1.Unhappy End of ‘Happy Balloons’: Subacute Combined Degeneration Caused by Nitrous Oxide Gas.
Ye Ji KWON ; Jeong Hwa RHO ; Jihyeon HWANG ; Seol Hee BAEK
Journal of Clinical Neurology 2019;15(1):118-119
No abstract available.
Nitrous Oxide*
;
Subacute Combined Degeneration*
2.Recurrent Guillain-Barré Syndrome with Anti-GT1a and Anti-GQ1b Ganglioside Antibodies
Jihyeon HWANG ; Ye Ji KWON ; Jong Kuk KIM ; Nam Jun KIM ; Seol Hee BAEK
Journal of Clinical Neurology 2019;15(3):404-406
No abstract available.
Antibodies
;
Guillain-Barre Syndrome
3.Hypokalemic Periodic Paralysis Developed in a Patient with Neurogenic Diabetes Insipidus
Jihyeon HWANG ; Joo Hye SUNG ; Ye Eun KIM ; Keonyeup KIM ; Seong-Hwan KIM ; Young Bin PARK ; Seol-Hee BAEK
Journal of the Korean Neurological Association 2021;39(3):177-180
Hypokalemic periodic paralysis one of the channelopathy disorders with low serum potassium level, clinically presenting as acute onset extremity weakness. In most cases, the cause of the hypokalemia is familial, but rarely hypokalemic periodic paralysis occurs secondary to other diseases including endocrinopathies, renal disorders, gastrointestinal loss. We report a patient with no known underlying diseases, who were diagnosed with sporadic hypokalemic periodic paralysis accompanied by neurogenic diabetes insipidus.
4.Hypokalemic Periodic Paralysis Developed in a Patient with Neurogenic Diabetes Insipidus
Jihyeon HWANG ; Joo Hye SUNG ; Ye Eun KIM ; Keonyeup KIM ; Seong-Hwan KIM ; Young Bin PARK ; Seol-Hee BAEK
Journal of the Korean Neurological Association 2021;39(3):177-180
Hypokalemic periodic paralysis one of the channelopathy disorders with low serum potassium level, clinically presenting as acute onset extremity weakness. In most cases, the cause of the hypokalemia is familial, but rarely hypokalemic periodic paralysis occurs secondary to other diseases including endocrinopathies, renal disorders, gastrointestinal loss. We report a patient with no known underlying diseases, who were diagnosed with sporadic hypokalemic periodic paralysis accompanied by neurogenic diabetes insipidus.
5.A Case of Spinal Epidural Abscess Due to Pneumococcal Bacteremia.
Sangjoon MIN ; Juhong JEONG ; Myeongdong LEE ; Jinyeob YEO ; Seong Hyun KIM ; Jihyeon BAEK ; Jin Soo LEE ; Moon Hyeon CHEONG
Soonchunhyang Medical Science 2011;17(2):143-146
Streptococcus pneumoniae (pneumococcus) has been known to cause pneumonia, sinusitus, otitis media, meningitis, endocardiditis, myelitis and arthritis. Spinal epidural abscess by S. pneumoniae has been diagnosed rarely among the patients with spinal trauma, intravenous drug abuse, alcoholism, diabetes mellitus, long term steroid use, chronic renal failure, and acquired immune deficiency syndrome. We experienced a case of pneumococcal spinal epidural abscess occurred in 75-year-old female with L1 compression fracture since 4 years ago. Her spine magnetic resonance imaging revealed epidural abscess at the level from L3 to S1. S. pneumonia was identified on blood which was susceptible to penicillin. She was immediately treated with antibiotics and surgical exploration. The pneumococcal spinal epidural abscess is very unusual. Therefore, we report here this case with a brief review of the literature.
Acquired Immunodeficiency Syndrome
;
Aged
;
Alcoholism
;
Anti-Bacterial Agents
;
Arthritis
;
Bacteremia
;
Diabetes Mellitus
;
Epidural Abscess
;
Female
;
Fractures, Compression
;
Humans
;
Kidney Failure, Chronic
;
Magnetic Resonance Imaging
;
Meningitis
;
Myelitis
;
Otitis Media
;
Penicillins
;
Pneumonia
;
Spine
;
Streptococcus pneumoniae
;
Substance Abuse, Intravenous
6.A Case of Scrub Typhus complicated with a Splenic Infarction.
