1.Mycobacterium Fortuitum Infection of Acupuncture Sites.
Joon Ho LEE ; Hyoung Gi CHA ; Doo Chan MOON ; Kyung Sool KWON ; Tae Ahn CHUNG
Annals of Dermatology 1994;6(1):69-73
We report a case of Mycobacterium(M.) fortuitum infection in a 65-year-old female who presented with erythematous to purplish colored tender nodules and plaques with curst and purulent discharge on both upper and lower extremities along the sites of acupuncture. The culture of surgically excised specimen in 3% Ogawa media yielded slightly yellowish colored colonies within 2 days. Several tests for identification of the species were performed and growth on 5% NaCl, negative niacin test, positive results in nitrate reduction, catalase, urease and iron uptake tests were noted. Excision of the lesions followed by administration of minocycline and ciprofloxacin showed no sign of relapse to data a year after treatment.
Acupuncture*
;
Aged
;
Catalase
;
Ciprofloxacin
;
Female
;
Humans
;
Iron
;
Lower Extremity
;
Minocycline
;
Mycobacterium fortuitum*
;
Mycobacterium*
;
Niacin
;
Recurrence
;
Urease
2.Treatment of Infected Bone loss with External Fixator in Long Bone Shaft Fracture
Seung Rim PARK ; Hyoung Soo KIM ; Kyoung Ho MOON ; Joon Soon KANG ; Hong Sub LEE
The Journal of the Korean Orthopaedic Association 1994;29(6):1621-1631
From July 1989 to February 1993, twelve patients were analysed for infected bone loss which treated with radically debriding all infected dead bone and closed suction-irrigation system with antibiotics and internal lengthening by using the external fixator. The results are summarized as follows. 1, The average time for application of external fixation was 30.7 weeks in tibia, 27 weeks in femur and average time for bone union was 31.5 weeks in femur, 34.2 weeks in tibia. 2. Soft tissue defects were treated with split thickness skin graft in 6 cases, secondary closure in 4 cases, gastrocnemius rotational flap in 2 cases. 3. The length of bone defects after infected bone excision ranged from 2cm to 9.3cm, averaging 4.5cm. The bone defect was treated by internal lengthening after corticotomy with the Ilizarov apparatus in 4 cases, the Orthofix external fixator in 8 cases. 4. Four cases in this series were complicated; one pin tract infection, one angulation deformity, one checkrein deformity, one flexion contracture of knee joint. 5. Infection was managed with radical debriding infected dead bone and closed suction-irrigation system with antibiotics in all cases. 6. We recommend that the infected bone loss can be effectively managed with radically debriding dead bone and closed suction-irrigation system with antibiotics and lengthening with Ilizarov apparatus or Orthofix external fixator.
Anti-Bacterial Agents
;
Congenital Abnormalities
;
Contracture
;
External Fixators
;
Femur
;
Humans
;
Knee Joint
;
Skin
;
Tibia
;
Transplants
3.Clinical Experience of Small-cell Carcinomas of the Stomach.
Hyoung Ju KIM ; Sung Joon KWON ; Moon Hyang PARK
Journal of the Korean Gastric Cancer Association 2005;5(4):252-259
To clarify the clinicopathologic features of small-cell carcinomas (SCC) of the stomach, we reviewed three cases of surgically treated SCC. The first case was a pure SCC, with severe pancreatic invasion and peritoneal seeding. A gastro-jejunostomy was performed. Postoperative chemotherapy was performed with CDDP and VP-16 (8 cycles), but showed disease progression (PD); a consecutive chemotherapy with CDDP and irinotencan (2 cycles) also showed PD. A third line with CDDP, VP16, ifosfamide, and mesna was followed by a 4th line (CDDP and Taxol). The male patient died with liver metastasis and peritoneal seeding 14 months after the operation. The second case was a SCC mixed with a poorly differentiated adenocarcinoma. Profound lymphadenopathy and liver metastasis were found. Two cycles of preoperative chemotherapy with TS-1 and CDDP were performed, which showed nearly complete remission for lymphadenopathy and partial response for the primary tumor site and liver metastatic lesion. A total gastrectomy and extended lymphadenectomy was performed. There were no viable cancer cells in 35 retrieved lymph nodes. Postoperative chemotherapy using the same regimen was performed for 4 cycles. Enlarged liver metastasis was found at the follow-up CT scan, so a posterior segmentectomy of liver was performed. After liver surgery, the chemotherapy regimen was changed to irinotecan and cisplatin. This male patient has been in good health for the 14 months since gastric surgery. The third case was a pure SCC, and a subtotal gastrectomy was performed curatively. That male patient received 5 cycles of TS-1 and is still in good health 14 months after operation.
