No abstract available.
Burns* ; Cerebral Hemorrhage*

No abstract available.

Sialadenosis, characterized by a uniform hypertrophy and hyperplasia of the acinar parenchyma of salivary glands, is associated with a variety of systemic diseases or functional disorders. The disease is associated with underlying systemic factors such as diabetes, malnutrition, alcohol abuse and drugs. So it is also referred to as nutritional mumps. Bulimia nervosa is a disorder that is defined as binge eating combined with inappropriate ways of stopping weight gain. It is significantly more common in females than in males. In the past few years, the number of reports concerning eating disorders have increased in developing countries including Korea, where economic development has also brought about rapid introduction of the Western culture. The authors have observed a rare case of sialadenosis of the submandibular gland in association with bulimia nervosa and report this with literature review.
Alcoholism ; Bulimia Nervosa* ; Bulimia* ; Developing Countries ; Feeding and Eating Disorders ; Economic Development ; Female ; Humans ; Hyperplasia ; Hypertrophy ; Korea ; Male ; Malnutrition ; Mumps ; Salivary Glands ; Sialadenitis ; Submandibular Gland ; Weight Gain

Respiratory syncytial virus (RSV) is the major cause of lower respiratory tract infection in infants. Life-threatening RSV infection is often reported in young children and immunocompromised hosts. Since there is no report on ribavirin therapy for RSV pneumonia in pediatric cancer patients in Korea, we report one case of RSV pneumonia that developed in an infant with acute lymphoblastic leukemia (ALL). Despite administration of oral ribavirin and intravenous immunoglobulin, the patient's respiratory distress worsened and admission to an intensive care unit was necessary. Chest x-ray showed multifocal consolidation, pneumothorax, and pneumomediastinum. Treatment with aerosolized ribavirin led to significant clinical improvement. The role of aerosolized ribavirin is still controversial, but it might have a therapeutic potential for severe RSV pneumonia in children with leukemia.
Child ; Humans ; Immunocompromised Host ; Immunoglobulins ; Infant ; Intensive Care Units ; Korea ; Leukemia ; Mediastinal Emphysema ; Pneumonia ; Pneumothorax ; Precursor Cell Lymphoblastic Leukemia-Lymphoma ; Respiratory Syncytial Viruses ; Respiratory Tract Infections ; Ribavirin ; Thorax

No abstract available.
Child* ; Edema* ; Gallbladder* ; Humans

No abstract available.
Asthma* ; Asthma, Exercise-Induced ; Bronchoconstriction* ; Child* ; Humans

PURPOSE: Since the 1940s, the incidence of prostatic abscess appears to have declined and the type of infecting organism has changed. So we evaluated the change on clinical characteristics of prostatic abscess in recent years. MATERIALS AND METHODS: From 1991 to 1997, we treated 12 patients with prostatic abscess. Mean patient age was 52.2years(range 22 to 69). An analysis was made of history, presenting symptoms, digital rectal examination(DRE) and usefulness of transrectal sonography(TRUS). Diagnostic work-up included analysis of midstream urine for leucocytes and common pathogens. Treatment included antibiotic therapy with or without percutaneous cystostomy, or together with surgical drainage. RESULTS: Medical history revealed predisposing diseases in 7 cases : diabetes mellitus(2 patients), previously treated gonococcal urethritis(2 patients), percutaneous cystostomy due to urethral rupture(1 patient), BPH(1 patient) and chronic hepatic disorder(1 patient). The characteristics of the initial DRE revealed increased prostatic size in 11 patients, tenderness and heating sense in 9 patients, fluctuation in 6 patients. In 12 patients, diagnosis was based on TRUS. In 2 patients with mimicking prostate cancer, pelvic MRI was done and prostatic abscess was confirmed. All patients demonstrated leucocytes in their midstream urine. Causative pathogens in midstream urine were found in 8 patients: Staphylococcus aureus(4 patients), Escherichia coli(3 patients), Proteus vulgaris(1 patient) and Candida albicans(1 patient). In one patient, mixed infection was found. All patients received antibiotic treatment. In one patient, transrectal aspiration was performed by sono-guided puncture, one patient underwent transurethral incision of the prostate(TUIP) and two patients underwent TURP. In eight patients, antibiotic treatment alone was administered and led to cure. CONCLUSIONS: An analysis of 12 patients with prostatic abscess was presented. Diabetes was not so common in predisposing factor of prostatic abscess as compared with previous literatures. S. aureus and E. coli were the main causative organisms. Besides C. albicans, nosocomial organism, was observed in 1 patient. We have found TRUS to be helpful in the diagnosis and follow-up of this disease. In addition, pelvic MRI is considered as a noninvasive technique helpful in differentiation with prostatic cancer. Definitive treatment is complete surgical drainage, but there is no difference in results of treatment between patients with antibiotics only and those with mixed surgical drainage and antibiotic coverage.
Abscess* ; Anti-Bacterial Agents ; Candida ; Causality ; Coinfection ; Cystostomy ; Diagnosis ; Drainage ; Escherichia ; Follow-Up Studies ; Heating ; Hot Temperature ; Humans ; Incidence ; Magnetic Resonance Imaging ; Prostatic Neoplasms ; Proteus ; Punctures ; Staphylococcus ; Transurethral Resection of Prostate

No abstract available.
Chondroma* ; Mediastinum*

No abstract available.
Melanosis*

A 72-year-old woman developed pruritic erythematous patches on sun-exposed areas for 2 months following treatment with hydrochlorothiazide (Dichlozid) for hypertension. A phototest revealed a decreased minimal erythemal dose to UVA (MED(UVA)=2 J/cm²). A photopatch test with 0.5%, 1%, and 5% hydrochlorothiazide ointment revealed no response. Two weeks after discontinuation of hydrochlorothiazide, the skin lesions improved with complete loss of photosensitivity without any therapy. At that time, an oral provocation phototest with hydrochlorothiazide was performed and it showed a decreased MED to UVA (MED(UVA)=2 J/cm²).
Aged ; Dermatitis, Phototoxic* ; Female ; Humans ; Hydrochlorothiazide* ; Hypertension ; Skin