Areum DUREY ; Hea Yoon KWON ; Young Kyoung PARK ; JiHyeon BAEK ; Seung Baik HAN ; Jae Seung KANG ; Jin Soo LEE
Infection and Chemotherapy 2018;50(1):55-58
We present a patient with scrub typhus complicated with a splenic infarction. A 40-year-old man visited the emergency medical center complaining of fever for the previous week. He had no past medical history, but reported engaging in outdoor activities. Examination revealed a maculopapular rash on his trunk and an eschar on his epigastrium. Abdominal computed tomography was performed to examine the cause of the tenderness on the left upper quadrant of his abdomen, which revealed a splenic infarct. The patient was diagnosed with scrub typhus based on the results of blood polymerase chain reaction testing, and genetic sequencing confirmed the presence of Orientia tsutsugamushi Boryong. His symptoms improved following doxycycline treatment.
Abdomen
;
Adult
;
Chungcheongnam-do
;
Doxycycline
;
Emergencies
;
Exanthema
;
Fever
;
Humans
;
Orientia tsutsugamushi
;
Polymerase Chain Reaction
;
Scrub Typhus*
;
Splenic Infarction*
7.A Case of Scrub Typhus complicated with a Splenic Infarction.
Areum DUREY ; Hea Yoon KWON ; Young Kyoung PARK ; JiHyeon BAEK ; Seung Baik HAN ; Jae Seung KANG ; Jin Soo LEE
Infection and Chemotherapy 2018;50(1):55-58
We present a patient with scrub typhus complicated with a splenic infarction. A 40-year-old man visited the emergency medical center complaining of fever for the previous week. He had no past medical history, but reported engaging in outdoor activities. Examination revealed a maculopapular rash on his trunk and an eschar on his epigastrium. Abdominal computed tomography was performed to examine the cause of the tenderness on the left upper quadrant of his abdomen, which revealed a splenic infarct. The patient was diagnosed with scrub typhus based on the results of blood polymerase chain reaction testing, and genetic sequencing confirmed the presence of Orientia tsutsugamushi Boryong. His symptoms improved following doxycycline treatment.
Abdomen
;
Adult
;
Chungcheongnam-do
;
Doxycycline
;
Emergencies
;
Exanthema
;
Fever
;
Humans
;
Orientia tsutsugamushi
;
Polymerase Chain Reaction
;
Scrub Typhus*
;
Splenic Infarction*
8.Altered Influenza Vaccination Coverage and Related Factors in Pregnant Women in Korea from 2007 to 2019
Jae Hyoung IM ; Dae Hoon CHOI ; Jihyeon BAEK ; Hea Yoon KWON ; Soo Ran CHOI ; Moon-Hyun CHUNG ; Jin-Soo LEE
Journal of Korean Medical Science 2021;36(5):e42-
Background:
Pregnant women are at a high-risk of influenza infection. We have previously reported a low influenza vaccination coverage rate (4.0%) in Korea during the 2006–2007 influenza season. We conducted follow-up studies in 2011–2012 and 2018–2019 to observe changes in influenza vaccination coverage.
Methods:
Women who delivered at Inha University Hospital (Incheon, Korea) in 2011–2012 and 2018–2019 were enrolled in the study. We surveyed the rate of influenza vaccination, perception scores, and related factors through telephonic interviews and compared the results from 2011–2012 and 2018–2019 with those from 2006–2007.
Results:
The number of survey respondents was 227 in 2006–2007, 152 in 2011–2012, and 171 in 2018–2019. The rate of vaccination coverage increased from 4.0% in 2006–2007 to 42.0% in 2011–2012 and 59.3% in 2018–2019. Perception scores also increased progressively from 3.8 in 2006–2007 to 4.2 in 2011–2012 and 5.1 in 2018–2019. Physician recommendations for influenza vaccination also increased from 4.8% in 2006–2007 to 36.8% in 2011–2012 and 49.7% in 2018–2019. The most common reason for not getting vaccinated was the lack of awareness of influenza vaccination during pregnancy (36.9%). The perception scores and physician recommendation rates were significantly lower for unvaccinated women (3.87 and 8.4%, respectively) than for vaccinated women (5.14 and 69.1%, respectively).
