No abstract available.

No abstract available.
Cytomegalovirus Infections* ; Cytomegalovirus*

The observation of eosinophilic ascites is uncommon. They can be noted in parasitic disease, malignant condition, vasculitis, idiopathic hypereosinophilic syndrome or allergic disorders including eosinophilic gastroenteritis, which is a rare disease of unknown etiology characterized by massive tissue infiltration of eosinophils in the layers of any area of gastrointestinal[GI] tract. Clinical manifestations are related to the level of the histologic infiltration in the wall, and the segment of the GI tract involved. Mucosal involvement may result in abdominal pain, nausea, vomiting, diarrhea and weight loss. Muscle layer involvements have obstructive symptoms. Subserosal eosinophilic infiltration may result in the development of eosinophilic ascites. We experienced a case of eosinophilic ascites as manifestation of eosinophilic gastroenteritis in a 43-year old man who also had jejunal obstruction. High proportion of eosinophil count was noted in the ascites, however peripheral blood eosinophilia was not noted. Parasitologic studies were negative. Histologic examination of segment of jejunum showed heavy transmural infiltration of eosinophils which were extended to subserosal layer. Eosinophilic ascites noted in eosinophilic gastroenteritis, though not a common disease entity, had not been described in the laboratory medicine related papers in Korea. Therefore we report this case as an example of eosinophilic ascites.
Abdominal Pain ; Adult ; Ascites* ; Diarrhea ; Eosinophilia ; Eosinophils* ; Gastroenteritis* ; Gastrointestinal Tract ; Humans ; Hypereosinophilic Syndrome ; Jejunum ; Korea ; Nausea ; Parasitic Diseases ; Rare Diseases ; Vasculitis ; Vomiting ; Weight Loss

No abstract available.
Child* ; Edema* ; Humans

Unusual morphology of aberrant forms of bacteria, presented with grotesque-giant form, 15 m 3 m, with central emptiness and fusiform ends was observed in urine Gram stain from a 26-year-old woman who was admitted with the symptoms of acute urinary tract infection. On wet smear, these bacilli were markedly swollen, yeast-like organisms. In addition to normal shaped bacilli, various shapes of another aberrant bacteria, such as long bacilli, filamentous form, filamentous form with central bulge, and bipolar staining with central emptiness were also observed in the same specimen. The morphologic characteristics of these unusual aberrant bacilli were more distinct on Papanicolaou stain than on Gram stain. In Korea, where antimicrobial agents are overused and disused, the frequency of observing the aberrant bacteria would be much higher than cases reported. Here we report unusual morphology of aberrant forms of Escherichia coli with the emphasis on awaring of the potential appearance of such bacilli in clinical specimen and avoiding confusion with fungi and other naturally filamentous organisms.
Adult ; Anti-Infective Agents ; Bacteria* ; Escherichia coli ; Female ; Fungi ; Humans ; Korea ; Urinary Tract Infections

A statistical observation of the relation of the distribution between the distribution of A.B.O groups and incidence of genitourinary tract tumors was made on 696 in-patients- one of the which was 123 from may, 1972 to January 1980 at Han Yang University Hospital, the other was 575 from January, 1970 to December, 1979 at S.N.U.H and Severance Hospital. The following results were obtained. 1. In the distribution of blood types, the occurrence of genitourinary tract tumors (exclude female reproductive system) was high among the patients with blood type A, but low in O. 2. The occurrence of urinary tract tumors was high in patients with blood type A, but low in O. 3. The occurrence male genital tract tumors was high in the patient with blood type A. 4. In each organs, the statistical significance was not noticed, except male bladder tumor.
Blood Group Antigens* ; Blood Grouping and Crossmatching ; Female ; Humans ; Incidence ; Male ; Urinary Bladder Neoplasms ; Urinary Tract

No abstract available.
Child* ; Humans ; Infant*

BACKGROUND: Detection of malignant effusion is important task in the routine laboratory work. However, in clinical laboratory where only Wright-Giemsa stained slides are examined it is not easy. So the author proposed a scoring system in the differential diagnosis of malignant effusion using the results of routinely tested items. METHODS: 61 samples of exudates (13 ascites, 48 pleural fluids) from 47 patients were included. The scores are summed based on the routine laboratory results. Items were as follows: protein concentration, dominancy of lymphocyte (lymphocyte count over 50%) and morphologic variety of lymphoid cells, mesothelial cell count, eosinophil count, and presence of tumor cells. Total summed full scores would be 8 points. RESULTS: The summed scores of 14 samples of malignant effusion were as follows: 7 points in 2 cases, 6 points in 1 case, 5 points in 8 cases, 4 points in 3 cases, with the mean score of 5.1 points. The 47 benign exudates showed 4 points in 1 case, 3 points in 4 cases, 2 points in 33 cases, 1 point in 9 cases, with the mean score of 1.9 points. If malignancy were postulated as summed score over 4 points, a statistically significant difference was observed between the summed score and effusion type (P<0.0001). CONCLUSIONS: Two groups of effusion can be distinguished: one group that showed more than 4 points, with malignant potential and the other group lower than 3 points with benign effusion. In case with high score, 4 points above, one should pay attention to the presence of malignant cells and even if tumor cells were not found, the possibility of malignant condition should be notified.
Ascites ; Cell Count ; Diagnosis, Differential ; Eosinophils ; Exudates and Transudates ; Humans ; Lymphocytes

A case of Vogt-Koyanagi-Harada syndrome was presented with some clinical observation. Special feature was the presence of cyst-like elevated portions at the peripheral iris, in addition to secondary glaucoma, alopecia, poliosis and vitiligo. Of the iris, the surface of elevated portion was thin and depigmented. A light red fundus reflex was observed through the surface of iris cyst as in case of the albino and neovascularization was seen in the peripheral iris. Neither hyperglycemia in blood nor pleocytosis of spinal fluid was found in laboratory examination. In neurological examination including hearing disturbance, none of abnormality was found.
Alopecia ; Glaucoma ; Hearing ; Hyperglycemia ; Iris ; Leukocytosis ; Neurologic Examination ; Reflex ; Uveomeningoencephalitic Syndrome* ; Vitiligo

Malignant tumor is found in 1-2% of ovarian benign cystic teratomas. Among these malignant neoplasms, squamous cell carcinoma is by far the most common malignancy, whereas the incidence of struma ovarii is less than 5% in mature teratoma. As far as concerned the struma ovarii, a very small percentage is associated with carcinoid, mucinous or serous cystadenoma, or Brenner tumor. However, any reports of struma ovarii associated with squamous cell carcinoma in the same ovary could not be found in English literature. Recently we have experienced a case of squamous cell carcinoma and struma ovarii arising in an ovarian benign cystic teratoma in 72 year old female patient.
Female ; Humans ; Incidence