A case of 28 year-old female having vesico-sigmoido-ileal fistula associated with large bladder stone due to long-standing foreign body was presented with review of literatures.
Adult ; Female ; Fistula* ; Foreign Bodies ; Humans ; Urinary Bladder Calculi

BACKGROUND: Many studies have reported hypocalcemia during peripheral blood stem cell (PBSC) collection. On the other hand, changes in other electrolyte levels such as potassium have received little attention. To see if it is necessary to monitor other electrolytes, we determined sodium, potassium, chloride, total CO(2), and ionized calcium before and after the PBSC harvest. The changes in hemoglobin and platelets were also investigated. METHODS: A total of 111 PBSC harvest procedures for thirty-six patients or donors were included in this study. The samples were collected within 2 hours around PBSC harvest. Patients who received blood transfusions or in whom electrolytes were administered immediately before or during the procedure were excluded from the evaluation. RESULTS: In the autologous PBSC harvest using CS3000, all five electrolytes showed significant changes. Ionized calcium significantly dropped by about 7.2+/-13.1% at the end of apheresis. Potassium significantly decreased to 12.3+/-10.2% during PBSC harvest. Hemoglobin and platelets significantly decreased except the autologous PBSC harvest using CS3000 and Cobe, respectively. CONCLUSIONS: Our data reveal a strong association between anticoagulant-induced hypocalcemia and concomitant hypokalemia during the PBSC harvest. We suggest that the potassium level should be carefully monitored, especially for patients with relatively low preharvest potassium levels.
Blood Component Removal ; Blood Platelets ; Blood Transfusion ; Calcium ; Electrolytes* ; Hand ; Humans ; Hypocalcemia ; Hypokalemia ; Potassium ; Sodium ; Stem Cells* ; Tissue Donors

Bacille Calmette-Guerin (BCG) lymphadenitis is the most common complication of BCG vaccination. It commonly occurs in infants aged <6 months involving ipsilateral axillary lymph nodes. We described BCG lymphadenitis in a 22-month-old boy presenting swelling of left supraclavicular lymph node that was confirmed by real-time polymerase chain reaction (PCR) and the multiplex PCR targeting the region of difference (RD).
Humans ; Infant ; Lymph Nodes ; Lymphadenitis* ; Male ; Multiplex Polymerase Chain Reaction ; Mycobacterium bovis* ; Real-Time Polymerase Chain Reaction ; Vaccination*

No abstract available.
Infection Control* ; Seoul*

BACKGROUND: As information technology evolves rapidly computer-based surveillance systems for nosocomial infection have been developed. Well designed computerized system could provide an opportunity for improving, enlarging, and conducting hospital-wide surveillance more efficiently in the situation with limited resources. Recently, we launched a new computerized monitoring system in a hospital where digital medical information system has been operated without paper chart. METHODS: We developed a new surveillance program based on the total Electronic Medical Record (EMR) system. Numerous critical medical information can be easily accessible through this system without further work. This includes major demographic data, essential information from the inpatient medical record, the laboratory information system, and the pharmacy information, Comprehensive Clinical Data Repository (CDR) system was also developed. CDR is potentially very useful to conduct a hospital-wide surveillance by integrating all the available information. RESULTS: This system consists of several programs in the EMR and the CDR environment. In the EMR system, inquiry for patients with fever, case ascertainment and registration of nosocomial infections, inquiry for patients with indwelling devices, microbiological reports, and data on antibiotic prescriptions were included. The CDR has integrated comprehensive inquiries for frequency of major pathogens in clinical isolates and their trends of antibiotic resistance, nosocomial infection rates based on the duration of the devices or hospitalization, and the history of antimicrobial usage based on defined daily dosage. Data obtained from the EMR and the CDR systems could be easily accessed by infectious diseases specialists and healthcare workers of infection control services at any place within the hospital. A new reporting system has been built up to facilitate identification of notifiable diseases among the list of diagnoses on the EMR. In addition, the "Alert" notice was designed to highlight isolation precautions for indicated cases. CONCLUSION: This new computerized surveillance program might be a valuable model to which other hospitals can refer to develop newer version of programs in the future.
Clinical Laboratory Information Systems ; Communicable Diseases ; Cross Infection ; Delivery of Health Care ; Diagnosis ; Drug Resistance, Microbial ; Electronic Health Records* ; Fever ; Hospitalization ; Humans ; Infection Control ; Information Systems ; Inpatients ; Medical Records ; Pharmacy ; Prescriptions ; Specialization

A case of foreign body (a black rubber string of 60cm in length used for masturbation) in the bladder was presented in a 17 years old Korean boy and reported with review of literature.
Adolescent ; Foreign Bodies* ; Humans ; Male ; Rubber ; Urinary Bladder*

