논문 상세보기

영남대학교 의과대학> 영남의대학술지> Community-acquired Achromobacter xylosoxidans infection presenting as a cavitary lung disease in an immunocompetent patient

KCI등재

Community-acquired Achromobacter xylosoxidans infection presenting as a cavitary lung disease in an immunocompetent patient

Chan Hee Hwang , Woo Jin Kim , Hye Young Jwa , Sung Heon Song
  • : 영남대학교 의과대학
  • : 영남의대학술지 37권1호
  • : 연속간행물
  • : 2020년 01월
  • : 54-58(5pages)

DOI


목차

Introduction
Case
Discussion
Acknowledgments
References

키워드 보기


초록 보기


						
Achromobacter xylosoxidans is a gram-negative bacterium that can oxidize xylose. It is commonly found in contaminated soil and water but does not normally infect immunocompetent humans. We report a case of a cavitary lung lesion associated with community-acquired A. xylosoxidans infection, which mimicked pulmonary tuberculosis or lung cancer in an immunocompetent man. The patient was hospitalized due to hemoptysis, and chest computed tomography (CT) revealed a cavitary lesion in the superior segment of the left lower lobe. We performed bronchoscopy and bronchial washing, and subsequent bacterial cultures excluded pulmonary tuberculosis and identified A. xylosoxidans. We performed antibiotic sensitivity testing and treated the patient with a 6-week course of amoxicillin/clavulanate. After 2 months, follow-up chest CT revealed complete resolution of the cavitary lesion.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 기타(의약학)
  • : KCI등재
  • :
  • : 연3회
  • : 1225-7737
  • : 2384-0293
  • : 학술지
  • : 연속간행물
  • : 1984-2020
  • : 1452


저작권 안내

한국학술정보㈜의 모든 학술 자료는 각 학회 및 기관과 저작권 계약을 통해 제공하고 있습니다.

이에 본 자료를 상업적 이용, 무단 배포 등 불법적으로 이용할 시에는 저작권법 및 관계법령에 따른 책임을 질 수 있습니다.

발행기관 최신논문
| | | | 다운로드

1First step to international journal by indexing PMC and DOAJ

저자 : Joon Hyuk Choi

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 1-1 (1 pages)

다운로드

(기관인증 필요)

키워드 보기
초록보기

The Yeungnam University Journal of Medicine (YUJM) was first published in December 1984 as the official journal of the Yeungnam University College of Medicine. It is an international, peer-reviewed, and open access journal. The aim of YUJM is to communicate new medical information to the medical personnel and facilitate the development of medicine through propagation of medical knowledge by publishing high quality evidence-based articles. It has been published in English since 2018.
YUJM has been indexed in both the Directory of Open Access Journals (DOAJ; June 2019) and PubMed Central (PMC; October 2019). It has been available for journal article search through PubMed since the publication of volume 35, issue 1, 2018. The significance of YUJM being indexed in DOAJ and PMC is as follows: firstly, it has advanced to an international-level journal; secondly, it can be easily searched in PubMed; and lastly, journal citations will increase because they are available online to be read and used readily. To promote YUJM to SCOPUS and SCIE-indexed journals, the efforts toward maintaining the high scientific standard of the journal need to be continued; additionally, there is a need to increase the critical mass and standard of content.
Finally, I would like to express my sincere thanks to the former editor-in-chiefs, members of the editorial board, reviewers, manuscript editors, and publishers for their utmost devotion to the success of YUJM. In particular, I deeply appreciate all authors of the articles for their support and contribution. I hope that the readers and researchers will share their valuable thoughts and experiences, and recent information in the field of medical science.

2Drug-induced liver injury

저자 : Jeong Ill Suh

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 2-12 (11 pages)

다운로드

(기관인증 필요)

초록보기

Drug-induced liver injury (DILI), including herbal and dietary supplement hepatotoxicity, is often passed lightly; however, it can lead to the requirement of a liver transplant or may even cause death because of liver failure. Recently, the American College of Gastroenterology, Chinese Society of Hepatology and European Association for the Study of the Liver guidelines for the diagnosis and treatment of DILI have been established, and they will be helpful for guiding clinical treatment decisions. Roussel Uclaf Causality Assessment Method scoring is the most commonly used method to diagnose DILI; however, it has some limitations, such as poor validity and reproducibility. Recently, studies on new biomarkers have been actively carried out, which will help diagnose DILI and predict the prognosis of DILI. It is expected that the development of new therapies such as autophagy inducers and various other technologies of the fourth industrial revolution will be applicable to DILI research.

