1.A Case of Acute Renal Failure Associated with Tsutsugamushi Disease.
Jin Hee HONG ; Jin Hee OHO ; Jong Hyun KIM ; Dae Kyun KHO
Journal of the Korean Pediatric Society 2001;44(4):464-468
Tsutsugamushi disease is acute febrile illness, transmitted by Rickettsia tsutsugamushi. R. tsutusgamushi invade and proliferate in the endothelial cells of small blood vessels. Destruction of endothelial cells occurs from the proliferation of the organism and eventual disruption, and thus vascular rich organs must be carefully examined such as the kidney, lung, heart, liver. Recently we experienced a case of acute renal failure associated with R. tsutsugamushi infection in a child. Renal biopsy showed diffuse interstitial edema and mononuclear cell infiltration in the deep cortex. R. tsutusgamushi should be included as one of the causes of acute interstitial nephritis causing ARF in children, especially when the children have a acute febrile illness with rash in the fall and winter.
Acute Kidney Injury*
;
Biopsy
;
Blood Vessels
;
Child
;
Edema
;
Endothelial Cells
;
Exanthema
;
Heart
;
Humans
;
Kidney
;
Liver
;
Lung
;
Nephritis, Interstitial
;
Orientia tsutsugamushi
;
Scrub Typhus*
2.Stereotactic Radiotherapy by 6MV Linear Accelerator.
Yoon Kyeong OHO ; Mi Hee KIM ; Hak Jun GIL ; Sei Chul YOON ; Jae Moon LEE ; Kyu Ho CHOI ; Kyung Sub SHINN ; Yong Whee BAHK ; Moon Chan KIM ; Joon Ki KANG ; Jin Un SONG
Journal of the Korean Society for Therapeutic Radiology 1988;6(2):269-276
Eight patients with intracranial tumors or arteriovenous malformation (AVM)s which were less than 3 cm in diameter were treated by a technique of stereotactic radiotherapy during the 4 months period from July 1988 through October 1988 at the Division of Radiation Therapy, Kang-Nam St. Mary's Hospital, Catholic University Medical College. The patients were diagnosed as AVMs in 3 cases, acoustic neurinoma, craniopharyngioma (recurrent), hemangioblastoma, pineocytoma, and pituitary microadenoma in each case. There are several important factors in this procedure, such as localization system, portal, field size, radiation dose, and perioperative supportive care. It is suggested that stereotactic radiotherapy may be performed safely with a radiation dose of 12-30 gy. So this noninvasive procedure can be used to treat unresectable intracranial tumors or AVMs. Of these, clinical symptoms had been regressed in AVMs in 2 cases at 3 months and 2 months after Stereotactic radiotherapy, one of whom was confirmed slightly regressed on the follow-up angiogram. And also craniopharyngioma and pineocytoma was minimally regressed on 3 month follow-up CT.
Arteriovenous Malformations
;
Craniopharyngioma
;
Follow-Up Studies
;
Hemangioblastoma
;
Humans
;
Neuroma, Acoustic
;
Particle Accelerators*
;
Pinealoma
;
Portal System
;
Radiotherapy*