1.Nasogastric Tube Syndrome: Why Is It Important in the Intensive Care Unit?.
Taehyun KIM ; Seong Min KIM ; Sung Birm SOHN ; Yeon Ho LEE ; Sang Youn LIM ; Jae Kyeom SIM
Korean Journal of Critical Care Medicine 2015;30(3):231-233
Although the nasogastric tube (NGT) is widely used in critically ill patients, most intensivists do not give much thought to it or its possible complications. NGT syndrome is a rare but fatal complication characterized by throat pain and vocal cord paralysis in the presence of NGT. Recently, we experienced a case of NGT syndrome developed in an 86-year-old female twelve days after NGT insertion. We immediately removed the NGT and secured the airway by tracheostomy. She was treated successfully with an intravenous antibiotic, steroid and proton pump inhibitor and the syndrome did not recur after reinsertion of the NGT.
Aged, 80 and over
;
Critical Illness
;
Female
;
Humans
;
Intensive Care Units*
;
Critical Care*
;
Pharynx
;
Proton Pumps
;
Tracheostomy
;
Vocal Cord Paralysis
2.Recurrent Pneumothorax after Etanercept Therapy in a Rheumatoid Arthritis Patient: A Case Report
Sang Hoon KIM ; Sung Jae CHOI ; Young Ho SEO ; Ji Hyoung KIM ; Il Woo JEONG ; Sung Birm SOHN
Chonnam Medical Journal 2014;50(3):115-118
The use of anti-tumor necrosis factor (anti-TNF) agents for rheumatoid arthritis (RA) patients who are refractory to disease-modifying anti-rheumatic drugs is gradually increasing. Etanercept is the first anti-TNF agent to be approved for RA treatment and is also the most widely used. However, aggravation of interstitial lung disease after etanercept treatment in RA patients has been reported recently. We report the first case of recurrent spontaneous pneumothorax with progression of interstitial lung disease after initiating etanercept therapy. The withdrawal of etanercept and a change to adalimumab, a different class of TNF inhibitor, achieved clinical stabilization.
Antirheumatic Agents
;
Arthritis, Rheumatoid
;
Humans
;
Lung Diseases, Interstitial
;
Necrosis
;
Pneumothorax
;
Adalimumab
;
Etanercept
3.Nasogastric Tube Syndrome: Why Is It Important in the Intensive Care Unit?
Taehyun KIM ; Seong Min KIM ; Sung Birm SOHN ; Yeon Ho LEE ; Sang Youn LIM ; Jae Kyeom SIM
The Korean Journal of Critical Care Medicine 2015;30(3):231-233
Although the nasogastric tube (NGT) is widely used in critically ill patients, most intensivists do not give much thought to it or its possible complications. NGT syndrome is a rare but fatal complication characterized by throat pain and vocal cord paralysis in the presence of NGT. Recently, we experienced a case of NGT syndrome developed in an 86-year-old female twelve days after NGT insertion. We immediately removed the NGT and secured the airway by tracheostomy. She was treated successfully with an intravenous antibiotic, steroid and proton pump inhibitor and the syndrome did not recur after reinsertion of the NGT.
Aged, 80 and over
;
Critical Illness
;
Female
;
Humans
;
Intensive Care Units
;
Critical Care
;
Pharynx
;
Proton Pumps
;
Tracheostomy
;
Vocal Cord Paralysis
4.A Case of Pancreatic Neuroendocrine Tumor Mimicked Intraductal Papillary Mucinous Neoplasm.
Sung Birm SOHN ; Hyo Jung KIM ; Jae Seon KIM ; Baek Hui KIM ; Sang Hun KIM ; Ji Hyoung KIM ; Ji Young SONG ; Taehyun KIM
Korean Journal of Pancreas and Biliary Tract 2014;19(4):210-214
Neuroendocrine tumors of the pancreas are exremely rare tumors, but recent imaging examination advances, diagnostic frequency is also increasing. However, there is difficulty of diagnosis of pancreatic serotonin producing neuroendocrine tumors, because tumors grow slowly and clinical symptoms are not significant. A 60-year-old male patient with pancreatic duct dilatation progresses gradually during the seven years without obstructing lesion in imaging studies, we suspected the mass as intraductal papillary mucinous neoplasm. However, we diagnosed his case as neuroendocrine tumor after surgery and report here with literature review.
Diagnosis
;
Dilatation
;
Humans
;
Male
;
Middle Aged
;
Mucins*
;
Neuroendocrine Tumors*
;
Pancreas
;
Pancreatic Ducts
;
Serotonin
5.Severe Endobronchial Inflammation Induced by Aspiration of a Ferrous Sulfate Tablet.
Sang Youn LIM ; Sung Birm SOHN ; Jung Min LEE ; Ji Ae LEE ; Sangmi CHUNG ; Junga KIM ; Juwhan CHOI ; Sehwa KIM ; Ah Young YOO ; Jong Ah ROH ; Haein PARK ; Won Shik KIM ; Jae Kyeom SIM ; Jae Jeong SHIM ; Kyung Hoon MIN
Tuberculosis and Respiratory Diseases 2016;79(1):37-41
Iron supplements such as ferrous sulfate tablets are usually used to treat iron-deficiency anemia in some elderly patients with primary neurologic disorders or decreased gag reflexes due to stroke, senile dementia, or parkinsonism. While the aspiration of ferrous sulfate is rarely reported, it is a potentially life-threatening condition that can lead to airway necrosis and bronchial stenosis. A detailed history and high suspicion of aspiration are required to avoid delays in diagnosis and treatment. The diagnosis can be confirmed by bronchoscopic examination and a tissue biopsy. Early removal of the aspirated tablet prevents acute complications, such as bronchial necrosis, hemoptysis, and lobar consolidation. Tablet removal is also necessary to prevent late bronchial stenosis. We presented the first case in Korea of a ferrous sulfate tablet aspiration that induced severe endobronchial inflammation.
Aged
;
Alzheimer Disease
;
Anemia, Iron-Deficiency
;
Biopsy
;
Bronchi
;
Bronchoscopy
;
Constriction, Pathologic
;
Diagnosis
;
Foreign Bodies
;
Hemoptysis
;
Humans
;
Inflammation*
;
Iron
;
Korea
;
Necrosis
;
Nervous System Diseases
;
Parkinsonian Disorders
;
Reflex
;
Respiratory Aspiration
;
Stroke
;
Tablets