No abstract available.
Humans ; Peptic Ulcer*

Non-lymphatic sporotrichosis is more difficult in diagnosis, lower in incidence and more variable in clinical picture than the classical lymphatic one. A case of non-lymphatic type affecting a female baby aged 2 months is presented, The patient has been suffering from the shallow ulcerated, crusted impetiginous lesian on the cheek area just below the right eye. The lesion has developed progreasively since about 1 month after birth. Clinically, its diagnosis was not easy, but was confirmed by culture on Sabouraud's media. It is thought that the age of initial onset in this case we experienced, is the lowest in recorded Korean literature.
Cheek ; Diagnosis ; Female ; Humans ; Incidence ; Parturition ; Sporotrichosis ; Ulcer

Microsporurn canis was fjrst reportaR m Korea in 1957, but no animal contacts were reported and since then, only sporadic occurrences of M. canis have reported. However, cat and human infections from M. canis have gradually become rnore prevalent lately. Recently author reported 3 cases of T. capitis, 2 cases of Kerion Celsi, 13 cascs of T. e,orporis in human and 4 cases of infected kittens, with M. canis isolated as the causative organisrn. Clinical and mycological observations of both patients and kittens were reported as follows: The infections with M. canis were exclusively reported in kittens, not in adult cats. Two of the infected kittens showed obvious signs of undernourishment, physical retardation and prostration. Infectivity among cats or kittens was very low while cat to human infectivity was very high. The human T. capitis exhibited. round, erythematous lesions with complete 1oss of hair, very similar to lesions of alopecia areata, These lesions were uniformly smaller than a walnut in size. The T. corporis exhibited typical, moderately inflamed ringshaped, singular or multiple lesions. The incubation period was estirnated at approximately 3-7 days. In humans, ectothrix growth was reported while the opposite endothrix growth was observed in the kitten and rabbit. Experimental animal inoculations were performed: Rabbit inocuIated with M. can- is resulted in typical ringshaped Iesions appearing 10 days after inoculation. T4ese lesians were cornpletely gone in 4 weeks but infected hairs still remained. Guinea pig inoculation resultel in non-typical lesions covered with serosanguinous crusts, but rat inoculztion showed no signs of infectivity.
Adult ; Alopecia Areata ; Animals ; Cats ; Guinea Pigs ; Hair ; Humans ; Juglans ; Korea ; Microsporum* ; Rats ; Tinea Capitis

A mating study was performed by crossing 333 isolates of Trichophyton mentugrophytes with+and tester strains of Arthroderma vanbreuseghemii, A. benhamiae and A. simit from January 1980 to December 1983 Three hundred and thiirteen were compatible with A. vanbreuseghemri consisting of 167 of+type and 146 of type and twenty were indeterminate. The cleistothecia formed by crossing the isolates with tester strains of A. vanbreaseghemii were fewer in number and smaller in size than those of tester strains. The sexual dogeneration was observed in all of the isolates compared with tester strains. The colonial morphological features of the isolates of T. mentagrophytes were observed as 24p isolates of the granulosum-asteroides form, 66 of the powdery form and 7 of the downy form on 1/10 Sabouraud agar with salts in culture. The mat- ing type showed the higher type in the granulosumasteroides forrn and + type in the powdery and downy forms. The + type increased from 1981 to 1983, and the type showed a marked increase in 1983. The + type was predominant in tinea pedis et unguim and tinea cruris, and type in tinea faciale and tinea manuurn. The + type showed nearly equal incidence in the spring, winter and summer, and the lowest in the autumn, compared to the highest in the winter and the lowest in the summer in the type.
Agar ; Arthrodermataceae ; Incidence ; Salts ; Tinea ; Tinea Pedis ; Trichophyton*

No abstract available.
Humans ; Illness Behavior* ; Inpatients*

No abstract available.
Humans

The choice of treatment of an epidural abscess is surgical decompression accompanied by an adequate parenteral antibiotics injection. However, in selected patients, unable to endure a surgical procedure due to a medical problem, percutaneous drainage using a spring wire guide & CVP catheter through the sacral hiatus, under fluoroscopic monitoring, is thought to be a good alternative choice for surgical decompression.
Anti-Bacterial Agents ; Catheters ; Decompression, Surgical ; Drainage* ; Epidural Abscess* ; Humans

PURPOSE: The purpose of this study is to know the relationship of tibial nonunion with fibular nonunion in the tibio-fibular shaft fracture. MATERIALS AND METHODS: From March 1998 to February 2004, 98 tibio-fibular shaft fractures which did not involve adjacent joints and were followed up at least 1 year were selected. The characteristics of patients and tibia shaft fracture were analyzed statistically to know the above relationship. RESULTS: The patient's factor and tibia shaft fracture factor were not significant statistically. In patients with the fibular union, there was 1 case (1/68) of tibia nonunion, but in patients with the fibular nonunion, there were 6 cases (6/30) of tibia nonunion. So fibular nonunion was significant statistically associated with tibia nonunion (p=0.003). CONCLUSION: Fibular nonunion was presumed to have a higher risk of tibia nonunion.
Fibula ; Humans ; Joints ; Tibia

During the period from January 1980 to September 1988, 59 patients suffering from brachial plexus injury, have admitted to Seoul National University Hospital. Fifty-four patients were male and 5 patients were female, and age ranged from 6 to 58 years (mean:26.8 years). The most common cause of injury was traffic accident accounting for 66% (39patient), and among them 24 patients(62%) had the motor cycle accident. Birth injury, stab or gun shot wound, fall down and industrial hazard were following causes. Fracture and dislocation of involved limb accompanied in 19 patients(32%) and 2 patients of arterial injury were also found. EMG and cervicsl myelography with or without CT were performed in almost all the patients and MRI was performed in selected patients. Forty-five patients(76%) had supra-clavicular lesion and 14 patients (24%) had infra-clavicular lesion. In supra-clavicular lesion, upper roots or whole roots were involved in most of cases. Forty-nine cases were treated with conservative treatment for more than 8 months and operative procedures were performed in 36 cases. In operative cases, 30 patients were followed up for more than 1 year (average 24.3 months). Signs of root avulsion were found in 25 out of 31 cases of cervical myelography. MRI was performed in 7 cases, but it was inconclusive in diagnosis of root involvement. Infra-clavicular lesion showed better prognosis than supra-clavicular lesion. In supra-clavicular lesion, upper root involvement had the best prognosis. A pseudocyst detected by myelography usually precluded recovery in the root at the level of pseudocyst. Result of reparative treatment was better than that of conservative treatment. Overall satisfactory result in reparative treatment was 36%. However, if we include neurological improvement, positive result was 53%. Complete recovery was gained in half cases of neurolysis and other half showed no recovery, but all the cases of neurotization showed poor result. Reconstructive surgery including arthrodesis or muscle transfer can be effective treatment method, if it is performed properly on a selective patient.
Accidents, Traffic ; Arthrodesis ; Birth Injuries ; Brachial Plexus ; Diagnosis ; Dislocations ; Extremities ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Methods ; Myelography ; Nerve Transfer ; Prognosis ; Seoul ; Surgical Procedures, Operative ; Wounds and Injuries

We reported the two cases of olecranon osteomyelitis secondary to the iatrogenic chronic relapsing septic olecranon bursitis. Infection was well eradicated by excision of the infected bursa and curettage of the eroded olecranon under the coverage of antibiotic therapy.
Bursitis* ; Curettage ; Cytochrome P-450 CYP1A1 ; Olecranon Process* ; Osteomyelitis*