Taenia aolium is responsible for producing human intestinal infection with the tapeworm (taeniasis) and the lodging of the larval stage (Cysticercua cellulosae) in numerous organs. especially subcutaneous tissue with the prodution
Cestoda ; Cysticercosis* ; Epidemiologic Studies* ; Humans ; Subcutaneous Tissue ; Taenia

Omphalith generally consists of keratinous materials and sebum. It gradually forms a stone-like hard, dark brown to a black mass in elderly persons with deep umbilical depression and not clean umbilicus. A 75 years old male noticed a brownish black nodule on the umbilical depression 2 weeks ago. He did not try to remove it. This nodule gradually became to project from umbilical depression accompanied with intermittent pain. Removed specimen was brownish black stonelike on projecting polypoid lesion, but in umbilical depression, yellowish brown and not so hard. Histopathological examination showed a small quantity of melanin granules, but no nuclear components of cells.
Aged ; Depression ; Humans ; Male ; Melanins ; Sebum ; Umbilicus

Benign neonatal eruptive hemangiomatosis is extremely rare congenital multiple hemangiomatic disease without systemic visceral involvement. The akin lesions are usually detected at birth and virtually disappear by the age of 12 months. A female infant of 27 days had three or four flat reddish purple maculopapules on the face from the time of birth. They spreaded into the entire body surface and increased in size forming plaque upto little finger tip size for 3 days. There was no evidence of asociated symptomatic visceral involvement. Histologically they were compatible with capillary angiomatous nevi. They began to resolve into residual hyperpigmented macules necrotizing centrally at 2 months of age and almo. completely resolved at 6 months of age without any treatment.
Capillaries ; Female ; Fingers ; Humans ; Infant ; Nevus ; Parturition

Paederus dermstitis (or dermatitis linearis), caused by the insect genus Paederus, is characterized by linear erythernatous, vesicopustular lesions. In 1968, we proved that causative agent is Paederus fuscipes. During the 20-year period since then (from June 1968 to September 1988), we have experienced 156 cases of the diseaes in our clinic, and the clinical features were studied with the following results. (1) They were found only during summer months from June to September. Most prevalent in June(47%), followed by August, July and September, in decreasing order. (2) People in their twenties were affected most often(10%), with females outnumbering males, by approximately 2.8 to 1. (3) The lesions were found exclusively over exposed areas, such as face, neck, and extremities (4) Experiments on a volunteer revealed that the same skin lesions as in the patients can be produced by rubbing the anal portion of the insect. (5) Spongiosis and subcorneal pustule of epidermis were the main histopathological findings. (6) The insects appear ant-like and measures 6.5 to 7mm in length. It has a black, round head with pslpuli black, rectangular, short elytra, yellowish brown pronotum and abdomen composed of 6 segments, of which two caudal ones(hypopygium) were dark brown. The meso and metathorax, and the lower ends of the femurs in meso and metapedes appear dark brown. (7) Wide use of potent pesticides, herbicides, or insecticides as well as the urbanization may have reduced the out breaks of the disease in recent years.
Abdomen ; Dermatitis* ; Epidermis ; Extremities ; Female ; Femur ; Head ; Herbicides ; Humans ; Insecticides ; Insects ; Male ; Neck ; Pesticides ; Skin ; Urbanization ; Volunteers

No abstract available.
Durapatite* ; Radionuclide Imaging*

Aeromonas hydrophila is a motile gram negative rod which exists in soil and water. It can cause septicemia in persons with severe immune deficiency. Occasionally it is one of the etiologic agents of the gangrenous skin disease similar to the gangrene caused by Vibrio vulnificus septicemia. A 42-year-old farmer had been suffering from liver cirrhosis for about 3 years. He had episodes of melena and hematernesis for 2 days prior to coming to the emergency room but had no skin lesions. On the 2nd hospital day, painful, erythematous and edematous skin lesions developed on his left arm and on the 3rd hospital day, several purpuras and hemorrhagic bullae developed on his left arm and leg. In the tissue, blood and blister fluid, numerous gram negative rods were identified by direct smear and culture. The bacterial identification studies from blood and blister fluid revealed A. hydrephda.
Adult ; Aeromonas hydrophila* ; Aeromonas* ; Arm ; Blister ; Emergency Service, Hospital ; Farmers ; Gangrene* ; Humans ; Leg ; Liver Cirrhosis ; Melena ; Purpura ; Sepsis ; Skin Diseases ; Skin* ; Soil ; Vibrio vulnificus ; Water

PURPOSE: The purpose was to evaluate fragment reduction feasilibty when applying extension block Kirschner-wire technique for bony mallet finger. METHODS: We treated 48 displaced mallet finger fractures by a two extension block Kirschner-wire technique. Among these operation group, we found dorsal rotation of fragment in 18 cases, making it difficult to get anatomical reduction. The patients were divided into two groups. One group of 30 patients did not show dorsal rotation of fragment and anatomical reduction was achieved easily. Another group of 18 patients showed dorsal rotation of fragment and additional methods was applied to achieve anatomical reduction. RESULTS: Joint surface involvement was significant greater in groups showing dorsal rotation of fragment than group which did not show (57.1% and 49.7%, respectively) (p=0.01). The groups whose joint surface involvement more than 50% had higher risk of dorsal rotation of fragment than the group less than 50%, with the odds ratio of 6.11. CONCLUSION: We could encounter the cases which showed dorsal rotation of the fracture fragment when treating the bony mallet finger with extension block K-wire technique especially the joint surface involvement was more than 50%. So if we can evaluate the extents of joint surface involvement and prepare additional method preoperatively when dorsal rotation of fragment is expected, it is possible to get more favorable results.
Fingers* ; Humans ; Joints ; Methods ; Odds Ratio