Adenocarcinoma
;
Cisplatin
;
Disease Progression
;
Drug Therapy
;
Etoposide
;
Follow-Up Studies
;
Gastrectomy
;
Hepatomegaly
;
Humans
;
Ifosfamide
;
Liver
;
Lymph Node Excision
;
Lymph Nodes
;
Lymphatic Diseases
;
Male
;
Mastectomy, Segmental
;
Mesna
;
Neoplasm Metastasis
;
Prognosis
;
Stomach*
;
Tomography, X-Ray Computed
4.Posterior Interspinous Fusion Device for One-Level Fusion in Degenerative Lumbar Spine Disease : Comparison with Pedicle Screw Fixation - Preliminary Report of at Least One Year Follow Up.
Ho Jung KIM ; Koang Hum BAK ; Hyoung Joon CHUN ; Suck Jun OH ; Tae Hoon KANG ; Moon Sool YANG
Journal of Korean Neurosurgical Society 2012;52(4):359-364
OBJECTIVE: Transpedicular screw fixation has some disadvantages such as postoperative back pain through wide muscle dissection, long operative time, and cephalad adjacent segmental degeneration (ASD). The purposes of this study are investigation and comparison of radiological and clinical results between interspinous fusion device (IFD) and pedicle screw. METHODS: From Jan. 2008 to Aug. 2009, 40 patients underwent spinal fusion with IFD combined with posterior lumbar interbody fusion (PLIF). In same study period, 36 patients underwent spinal fusion with pedicle screw fixation as control group. Dynamic lateral radiographs, visual analogue scale (VAS), and Korean version of the Oswestry disability index (K-ODI) scores were evaluated in both groups. RESULTS: The lumbar spine diseases in the IFD group were as followings; spinal stenosis in 26, degenerative spondylolisthesis in 12, and intervertebral disc herniation in 2. The mean follow up period was 14.24 months (range; 12 to 22 months) in the IFD group and 18.3 months (range; 12 to 28 months) in pedicle screw group. The mean VAS scores was preoperatively 7.16+/-2.1 and 8.03+/-2.3 in the IFD and pedicle screw groups, respectively, and improved postoperatively to 1.3+/-2.9 and 1.2+/-3.2 in 1-year follow ups (p<0.05). The K-ODI was decreased significantly in an equal amount in both groups one year postoperatively (p<0.05). The statistics revealed a higher incidence of ASD in pedicle screw group than the IFD group (p=0.029). CONCLUSION: Posterior IFD has several advantages over the pedicle screw fixation in terms of skin incision, muscle dissection and short operative time and less intraoperative estimated blood loss. The IFD with PLIF may be a favorable technique to replace the pedicle screw fixation in selective case.
Back Pain
;
Follow-Up Studies
;
Humans
;
Incidence
;
Intervertebral Disc
;
Muscles
;
Operative Time
;
Skin
;
Spinal Fusion
;
Spinal Stenosis
;
Spine
;
Spondylolisthesis
5.A Case of Intramedullary Cysticercosis in Thoracic Cord.
Hyoung Kyun RHA ; Moon Chan KIM ; Joon Ki KANG ; Jin Un SONG
Journal of Korean Neurosurgical Society 1981;10(2):659-664
A rare case of intramedullary Cysticercosis, at the thoracic cord is introduced which was misdiagnosed as intramedullary tumor and was confirmed after operation. After myelogram developed progressive paraplegia, which was not improved after operation. The myelographic finding of intramedullary Cysticercosis can't differenciate from intramedullary tumor and we have to consider this condition making diagnosis of intramedullary tumor.
Cysticercosis*
;
Diagnosis
;
Paraplegia
6.A Case of Endometriosis in the Abdominal Subcutaneous Tissue.
Hyun Ju MOON ; Tae Gyu AHN ; Kyung LEE ; Hyoung Gyun ROH ; Sang Joon CHOI ; Chang Hoon SONG ; Hyuk JUNG
Korean Journal of Obstetrics and Gynecology 1999;42(3):641-645
the ineidence of abdominal subcutaneous endometriosis is quite rare we have experienced one case of subcutaneous endometriosis. The typical clinical bistory and local findings of endometriasis enabk us to make the conect diagnosis. the treatment of choice is complete surgical excision of endometrial tissue and post operative medical therapy. This case was reported with a brief review of the comcemed literatures.
Diagnosis
;
Endometriosis*
;
Female
;
Subcutaneous Tissue*
7.Arthroscopic Management of The Septic Gonitis.
Young Lae MOON ; Jae Won YOU ; Hyoung Joon SHIM
Journal of the Korean Knee Society 2001;13(1):114-116
PURPOSE: To determine the place and the limit of the arthroscopic management of septic gonitis. MATERIALS AND METHODS: Twenty-five patients were treated for pyogenic gonitis. The duration of symptoms prior to arthroscopic debridement was 10.2 days(range, one to 45 days). The surgical treatment consisted in a arthroscopic irrigation with debridement of infected necrotic tissue, and the medical treatment consisted in a intravenous antibiotics for an average duration of 10.3 days, followed by oral treatment for 3 weeks. RESULTS: The average follow up was 23.7 months(15 to 37). Twenty-three out of 25 patients had regained their activity as painless full range of motion. CONCLUSION: Arthroscopic drainage is a valuable procedure for the treatment of the septic gonitis. Arthroscopic drainage is a method that has proved effective, with minimal morbidity, in attempts to cure septic arthritis of the knee.