3Maturity-onset diabetes of the young: update and perspectives on diagnosis and treatment

저자 : Kyung Mi Jang

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 13-21 (9 pages)

다운로드

(기관인증 필요)

초록보기

Maturity-onset diabetes of the young (MODY) is a clinically heterogeneous group of monogenic disorders characterized by ß-cell dysfunction. MODY accounts for between 2% and 5% of all diabetes cases, and distinguishing it from type 1 or type 2 diabetes is a diagnostic challenge. Recently, MODY-causing mutations have been identified in 14 different genes. Sanger DNA sequencing is the gold standard for identifying the mutations in MODY-related genes, and may facilitate the diagnosis. Despite the lower frequency among diabetes mellitus cases, a correct genetic diagnosis of MODY is important for optimizing treatment strategies. There is a discrepancy in the disease-causing locus between the Asian and Caucasian patients with MODY. Furthermore, the prevalence of the disease in Asian populations remains to be studied. In this review, the current understanding of MODY is summarized and the Asian studies of MODY are discussed in detail.

4Reproductive toxic agents in work environments and related cases in Korea

저자 : Chulyong Park

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 22-31 (10 pages)

다운로드

(기관인증 필요)

초록보기

There has been a growing concern and subsequent interest surrounding numerous reproductive toxic agents found in various working and non-working environments. Meanwhile, there have been many efforts in medical fields such as toxicology and epidemiology applying experimental studies to elucidate reproductive toxic agents' characterization and health effects. However, there remains insufficient research data and inadequate evidence in humans. Adverse reproductive outcomes vary from transient, moderate health effects to severely detrimental consequences, such as permanent infertility or childhood cancer of one's offspring. Furthermore, upon exposure to toxic agents, the latent period before reproductive health effects are observed is relatively short compared to other occupational diseases (e.g., occupational cancer); instant action is required once exposure to reproductive toxic agents is detected. Therefore, it is very important for workers and healthcare professionals to know about the reproductive toxic agents they are likely to be exposed to. In this review, we discuss the general epidemiology of reproductive health in Korea, and the information regarding these reproductive toxic agents.

5Nasal tip plasty using three-dimensional printed polycaprolactone (Smart Ball®)

저자 : Joo Hyoung Kim , Geon Woo Kim , Won Kyung Kang

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 32-39 (8 pages)

다운로드

(기관인증 필요)

초록보기

Background: Rhinoplasty is one of the most commonly performed cosmetic surgery procedures. Most Asians desire elevation of their relatively flat nasal dorsum and tip to make them appear more prominent. This study introduces a simple method of nasal tip plasty using three-dimensional (3D)-printed polycaprolactone (PCL) (Smart Ball®), which provides the required length and volume for this purpose and enables the creation of a nasal tip of the desired shape in a safe and simple manner.
Methods: Between September 2014 and May 2017, 22 patients participated in a survey to assess postoperative satisfaction levels. Additionally, three plastic surgeons compared patients' pre- and 1-year postoperative photographs to evaluate the results. All patients underwent 2- to 4-year postoperative follow-up.
Results: Levels of subjective satisfaction among patients were 3.59, 3.50, 3.82, 3.73, 3.55, and 3.82 for each of the 6 categories evaluated, with a mean of 3.67/4 points, indicating high satisfaction levels. The mean plastic surgeon-reported score for the 22 patients was 4.47/5 points, which also indicates highly successful outcomes. Postoperative nasal tip rotation and tip projection were ideal in most patients.
Conclusion: Our novel method using 3D-printed PCL (Smart Ball®) provides the optimal length and volume required for nasal tip plasty and enables the creation of a nasal tip of the desired shape, in a safe and simple manner. An advantage of our method is that it retains the original nasal structure in contrast to structural changes observed with the use of conventional methods.

