2.Five Cases of Microsporum Gypseum Infection in Seoul Area.
Kyung Hwan CHO ; Si Young KIM ; Baik Kee CHO ; Chung Won KIM ; Won HOUGH
Korean Journal of Dermatology 1981;19(6):913-917
Microsporum gypseum, long considered to be of animal origin, has recently been found to be soil inhabitating fungus and abundant in soil throughout the world. M. Gypseum infections tend to increase nowadays in Korea. Nineteen cases of ringworm caused by M. gypseum were reported in Korean literature until 1980 to the best of our knowledge. We present 5 cases of M. gypseum infection confirmed by culture findings on Sabouraud agar media and microscopic examination. The first case was 4 year-old boy with solitary coin sinzed pruritic annular erythernatous plaque ontaining papules, pustules and scales on the right cheek of on month duration. The second case, 7 year-old boy, had solitary walnut sized ovoid plaque consisted with papulopustules, oozing and peripheral scaling on right cheek of one month duration. The third case, 5 year-old boy, had solitary egg sized pruritic erythematous plaque with papuIes, scales and crust on the right lower leg of three weeks duration. The fourth case, 63 year-old female, had solitary egg sized sharply demarcated erythematious scaly patch with central clearing on nose and. nasolabial area of 10 days duration. The last case was 2 year-old girl with solitary coin sized annular erythematous scaly pIaque on left lower leg of two weeks duration.
Agar
;
Animals
;
Cheek
;
Child
;
Child, Preschool
;
Female
;
Fungi
;
Humans
;
Juglans
;
Korea
;
Leg
;
Male
;
Microsporum*
;
Middle Aged
;
Nose
;
Numismatics
;
Ovum
;
Seoul*
;
Soil
;
Tinea
;
Weights and Measures
3.Outcome of External Ventricular Drainage according to the Operating Place: the Intensive Care Unit versus Operating Room.
Si On KIM ; Won Jun SONG ; Yu Sam WON ; Jae Young YANG ; Chun Sik CHOI
Korean Journal of Critical Care Medicine 2016;31(1):10-16
BACKGROUND: External ventricular drainage (EVD) is an important procedure for draining excessive cerebrospinal fluid (CSF) and monitoring intracranial pressure. Generally, EVD is performed in the operating room (OR) under aseptic conditions. However, in emergency circumstances, the operation may be performed in the intensive care unit (ICU) to save neuro-critical time and to avoid the unnecessary transfer of patients. In this study, we retrospectively analyzed the risk of EVD-induced CNS infections and their outcomes according to the operating place (ICU versus OR). In addition, we compared mortalities as well as hospital and ICU days between the CNS infection and non-CNS infection groups. METHODS: We reviewed medical records, laboratory data and radiographic images of patients who had received EVD operations between January, 2013 and March, 2015. RESULTS: A total of 75 patients (45 men and 30 women, mean age: 58.7 +/- 15.6 years) were enrolled in this study. An average of 1.4 catheters were used for each patient and the mean period of the indwelling catheter was 7.5 +/- 5.0 days. Twenty-six patients were included in the ICU group, and EVD-induced CNS infection had occurred in 3 (11.5%) patients. For the OR group, forty-nine patients were included and EVD-induced CNS infection had occurred in 7 (14.3%) patients. The EVD-induced CNS infection of the ICU group did not increase above that of the OR group. The ICU days and mortality rate were higher in the CNS infection group compared to the non-CNS infection group. The period of the indwelling EVD catheter and the number of inserted EVD catheters were both higher in the CNS infection group. CONCLUSIONS: If the aseptic protocols and barrier precautions are strictly kept, EVD in the ICU does not have a higher risk of CNS infections compared to the OR. In addition, EVD in the ICU can decrease the hospital and ICU days by saving neuro-critical time and avoiding the unnecessary transfer of patients. Therefore, when neurosurgeons decide upon the operating place for EVD, they should consider the benefits of ICU operation and be cautious of EVD-induced CNS infection.
Catheter-Related Infections
;
Catheters
;
Catheters, Indwelling
;
Cerebrospinal Fluid
;
Drainage*
;
Emergencies
;
Female
;
Humans
;
Intensive Care Units*
;
Critical Care*
;
Intracranial Pressure
;
Male
;
Medical Records
;
Mortality
;
Operating Rooms*
;
Retrospective Studies
;
Ventriculostomy
4.A clinical analysis of neurilemmoma originated from the head and neck.
Young Mook LIM ; Si Young WON ; Ki Sang RHA ; Jang Yoorl YOO ; Chan Il PARK
Korean Journal of Otolaryngology - Head and Neck Surgery 1991;34(4):769-774
No abstract available.
Head*
;
Neck*
;
Neurilemmoma*
5.Xanthogranuloma for Whom Dermoscopy Was Used as an Adjuvant Diagnostic Tool.
Chae Young WON ; Ji Hae LEE ; Ji Hyun LEE ; Si Yong KIM ; Gyong Moon KIM
Korean Journal of Dermatology 2014;52(2):149-151
No abstract available.
Dermoscopy*
;
Diagnosis
6.Endoscopic Retrograde Cholangiography Through Artificial Cheledochoduodenal Fistula.
