1.A Case of Typhoid Fever Complicated by Sensorineural Hearing Loss, Acute Pancreatitis and Hepatitis.
Hyun Seon BAEK ; Hyung Tae OH ; Seon Kyung SONG ; Kwi Wan KIM
Korean Journal of Infectious Diseases 1997;29(1):57-61
Typhoid fever is an acute systemic febrile disease caused by Salmonella Typhi, characterized by persistent fever, headache, abdominal pain, diarrhea and rose spots. Salmonella infection can lead to diffuse organ involvement including bone, lung, thyroid, kidney, liver, spleen, heart, intestine and skin. While a variety of complications may be seen in typhoid fever, sensorineural hearing loss or pancreatitis has been rarely observed. Recently, we experienced a case of typhoid fever complicated by sensorineural hearing loss, acute pancreatitis and hepatitis in a 21-year-old female patient, who was improved with ceftriaxone and ciprofloxacin administration and supportive care. We report this case with a review of the literature.
Abdominal Pain
;
Ceftriaxone
;
Ciprofloxacin
;
Diarrhea
;
Female
;
Fever
;
Headache
;
Hearing Loss, Sensorineural*
;
Heart
;
Hepatitis*
;
Humans
;
Intestines
;
Kidney
;
Liver
;
Lung
;
Pancreatitis*
;
Salmonella Infections
;
Salmonella typhi
;
Skin
;
Spleen
;
Thyroid Gland
;
Typhoid Fever*
;
Young Adult
2.A Case of Polycythemia Vera Presenting with Angina Pectoris without Coronary Artery Stenosis.
Heon Seok KANG ; Wan KIM ; Yong Rok KIM ; Jong Chul BAEK ; Hyung Seon RHEU ; Soong LEE ; Jae Il MOUNG
Korean Circulation Journal 1997;27(7):787-792
The majority of ptients with ischemic heart disease such as angina pectoris and myocardial infarction have coronary atherosclerosis as a underlying cause. However, in unusual conditions such as variant angina, aortic valvular heart disease, hypertrophic cardiomyopathy, vasculitis, hypercoagulable states, coronary atherosclerosis is not the cause. Polycythemia vesa is a myeloproliferative disease characterized by infrequent thromboembolic complications such as ischemic heart disease. We report a case of polycythemia vera presenting with angina pectoris without coronary artery stenosis with the review of the literature.
Angina Pectoris*
;
Cardiomyopathy, Hypertrophic
;
Coronary Artery Disease
;
Coronary Stenosis*
;
Coronary Vessels*
;
Heart Valve Diseases
;
Myocardial Infarction
;
Myocardial Ischemia
;
Polycythemia Vera*
;
Polycythemia*
;
Vasculitis
3.Isolation of Apodemus peninsulae-borne Hantavirus and Cimparison of Molecular Biological Characteristics.
Ki Joon SONG ; Hyung Seon YUN ; Eun Young KHO ; Ki Mo CHUNG ; Kwang Sook PARK ; Yong Ju LEE ; Jin Won SONG ; Luck Ju BAEK
Journal of the Korean Society of Virology 2000;30(1):19-28
Two distinct hantaviruses have been isolated from Apodemus agrarius in 1976 and Rattus norvegicus in 1980 in Korea. Since our serosurveys conducted in 1994, a genetically distinct hantavirus from Apodemus peninsulae has been investigated. To isolate hantavirus from A. peninsulae captured in Korea, the lung homogenate of seropositive A. peninsulae inoculted Vero E6 cells. Viral antigen was detected in a progressively higher percentage of cells with subsequent passage after 80 days postinoculation. The new isolate from seropositive Apodemus peninsulae was designated Suchong virus after Suchong valley located in northeastern region of South Korea. Comparing with hantaan virus 76-118 strain, Suchong virus-1, 2, 3 and 4 showed the similarity of 71.0~91.8% at nucleotide and 90.9~94.8% at amino acid sequences in 231 nucleotides region of M segment, and the similarity of 75.1~81.0% at nucleotide and 97.5~100% at amino acid sequences in 237 nucleotides of S segment.
Amino Acid Sequence
;
Animals
;
Hantaan virus
;
Hantavirus*
;
Korea
;
Lung
;
Murinae*
;
Nucleotides
;
Population Characteristics*
;
Rats
4.Protective effect of diallyl disulfide on cyclophosphamide-induced testicular toxicity in rats.