6Correlation between anterior thigh pain and morphometric mismatch of femoral stem

저자 : Haksun Chung , So Hak Chung

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 40-46 (7 pages)

다운로드

(기관인증 필요)

초록보기

Background: Postoperative pain occurring after hip arthroplasty has become common since the expanded use of cementless femoral stems. The characteristic pain develop in the anterolateral thigh area. This study aimed to predict anterior thigh pain based on the measurements of postoperative anteroposterior (AP) and lateral (Lat) radiographs of the hip joint.
Methods: The present study included 26 patients (29 hips) who underwent total hip replacement or bipolar hemiarthroplasty between March 2010 and May 2016, whose complete clinical information was available. AP and Lat radiographs of the affected hip were taken on the day of surgery and 1 and 6 months postoperatively. Patients with improper radiographs were excluded. The distance from the femoral stem to the nearest cortical bone in the distal region of the stem was measured. The patient group with a visual analog scale (VAS) score of ≥6 points was designated as patients with anterior thigh pain.
Results: Sex, age, weight, height, body mass index, and bone mineral density in the lumbar spine and femur did not have a significant effect on postoperative VAS scores (p>0.05). Presence of contact between the femoral stem and cortical bone was associated with postoperative anterior thigh pain.
Conclusion: Hip AP and Lat radiographs are usually taken to confirm fixation and alignment of the femoral stem after hip arthroplasty. The measurement method introduced in this study can be utilized for predicting anterior thigh pain after hip arthroplasty.

7Clinical factors that affect the pregnancy rate in frozen-thawed embryo transfer in the freeze-all policy

저자 : Seo Yoon Hwang , Eun Hye Jeon , Seung Chul Kim , Jong Kil Joo

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 47-53 (7 pages)

다운로드

(기관인증 필요)

초록보기

Background: This study was conducted to analyze clinical factors that can affect pregnancy rates in normal responders undergoing the freeze-all policy in in vitro fertilization.
Methods: We evaluated 153 embryo transfer cycles in 89 infertile women with normal response to controlled ovarian stimulation (COS). After COS, all embryos were cultured to the blastocyst stage, and good quality blastocysts were vitrified for elective frozen-thawed embryo transfer (FET). Clinical variables associated with COS and the results of COS and culture, including the number of retrieved oocytes, fertilized oocytes, and frozen blastocysts were compared between the pregnant group and the non-pregnant group.
Results: After a single cycle of COS for each patient, 52 patients became pregnant while 37 did not. Significant differences were observed in the number of matured oocytes, fertilized oocytes, frozen blastocysts, and transferred embryos. The number of frozen blastocysts in the pregnant group was almost twice that in the non-pregnant group (5.6±3.1 vs. 2.8±1.9, p<0.001). The area under the receiver operating characteristic curve for the 4 frozen blastocysts was 0.801 in the pregnant group.
Conclusion: In the freeze-all policy, the number of matured oocytes, number of fertilized oocytes, and number of frozen blastocysts might be predictive factors for pregnancy.

8Community-acquired Achromobacter xylosoxidans infection presenting as a cavitary lung disease in an immunocompetent patient

저자 : Chan Hee Hwang , Woo Jin Kim , Hye Young Jwa , Sung Heon Song

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 54-58 (5 pages)

다운로드

(기관인증 필요)

초록보기

Achromobacter xylosoxidans is a gram-negative bacterium that can oxidize xylose. It is commonly found in contaminated soil and water but does not normally infect immunocompetent humans. We report a case of a cavitary lung lesion associated with community-acquired A. xylosoxidans infection, which mimicked pulmonary tuberculosis or lung cancer in an immunocompetent man. The patient was hospitalized due to hemoptysis, and chest computed tomography (CT) revealed a cavitary lesion in the superior segment of the left lower lobe. We performed bronchoscopy and bronchial washing, and subsequent bacterial cultures excluded pulmonary tuberculosis and identified A. xylosoxidans. We performed antibiotic sensitivity testing and treated the patient with a 6-week course of amoxicillin/clavulanate. After 2 months, follow-up chest CT revealed complete resolution of the cavitary lesion.

