만성 폐쇄성 폐질환자와 정상대조군에서의 microsomal epoxide hydrolase, glutathione S-transferase M1, T1

학위논문(석사)--서울대학교 대학원 :의학과 내과학전공,1999.Maste

(The)Association between microsatellite polymorphism in intron II of human toll-like receptor 2 and tuberculosis

학위논문(박사)--서울대학교 대학원 :의학과 내과학 전공,2004.Docto

WTO 분쟁해결기제의 수립에 관한 고찰 : 미국의 국제정치적 이익과 국내정치적 동학을 중심으로

학위논문(석사) --서울대학교 대학원 :정치학과,2010.2.Maste

Acute Respiratory Failure from Invasive Pulmonary Aspergillosis in an Immunocompetent Adult

Invasive pulmonary aspergillosis has traditionally been known as a disease of an immunocompromised host. We report here on a case of an immunocompetent 73-year-old male who presented with dyspnea and he was finally diagnosed as suffering with invasive pulmonary aspergillosis. He died from progressive respiratory failure and secondary bacterial sepsis despite of voriconazole treatment. Invasive pulmonary aspergillosis should be considered as one of the differential diagnoses in patients with atypical pneumonia that does not respond to the usual antibiotics therapy, and even if the patient does not have an obvious history of an immunosuppressive status. An early suspicion with prompt treatment is important to improve the patient outcome.N

Impact of revised definitions for extensively drug-resistant TB on disease classification

Impact of revised definitions for extensively drug-resistant TB on disease classificatio

A case of Mycobacterium abscessus pneumonia in a patient with systemic lupus erythematosus

전신성 홍반성 낭창으로 3년 전부터 스테로이드를 복용 중이던 40세의 여자 환자가 발열과 기침을 주소로 내원하였다. 환자의 증상과 방사선학적 소견은 경험적인 항균제 투여에 반응이 없었으며 개흉 폐생검의 결과 항산균을 관찰할 수 있었고 객담 항산균 배양 검사에서는 신속 성장균을 발견하여 생화학적 검사와 분자 생물학적 검사로 Mycobacterium abscessus로 확인하였다. 감수성 검사 결과에 따라 imipenem과 amikacin을 정주 투여하여 환자의 증상과 방사선 소견을 모두 호전시킬 수 있었다. A 40-year-old female presented with fever and cough which had lasted for 3 months. Three years previously systemic lupus erythematosus had been diagnosed, and at that time 10mg of prednisone per day was prescribed. Crackles were heard at the base of the lung and her chest roentgenogram revealed diffuse infitrates in both lower lung fields. Despite of empirical antibiotics and antituberculous medication consisting of isoniczid, rifampicin and ethambutol, the patients condition deteriorated. We performed open lung biosy and numerous nodules with necrosis as well as acid fast bacilli were observed. After biochemical tests and sequencing, the organism was identified as Mycobacterium abscessus. The patient was treated with imipenem and amikacin ; patient's condition, as indicated by both symptoms and roentogenogram, subsequently improved.N