Conclusion
The influenza vaccination coverage rate in pregnant women has increased significantly since our study in 2006–2007. However, further improvement in the coverage rate is needed. There is a need for active and comprehensive publicity and education regarding this issue among physicians and pregnant women.
9.Altered Influenza Vaccination Coverage and Related Factors in Pregnant Women in Korea from 2007 to 2019
Jae Hyoung IM ; Dae Hoon CHOI ; Jihyeon BAEK ; Hea Yoon KWON ; Soo Ran CHOI ; Moon-Hyun CHUNG ; Jin-Soo LEE
Journal of Korean Medical Science 2021;36(5):e42-
Background:
Pregnant women are at a high-risk of influenza infection. We have previously reported a low influenza vaccination coverage rate (4.0%) in Korea during the 2006–2007 influenza season. We conducted follow-up studies in 2011–2012 and 2018–2019 to observe changes in influenza vaccination coverage.
Methods:
Women who delivered at Inha University Hospital (Incheon, Korea) in 2011–2012 and 2018–2019 were enrolled in the study. We surveyed the rate of influenza vaccination, perception scores, and related factors through telephonic interviews and compared the results from 2011–2012 and 2018–2019 with those from 2006–2007.
Results:
The number of survey respondents was 227 in 2006–2007, 152 in 2011–2012, and 171 in 2018–2019. The rate of vaccination coverage increased from 4.0% in 2006–2007 to 42.0% in 2011–2012 and 59.3% in 2018–2019. Perception scores also increased progressively from 3.8 in 2006–2007 to 4.2 in 2011–2012 and 5.1 in 2018–2019. Physician recommendations for influenza vaccination also increased from 4.8% in 2006–2007 to 36.8% in 2011–2012 and 49.7% in 2018–2019. The most common reason for not getting vaccinated was the lack of awareness of influenza vaccination during pregnancy (36.9%). The perception scores and physician recommendation rates were significantly lower for unvaccinated women (3.87 and 8.4%, respectively) than for vaccinated women (5.14 and 69.1%, respectively).
Conclusion
The influenza vaccination coverage rate in pregnant women has increased significantly since our study in 2006–2007. However, further improvement in the coverage rate is needed. There is a need for active and comprehensive publicity and education regarding this issue among physicians and pregnant women.
10.Recommendations for Adult Immunization by the Korean Society of Infectious Diseases, 2023: Minor Revisions to the 3rd Edition
Won Suk CHOI ; Joon Young SONG ; Ki Tae KWON ; Hyo-Jin LEE ; Eun Ju CHOO ; Jihyeon BAEK ; BumSik CHIN ; Woo Joo KIM ; Mi Suk LEE ; Wan Beom PARK ; Sang Hoon HAN ; Jun Yong CHOI ; Joon Sup YEOM ; Jin-Soo LEE ; Hee-Jung CHOI ; Young Hwa CHOI ; Dong-Gun LEE ; Jung-Hyun CHOI ; Hee Jin CHEONG ;
Infection and Chemotherapy 2024;56(2):188-203
The Korean Society of Infectious Diseases has been regularly developing guidelines for adult immunization since 2007. In 2023, the guidelines for the following seven vaccines were revised: influenza, herpes zoster, pneumococcal, tetanus-diphtheria-pertussis (Tdap), human papillomavirus (HPV), meningococcal, and rabies vaccines. For the influenza vaccine, a recommendation for enhanced vaccines for the elderly was added. For the herpes zoster vaccine, a recommendation for the recombinant zoster vaccine was added. For the pneumococcal vaccine, the current status of the 15-valent pneumococcal conjugate vaccine and 20-valent PCV was described. For the Tdap vaccine, the possibility of using Tdap instead of tetanus-diphtheria vaccine was described. For the HPV vaccine, the expansion of the eligible age for vaccination was described. For the meningococcal vaccine, a recommendation for the meningococcal B vaccine was added. For the rabies vaccine, the number of pre-exposure prophylaxis doses was changed. This manuscript documents the summary and rationale of the revisions for the seven vaccines. For the vaccines not mentioned in this manuscript, the recommendations in the 3rd edition of the Vaccinations for Adults textbook shall remain in effect.