Anti-Bacterial Agents
;
Arthritis, Infectious
;
Arthroscopy
;
Debridement
;
Drainage
;
Follow-Up Studies
;
Humans
;
Knee
;
Range of Motion, Articular
8.A Case of Allergic Contact Dermatitis due to Henna Tattooing.
Joon PARK ; Hyoung Dong KIM ; Moon Kyun CHO ; Young Lip PARK ; Jong Suk LEE ; Kyu Uang WHANG
Korean Journal of Dermatology 2007;45(10):1112-1114
Tattooing and other forms of body art have recently become popular fashion accessories worldwide. Temporary henna tattooing has also become increasingly popular and is readily available. Henna, which is called Mehndi in Indian, is a plant that is commonly used as a temporary dyeing agent. Para-phenylenediamine (PPD) is added to the Henna tattooing process in most cases to hasten the drying process and enhance darkness. Since PPD is widely recognized as a sensitizer, the risk of allergic contact dermatitis from henna tattoo mixtures is increasing. We report a case of contact dermatitis from a henna tattoo mixture, which developed 2 weeks after henna tattooing.
Darkness
;
Dermatitis, Allergic Contact*
;
Dermatitis, Contact
;
Plants
;
Tattooing*
9.Efficacy of Amosulalol HCI on Mild to Moderate Essential Hypertension.
Jong Won HA ; Namsik CHUNG ; June KWAN ; Moon Hyoung LEE ; Young Joon LEE ; Won Heum SHIM ; Seung Yun CHO ; Sung Soon KIM
Korean Circulation Journal 1995;25(3):676-683
BACKGROUND: The most important hemodynamic disturbance in patients with hypertension is an increase in peripheral vascular resistance due to arteriolar constriction. The most desirable way to lower blood pressure is to decrease peripheral vascular resistance without any adverse effects to cardiovascular function. Accordingly, both alpha and beta-adrenoceptor antagonists are effective drugs for the treatment of hypertension. Amosulalol, a new drug which blocks both sympathetic nerve alpha and beta-receptors, has been developed. METHODS: In order to investigate the efficacy and safety of oral amosulalol on essectial hypertension, a daily dodse of 20mg to 60mg amosulalol was administered in 31 hypertensive patients(male : 14, female : 17, mean age : 52.7+/-7.9) with diastolic blood pressure in the range of 95mmHg-120mmHg while off all other anti-hypertensive agents. Blood pressure and heart rate were measured every 2 weeks. The complete blood count, blood chemistry by SMA-12 and derum electrolytes and urinalysis were performed at entry, 1st and 8th week of therapy. RESULTS: 1) Baseline blood pressure after 2 weeks of placebo at sitting positing were 167.5+/-12.0/107.8+/-6.6mmHg. There was statistically significant reduction of blood pressure after 2 weeks treatment of amosulalol which was maintained up to 8 weeks(167.5+/-12.0/107.8+/-6.6mmHg vs 157.9+/-12.4/103.7+/-9.5mmHg, P<0.05). There was a significant reduction of systolic and diastolic pressures after the treatment when comparing the average value of two observation periods with that of treatment period(161.1+/-31.6/104.8+/-20.3mmHg vs 145.1+/-13.5/94.7+/-8.8mmHG, P<0.05). 2) The proportion of the patient who had a tendency to decline of bloop pressure after treatment with amosulalol was 94%. When considering the safety and efficacy, 94% of patients demonstrated to be safe and efficacious. 3) There was a significant decrease of heart rate after amosulalol without severe bradycardia(72.7+/-8.3/min vs 67.5+/-7.2/min, p<0.05). 4) There were no significant changes in blood chemistry, serum electrolytes. hematologic findings except two patients who showed slight bilirubin elevation over the treatment period. 5) One patient experienced dizziness that requires to discontinue the medication. CONCLUSION: In patients with mild to moderate hypertension, twice daily amosulalol(20mg, 40mg and 60mg) provided significant anti-hypertensive effects without serious side effects.
Antihypertensive Agents
;
Bilirubin
;
Blood Cell Count
;
Blood Pressure
;
Chemistry
;
Constriction
;
Dizziness
;
Electrolytes
;
Female
;
Heart Rate
;
Hemodynamics
;
Humans
;
Hypertension*
;
Urinalysis
;
Vascular Resistance
10.In vitro antimicrobial activities and a clinical study of carumonam.
Yang Ree KIM ; Ho Cheol SONG ; Jin Hyoung KANG ; Wan Shik SHIN ; Hoon Kyo KIM ; Moon Won KANG ; Tae Kon HWANG ; Yeon Joon PARK ; Sun Moo KIM
Korean Journal of Infectious Diseases 1992;24(3):191-199
No abstract available.