and had probing under topical anesthesia. The success of probing was defined as improvement of symptoms for at least 4 weeks of period after probing. The probing was successful in 73 out of 85 eyes and the success rate was 85.8%. The success rate of infants between 3 to 9 months of age was 92.6%. The success rate of infants older than 10 months of age was 74.2%. The difference between two groups was statistically significant(P<0.05). The success rate of probing for congenital nasolacrimal duct obstruction was highly associated with the age and it began to decrease when the age of the patient was over 10 months. Therefore it is recommendable to probe for congenital nasolacrimal duct obstruction before the age of the patient reaches 10 months.
Anesthesia ; Early Intervention (Education) ; Humans ; Incidence ; Infant ; Lacrimal Apparatus Diseases ; Nasolacrimal Duct*