OBJECTIVES: To compare the diagnostic and prognostic performance of amniotic fluid white blood cell(AF WBC) count and amniotic fluid culture for the prenatal diagnosis of intrauterine infection and the prediction of neonatal outcomes in patients with preterm labor and intact membranes. Methods: Amniocentesis was performed in 75 patients with preterm labor and intact membranes, who delivered preterm neonates within 72 hours after amniocentesis. AF WBC was determined and amniotic fluid was cultured for aerobic and anaerobic bacteria as well as mycoplasma. The relations among placental histologic findings, perinatal outcome, AF WBC count, and AF culture were examined. Student t test, Mann Whitney U test, lamda2 test, Fisher's exact test, modified t test, and logistic regression analysis were used for statistical analysis. RESULTS: Microbial invasion of the amniotic fluid was more frequent in the patients with histologic chorioamnionitis than patients without histologic chorioamnionitis (28.9% vs 5.4%, p<0.05), and patients with histologic chorioamnionitis had significantly higher amniotic fluid white blood cell counts than those patients without such lesion (median 99, range 0-3024 cells/mm3 vs median 1, range 0-180 cells/mm3, p<0.01). Amniotic fluid white blood cell count (> or = 50cell/mm3) had a sensitivity of 55.3%(21/38) and a specificity of 94.6%(35/37) for the diagnosis of histologic chorioamnionitis and a sensitivity of 47.5%(19/40) and specificity of 90.9%(30/33) for the prediction of significant neonatal morbidity (defined as neonatal sepsis, respiratory distress syndrome, pneumonia, intraventricular hemorrhage, bronchopulmonary dysplasia, or necrotizing enterocolitis). These sensitivities were significantly higher than those of amniotic fluid culture (for histologic chorioamnionitis, 55.3% vs 28.9% ; for significant neonatal morbidity, 47.5% vs 25.0%, p<0.01 for each). CONCLUSION: Amniotic fluid WBC count is a more sensitive test for the prenatal diagnosis of intrauterine infection and for the prediction of significant neonatal morbidity than amniotic fluid culture in the patients with preterm labor and intact membranes.
Amniocentesis ; Amniotic Fluid* ; Bacteria, Anaerobic ; Bronchopulmonary Dysplasia ; Chorioamnionitis ; Diagnosis ; Female ; Hemorrhage ; Humans ; Infant, Newborn ; Leukocyte Count* ; Leukocytes* ; Logistic Models ; Membranes* ; Mycoplasma ; Obstetric Labor, Premature* ; Pneumonia ; Pregnancy ; Prenatal Diagnosis* ; Sensitivity and Specificity ; Sepsis

PURPOSE: We conducted this study to evaluate the role of dacryoscintigraphy in the diagnosis and treatment of pediatric patients with epiphora. MATERIALS AND METHODS: In 58 patients aged from 2 months to 15 years (mean age 2.8+/-2.3 years), dacryoscintigraphy was performed using a gamma camera with 4 mm pinhole collimator. We correlated symptoms with dacryosicntigraphic findings in all patients. In 37 patients who underwent ophthalmologic procedures, we analyzed the agreements of dacryoscintigraphic findings with the operation. RESULTS: High rates of agreements between epiphora and obstruction on dacryoscintigraphy (69/72, 95.8%), and between scintigraphic obstructive findings and operation sites (44/47, 93.6%) were noted. Nine of fourty-four (20.5%) asymptomatic eyes showed obstructive findings on dacroscintigraphy. CONCLUSION: In pediatric patients with epiphora, dacryoscintigraphy is a useful tool not only in diagnosing nasolacrimal duct obstruction but also in making a decision for therapeutic procedures.
Diagnosis* ; Gamma Cameras ; Humans ; Lacrimal Apparatus Diseases* ; Nasolacrimal Duct

OBJECTIVES: Our purpose was 1) to determine whether elevated maternal serum alpha- fetoprotein(MSAFP) predict increased risk of spontaneous preterm delivery and indicated preterm delivery; 2) to determine whether elevated maternal serum human chorionic gonadotropin(MSHCG) predict increased risk of preterm delivery. Methods: Between September 1995 and April 1998, 945 of 2105 pregnant women who received midtrimester MSAFP screening were identified and evaluated. 81 women with MSAFP levels of 2.0 MoM or more were included in the study group while 864 women with levels less than 2.0 MoM served as controls. Pregnancy outcome were obtained from hospital records and statistical analysis were performed. RESULTS: Women with elevated MSAFP levels showed an increased risk for preterm delivery(p<0.05), fetal growth restriction(p<0.05) and hypertensive disorders(p<0.05), but not for preterm premature rupture of membrane, fetal death in utero. There was a strong association between unexplained elevated MSAFP levels and spontaneous preterm delivery(p<0.05) but our study does not support an association between unexplained elevated MSAFP levels and indicated preterm delivery. There was no association between elevated MSHCG levels and preterm delivery regardless of MSAFP levels. CONCLUSION: We concluded that unexplained elevated levels of midtrimester MSAFP were associated with an elevated risk of spontaneous preterm delivery but not with a risk of indicated preterm delivery. Elevated MSHCG levels were not associated with a risk of preterm delivery and spontaneous preterm birth.
alpha-Fetoproteins* ; Chorion ; Extraembryonic Membranes ; Female ; Fetal Development ; Hospital Records ; Humans ; Mass Screening ; Obstetric Labor, Premature ; Pregnancy ; Pregnancy Outcome ; Pregnancy Trimester, Second* ; Pregnant Women ; Premature Birth* ; Rupture