Sung Hwan KIM ; In Chul LEE ; Hyung Seon BAEK ; Changjong MOON ; Sung Ho KIM ; Jong Choon KIM
Laboratory Animal Research 2013;29(4):204-211
This study investigated the protective effects of diallyl disulfide (DADS) against cyclophosphamide (CP)-induced testicular toxicity in male rats. DADS was gavaged to rats once daily for 3 days at 100 mg/kg/day. One hour after the final DADS treatment, the rats were given a single intraperitoneal dose of 150 mg/kg CP. All rats were killed and necropsied on day 56 after CP treatment. Parameters of testicular toxicity included reproductive organ weight, testicular sperm head count, epididymal sperm motility and morphology, epididymal index, and histopathologic examinations. The CP treatment caused a decrease in body weight, testicular sperm head count, epididymal sperm motility, and epididymal index. The histopathological examination revealed various morphological alterations, characterized by degeneration of spermatogonia/spermatocytes, vacuolization, and decreased number of spermatids/spermatocytes in the testis, and cell debris and mild oligospermia in the ductus epididymis. In contrast, DADS pretreatment effectively attenuated the testicular toxicity caused by CP, including decreased sperm head count, epididymal sperm motility, and epididymal index and increased histopathological alterations in the testis and epididymis. These results indicate that DADS attenuates testicular toxicity induced by CP in rats.
Animals
;
Body Weight
;
Cyclophosphamide
;
Epididymis
;
Humans
;
Male
;
Oligospermia
;
Organ Size
;
Rats*
;
Sperm Head
;
Sperm Motility
;
Testis
5.Appendico-Sigmoid Fistula Due to Appendicitis.
Seon Woo KIM ; Byung Kwon AHN ; Hyung Seok PARK ; Seung Hyun LEE ; Sung Uhn BAEK
Journal of the Korean Society of Coloproctology 2004;20(4):225-227
An appendico-sigmoid fistula is a rare entity that has seldom been reported in the literature. In review articles, there are only several reports of appendiceal fistulas, including two into the ileum, two into the ascending colon, two into the sigmoid colon, and one into the Meckel's diverticulum. Presumably, these cases were caused primarily by antecedent appendicitis and diverticulitis. We experienced a case of an appendico-sigmoid fistula due to appendicitis. A 42-year-old man was admitted with complaints of low abdominal pain, distension, and a chilling sense for 1 month. On physical examination, the patient had right low-quadrant abdominal tenderness and rebound tenderness. However, the patient had no fever, and the WBC count was 8,900/mm3. On colonoscopy and barium study, the patient was diagnosed as having an appendico-sigmoid fistula due to appendicitis. An appendectomy and segmental resection of the sigmoid colon was done.
Abdominal Pain
;
Adult
;
Appendectomy
;
Appendicitis*
;
Barium
;
Colon, Ascending
;
Colon, Sigmoid
;
Colonoscopy
;
Diverticulitis
;
Fever
;
Fistula*
;
Humans
;
Ileum
;
Meckel Diverticulum
;
Physical Examination
6.Evaluation and Application Effect of a Home Nasogastric Tube Feeding Simulation Module for Nursing Students: An Application of the NLN Jeffries Simulation Theory.
Hee Chong BAEK ; Young Ran LEE ; Jong Eun LEE ; Jin Hwa LEE ; Hyung Seon KIM
Journal of Korean Academy of Community Health Nursing 2017;28(3):324-333
PURPOSE: The purpose of this study was to develop a simulation module for teaching home health care and evaluate the applicability of the program to nursing students' practical training. METHODS: The simulation module was developed based on the National League for Nursing Jeffries Simulation Theory. The theme of the developed scenario was teaching nasogastric tube feeding to the caregiver of patient with Parkinson disease. Participants were 61 nursing students who had learned tube feeding, and participated in the questionnaire survey after the simulation training. RESULTS: The evaluation of simulation design showed the highest score on feedback/guided reflection, and was highly evaluated in the order of objectives/information, problem solving and fidelity. The educational practice of the simulation was highly evaluated in the order of active learning, high expectation and diversity of learning. The nursing students showed high satisfaction and self-confidence after the simulation education. CONCLUSION: We suggest that the developed simulation module can be applied to practical training for home health care. In the future, the change of self-efficacy, clinical judgment and performance ability of the students after the simulation education should be identified. Also, various simulation modules related to the community health nursing competencies should be continuously developed and verified.
Caregivers
;
Community Health Nursing
;
Delivery of Health Care
;
Education
;
Enteral Nutrition*
;
Home Health Nursing
;
Humans
;
Judgment
;
Learning
;
Nursing*
;
Parkinson Disease
;
Problem Solving
;
Problem-Based Learning
;
Simulation Training
;
Students, Nursing*
7.Core Needle Biopsy of Thyroid Nodules: Consensus Statement and Recommendations.
Jung Hwan BAEK ; Dong Gyu NA ; Jeong Hyun LEE ; So Lyung JUNG ; Ji Hoon KIM ; Jin Yong SUNG ; Kyu Sun KIM ; Jung Hee SHIN ; Jeong Seon PARK ; Seon Mi BAEK ; Jung Suk SIM ; Kyung Tae KIM ; Min Young BAE ; Ji Hwa RYU ; Hyun Kyung LIM ; Joon Hyung LEE
Journal of the Korean Society of Medical Ultrasound 2013;32(2):95-102
Core needle biopsy is a complementary diagnostic method of fine needle aspiration for patients with thyroid nodules. The Task Force Committee of the Korean Society of Thyroid Radiology has developed recommendations for diagnosis of thyroid nodules and recurrent thyroid cancers using core needle biopsy. These recommendations are based on evidence from the current literature and expert consensus.
