1.Two Cases of Emphysematous Pyelonephritis in a Diabetic Patients: Experience of Successful Management by Medical Treatment.
Jee Hyun KIM ; Hyung Won YANG ; Hong Yul KIM ; Dae Kyeong KIM ; Moon Hyung CHUNG ; Kyung Sik KO ; Ja Ryong KOO ; Hyung Jik KIM ; Keun Ho KIM ; Rho Won CHUN ; Dong Wan CHAE ; Jung Woo NOH ; My Kyung SHIN
Korean Journal of Nephrology 1998;17(1):183-188
Emphysematous pyelonephritis is an uncommon, but life-threatening necrotizing inflammation of renal parenchyme and perinephric tissue by gas-forming organisms. This disease is encountered mainly in patients with uncontrolled diabetes mellitus and/or urinary tract obstruction etc. Though the pathogenesis of this diseases is still poorly understood, radiographic demonstration of gas shadow in renal parenchyme and peri-nephric tissue establishes the diagnosis of emphysematous pyelonephritis. The identification of this finding has been believed to consider incision and drainage or nephrectomy in addition to medical treatment, because of high mortality rate of this disease in spite of vigorous medical management. We report two cases of emphysematous pyelonephritis complicated in 62-year-old female and 48- year-old male patients with diabetes mellitus. Nephrectomies were not performed because of bilateral emphysematous pyelonephritis in one patient and of refusal of nephrectomy by the other patient. But patients were recovered completely on medical management.
Diabetes Mellitus
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Diagnosis
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Disulfiram
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Drainage
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Female
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Humans
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Inflammation
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Male
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Middle Aged
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Mortality
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Nephrectomy
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Pyelonephritis*
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Urinary Tract
2.Dendritic Cell-Based Cancer Immunotherapy against Multiple Myeloma: From Bench to Clinic
My Dung HOANG ; Sung Hoon JUNG ; Hyun Ju LEE ; Youn Kyung LEE ; Thanh Nhan NGUYEN-PHAM ; Nu Ri CHOI ; Manh Cuong VO ; Seung Shin LEE ; Jae Sook AHN ; Deok Hwan YANG ; Yeo Kyeoung KIM ; Hyeoung Joon KIM ; Je Jung LEE
Chonnam Medical Journal 2015;51(1):1-7
Although the introduction of stem cell transplantation and novel agents has improved survival, multiple myeloma (MM) is still difficult to cure. Alternative approaches are clearly needed to prolong the survival of patients with MM. Dendritic cell (DC) therapy is a very promising tool immunologically in MM. We developed a method to generate potent DCs with increased Th1 polarization and migration ability for inducing strong myeloma-specific cytotoxic T lymphocytes. In this review, we discuss how the efficacy of cancer immunotherapy using DCs can be improved in MM.
Dendritic Cells
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Humans
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Immunotherapy
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Multiple Myeloma
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Stem Cell Transplantation
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T-Lymphocytes, Cytotoxic