PURPOSE: In the anterior maxilla, hard and soft tissue augmentations are sometimes required to meet esthetic and functional demands. In such cases, primary soft tissue closure after bone grafting procedures is indispensable for a successful outcome. This report describes a simple method for soft tissue coverage of a guided bone regeneration (GBR) site using the double-rotated palatal subepithelial connective tissue graft (RPSCTG) technique for a maxillary anterior defect. METHODS: We present a 60-year-old man with a defect in the anterior maxilla requiring hard and soft tissue augmentations. The bone graft materials were filled above the alveolar defect and a titanium-reinforced nonresorbable membrane was placed to cover the graft materials. We used the RPSCTG technique to achieve primary soft tissue closure over the graft materials and the barrier membrane. Additional soft tissue augmentation using a contralateral RPSCTG and membrane removal were simultaneously performed 7 weeks after the stage 1 surgery to establish more abundant soft tissue architecture. RESULTS: Flap necrosis occurred after the stage 1 surgery. Signs of infection or suppuration were not observed in the donor or recipient sites after the stage 2 surgery. These procedures enhanced the alveolar ridge volume, increased the amount of keratinized tissue, and improved the esthetic profile for restorative treatment. CONCLUSIONS: The use of RPSCTG could assist the soft tissue closure of the GBR sites because it provides sufficient soft tissue thickness, an ample vascular supply, protection of anatomical structures, and patient comfort. The treatment outcome was acceptable, despite membrane exposure, and the RPSCTG allowed for vitalization and harmonization with the recipient tissue.
Alveolar Process ; Alveolar Ridge Augmentation ; Bone Regeneration ; Bone Transplantation ; Connective Tissue ; Guided Tissue Regeneration ; Humans ; Maxilla ; Membranes ; Middle Aged ; Necrosis ; Palate ; Suppuration ; Surgical Flaps ; Tissue Donors ; Transplants* ; Treatment Outcome

BACKGROUND: In the preoperative autologous blood deposit, total hemoglobin mass in one unit of autologous blood is various among the donors and the extents of hemoglobin increase following autologous transfusion may vary with the donor. Therefore, the authors intended to establish the standard of collection volume in preoperative autologous blood deposit, in order to warrant the safety of donor and gain the efficient increase of hemoglobin. METHODS: We performed a study of the following on 236 autologous donors (116 adult males and 120 adult females): collection of fixed blood volume (320 or 400 mL), collection of fixed hemoglobin mass (40, 45, 50, and 55 g) for one unit of blood, collection of blood volume to increase as much hemoglobin as 1 g/dL following autologous transfusion. RESULTS: The most safe and efficient collection method for preoperative autologous blood deposit is the collection of 400 mL of blood or collecting blood up to 55g of hemoglobin mass for male, and up to 45g of hemoglobin mass for female in one unit. CONCLUSION: These results are considered better methods for preoperative autologous blood deposit than routine collection of 320 mL of blood volume, irrespective of gender.
Adult ; Blood Volume ; Female ; Hemoglobin A ; Humans ; Male ; Tissue Donors

We report here on a case of simultaneously detecting anti-D as an autoimmune antibody and anti-E as an alloimmune antibody without any evidence of autoimmune hemolytic anemia. A 66-year-old female with tuberculous spondylitis was admitted for removing a previously-placed surgical screw in her spine. She had received antituberculosis drugs and six units of AB, RhD positive packed red blood cells during the previous 6 months. The laboratory findings were as followings: the direct antiglobulin test was positive for IgG, the Rh phenotype of the erythrocytes was typed as group CcDe and RhD antigen was confirmed by the molecular method and the serological method to rule out partial-D.
Aged ; Anemia, Hemolytic, Autoimmune ; Coombs Test ; Erythrocytes ; Female ; Humans ; Immunoglobulin G ; Isoantibodies ; Phenotype ; Spine ; Spondylitis

In situ hybridization using biotinylated HPV(Human papillomaviruses) probes was performed to detect HPV DNA in 24 patients with genital wart-like lesions. The lesions were divided into two groups, with or without dysplastic changes histologically. We could detect HPV6/11 in 13 of 17 lesions(76.5%) without dysplastic changes. HPU16/18 was detected in a case with dysplastic changes. HPV6/ll was also detected in a case considered to be misdiagnosed as bowenoid papulosis. Oncogenic HPV such as HPV16/18 was found in one of histologically splastic lesions(14.3%).
Condylomata Acuminata* ; DNA* ; Humans* ; In Situ Hybridization