Advisory Committees
;
Biopsy, Fine-Needle
;
Biopsy, Large-Core Needle
;
Consensus
;
Humans
;
Thyroid Gland
;
Thyroid Nodule
8.Listeria monocytogenes Myelitis.
Sung Hyun LEE ; Jae Won SHIN ; Jin Hwi KANG ; Mi Young AHN ; Shin Hye BAEK ; Hyung Suk LEE ; Ji Seon KIM ; Dong Ick SHIN ; Sang Soo LEE
Journal of the Korean Neurological Association 2011;29(2):120-123
Listeria myelitis is known to be very rare and not reported yet in Korea. A 78-year-old man with diabetes mellitus and hepatocellular carcinoma presented altered mentality, paraparesis, and fever. His spinal cord MRI, cerebrospinal fluid study, and blood culture demonstrated thoracic myelitis caused by Listeria monocytogenes. This case suggests that listeria myelitis should be considered as one of the causes of non-tumorous myelopathy especially in immunocompromised patients.
Aged
;
Carcinoma, Hepatocellular
;
Diabetes Mellitus
;
Fever
;
Humans
;
Immunocompromised Host
;
Korea
;
Listeria
;
Listeria monocytogenes
;
Myelitis
;
Paraparesis
;
Spinal Cord
;
Spinal Cord Diseases
9.A Case of Saccular Arteriosclerotic Aortic Aneurysm Associated with Thrombus in Aortic Arch.
Yong Rok KIM ; Wan KIM ; Jong Cheul BAEK ; Heon Seok KANG ; Houng Roul YOUM ; Hyung Seon RHEU ; Soong LEE ; Jae Il MYUNG ; Seung Ho KIM
Journal of the Korean Society of Echocardiography 1997;5(1):58-63
An aortic aneurysm is described as a permanent localized dilatation of the aorta having a diameter at least 1.5 times that of the expected norrnal diameter of that given aortic segment. Thoracic aortic aneurysms are much less common than are aneurysms of the abdominal aorta. Thoracic aneurysms are classified by the portion of aorta involved, I.e., the ascending, arch, or descending thoracic aorta. We experienced a case of saccular arteriosclerotic aortic aneurysm associated with thrombus in aortic arch in a 78 year-old male who had history of hypertension. He was admitted to Kwangju Veterans Hospital complaining of drowsy mental state and swelling of left foreann. The chest X-ray, chest CT and echocardiogram showed saccular dilatation(maximal diarneter ; 7.67~7.86cm) associated with thrombus in aortic arch. He refused operation because of old age, so he was conservatively rnanaged including propranolol. We report this case of saccular arteriosclerotic aneurysm of aortic arch with a brief review of literature.
Aged
;
Aneurysm
;
Aorta
;
Aorta, Abdominal
;
Aorta, Thoracic*
;
Aortic Aneurysm*
;
Aortic Aneurysm, Thoracic
;
Dilatation
;
Gwangju
;
Hospitals, Veterans
;
Humans
;
Hypertension
;
Male
;
Propranolol
;
Thorax
;
Thrombosis*
;
Tomography, X-Ray Computed
10.Spontaneous Spinal Epidural Hematoma in a Patient on Cilostazol.
Shin Hye BAEK ; Hyung Suk LEE ; Jin Hwi KANG ; Jaewon SHIN ; Hyelim LEE ; Inha KIM ; Se Jin YANG ; Ji Seon KIM ; Dong Ick SHIN ; Sung Hyun LEE ; Sang Soo LEE
Korean Journal of Stroke 2012;14(3):170-172
Cilostazol is a phosphodiesterase inhibitor that has been shown to have similar efficacy in stroke prevention but fewer hemorrhagic events compared with aspirin. We report a case of spontaneous spinal epidural hematoma (SSEH) in a 67-year-old woman who has been treated with cilostazol for cerebral infarction. The patient was presented with sudden neck pain and right hemiparesis. Thirteen days after the onset, she recovered completely. Even cilostazol, which is a relatively safer drug in terms of bleeding risk compared to other antiplatelet agents, may cause SSEH. Therefore, physicians should keep in mind rare, but potentially fatal, bleeding complications such as SSEH when prescribing antiplatelet agents.
Aspirin
;
Cerebral Infarction
;
Female
;
Hematoma, Epidural, Spinal
;
Hemorrhage
;
Humans
;
Neck Pain
;
Paresis
;
Platelet Aggregation Inhibitors
;
Stroke
;
Tetrazoles