Won Ho KIM ; Si Young SONG ; Jae Bock CHUNG ; Jin Kyung KANG ; Heung Jai CHOI
Korean Journal of Gastrointestinal Endoscopy 1989;9(2):207-213
Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most useful diagnostic tool in biliary and pancreatic disease. However, ERCP cannot be performed successfully in all patients. Cannulation failure is the most common cause of failure of ERCP. Mechanical pathologies, such as peri-Vater diverticulum, cancer of the papilla of Vater, and impacted stone were the common causes of cannulation failure. We experienced two cases of carcinoma of the papilla of Vater in whom cholangiography and insertion of the nasobiliary tube were performed througth an artificial choledoehoduodenal fistula made by a needle type diathermy knife, beacuse cannulation to the duct was failed due to the tumor.
Catheterization
;
Cholangiography*
;
Cholangiopancreatography, Endoscopic Retrograde
;
Diathermy
;
Diverticulum
;
Fistula*
;
Humans
;
Needles
;
Pancreatic Diseases
;
Pathology
7.Two cases of extramammary Paget's disease: associated with adenocarcinoma with metastases.
Soo Keun PARK ; Jun Young LEE ; Ik Jun KO ; Si Yong KIM ; Won HOUH
Korean Journal of Dermatology 1991;29(2):256-260
We report two cases of extramammary Paget's disease associated with ad enocarcinoma with metascases. Histologically, Iaget cells in the epidermis and the hair follicles and adenocarcinoma in the der mis was observed in both cases. Of special interest was the demonstration of Eaget cells extending from the involved epidermis to the underlying dermis in case 2, There were metastatic lesioris of 3rd lumbar vertebra in case 1 and of the liver and lymph nodes in rase 2.
Adenocarcinoma*
;
Dermis
;
Epidermis
;
Hair Follicle
;
Liver
;
Lymph Nodes
;
Neoplasm Metastasis*
;
Paget Disease, Extramammary*
;
Spine
8.A Case of Targetoid Hemosiderotic Hemangioma.
Jong Rok LEE ; Si Won LEE ; Gwang Seong CHOI ; Seung Chul LEE ; Young Keun KIM
Annals of Dermatology 2001;13(4):228-231
Targetoid hemosiderotic hemangioma is a benign vascular tumor with a peculiar clinical presentation and histologic features sometimes difficult to differentiate from the patch stage of Kaposi's sarcoma, progressive lymphangioma, eosinophilic hemangioma, retiform hemangioendothelioma. We report a case of targetoid hemosiderotic hemangioma on upper back and right upper arm of a 28-year-old male. He has a 5mm × 5mm sized slightly raised violaceous papule surrounded by an ecchymotic halo on upper back and right upper arm. We took a biopsy of the lesion and identified it as targetoid hemosiderotic hemangioma. This is a case of targetoid hemosiderotic hemangioma with typical clinical and histopathological findings.
Adult
;
Arm
;
Biopsy
;
Eosinophils
;
Hemangioendothelioma
;
Hemangioma*
;
Humans
;
Lymphangioma
;
Male
;
Sarcoma, Kaposi
9.The Significance of Palliative Nephrostomy.
Young Sun KIM ; Kwang Myung KIM ; Won Hee PARK ; Si Whang KIM
Korean Journal of Urology 1982;23(8):1085-1088
Palliative open nephrostomy was done on 50 cases with advanced pelvic malignancy and benign conditions in the Department of Urology, Seoul National University Hospital during the period of March, 1979 to July, 1982. The results were as follows: 1. 20.5% (9/44) of our patients died without being discharged from the hospital after nephrostomy. 2. In advanced pelvic malignancy, only 52.6% of patients alive at 3 months and only 26.3% alive 6 months. 3. In advanced pelvic malignancy, the post-nephrostomy complication was 46.7% and the most common complication was various urinary problems. 4. The cause of death was multifactorical and impossible to define precisely. The nephrostomy complications were at least in part contributory to the deaths. 5. The terminal malignancy patients who might not expected to live six months and to lead a useful, relatively comfortable life outside the hospital after treatment could not have benefited from nephrostomy. Unavoidable cases, we recommended percutaneous nephrostomy and passage of ureteral catheters instead of open nephrostomy.
Cause of Death
;
Humans
;
Nephrostomy, Percutaneous
;
Seoul
;
Urinary Catheters
;
Urology
10.A Case of Tick Bite Caused by Ixodes nipponensis.
Seung Churl PAIK ; Young Jin OH ; Si Yong KIM ; Baik Kee CHO ; Won HOUH
Korean Journal of Dermatology 1989;27(1):83-88
A 53-year-old woman developed a psinful erythematous papular skin eruption around the biting site by a tick on the left lower abdomen. A excision biopsy specimen from the skin lesion showed perivsscular infiltration of inflammatory cells composed mainly of neutrophiles, lymphocytes, and a few eosinophiles and histiocytes throughout the dermis. Some of the vessels were dilated with protruding and proliferated endothelial cells. The tick was identified as an adult female of Ixodes nipponensis by the scanning electron microscopic examination.
Abdomen
;
Adult
;
Biopsy
;
Dermis
;
Endothelial Cells
;
Eosinophils
;
Female
;
Histiocytes
;
Humans
;
Ixodes*
;
Lymphocytes
;
Middle Aged
;
Neutrophils
;
Skin
;
Tick Bites*
;
Ticks*