9Recurrent hemoptysis in a 26-year-old woman with a ground-glass opacity lesion of the lung

저자 : Jong Ha Kim , Sin-youl Park

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 59-62 (4 pages)

다운로드

(기관인증 필요)

초록보기

Hemoptysis is a major reason for emergency department (ED) visits. Catamenial hemoptysis (CH), a rare condition of thoracic endometriosis, can cause recurrent hemoptysis but is difficult to diagnose in the ED due to the scarcity of cases and nonspecific clinical findings. We report a case of a 26-year-old woman who presented to the ED with recurrent hemoptysis since 2 years without a definite cause. Her vital signs and blood test findings were unremarkable. Chest computed tomography (CT) did not show any specific lesions other than a non-specific ground-glass opacity pattern in her right lung. She was on day 4 of her menstrual cycle and her hemoptysis frequently occurred during menstruation. Although there was no histological confirmation, based on her history of hemoptysis during menstruation and no other cause of the hemoptysis, the patient was tentatively diagnosed with CH and was administered gonadotropin-releasing hormone. She had no recurrence of hemoptysis for 3 months. While CH is difficult to diagnose in the ED, the patient's recurrent hemoptysis related to menstruation was a clue to the presence of CH. Therefore, physicians should determine the relationship between hemoptysis and menstruation for women of childbearing age presenting with repeated hemoptysis without a definite cause.

10Purulent pericarditis: subdiaphragmatic suppurative focus

저자 : Kang-un Choi , Chan-hee Lee

발행기관 : 영남대학교 의과대학 간행물 : 영남의대학술지 37권 1호 발행 연도 : 2020 페이지 : pp. 63-66 (4 pages)

다운로드

(기관인증 필요)

초록보기

Purulent pericarditis is defined as a localized pericardial infection with gross pus formation in the pericardial space. Although purulent pericarditis is now rare in the antibiotic era, it may be life-threatening. We describe a rare case of purulent pericarditis that originated from a subdiaphragmatic suppurative focus in an immunocompromised host.

12
주제별 간행물
간행물명 수록권호

KCI등재

대한통합의학회지
8권 3호 ~ 8권 3호

KCI등재

대한스포츠의학회지
38권 3호 ~ 38권 3호

KCI등재

대한물리의학회지
15권 3호 ~ 15권 3호

경희의학
35권 1호 ~ 35권 1호

KCI등재

Clinical Nutrition Research
9권 3호 ~ 9권 3호

KCI후보

연세의사학
23권 1호 ~ 23권 1호

KCI등재

대한임상독성학회지
18권 1호 ~ 18권 1호

KCI후보

의료커뮤니케이션
15권 1호 ~ 15권 1호

KCI등재

한국의료윤리학회지
23권 2호 ~ 23권 2호

KCI등재

대한통합의학회지
8권 2호 ~ 8권 2호

KCI등재 SCOUPUS

Electrolytes & Blood Pressure
18권 1호 ~ 18권 1호

KCI등재

대한스포츠의학회지
38권 2호 ~ 38권 2호

뇌교육연구
25권 0호 ~ 25권 0호

KCI등재

영남의대학술지
37권 2호 ~ 37권 2호

KCI등재

대한물리의학회지
15권 2호 ~ 15권 2호

KCI등재

Clinical Nutrition Research
9권 2호 ~ 9권 2호

Journal of Naturopathy(한국자연치유학회지)
9권 1호 ~ 9권 1호

KCI등재

한국의료윤리학회지
23권 1호 ~ 23권 1호

KCI등재

대한통합의학회지
8권 1호 ~ 8권 1호

KCI등재

대한스포츠의학회지
38권 1호 ~ 38권 1호
발행기관 최신논문
자료제공: 네이버학술정보
발행기관 최신논문
자료제공: 네이버학술정보

내가 찾은 최근 검색어

최근 열람 자료

맞춤 논문

보관함

내 보관함
공유한 보관함

1:1문의

닫기