, Jae Jung Park, Jung Yoon Yoon, Jung Youn Jo, Eun Kyung Baek, Eun Jin Shim, Kwon Yu, Hee Jung Choi Rhodotorula species are emergent opportunistic pathogens, Particularly m mmunocompromised patients. Rhodotorula mucilaginosa was the species most frequently recovered, followed by Rhodotorula glutinis. They have been associated with endocarditis, peritonitis, meningitis and catheter-associated fungemia. We experienced a case of catheter-related blood stream infection by rhodotorula glutinis. He was 46-year old man with decompensated liver cirrhosis. He was admitted for esophageal variceal bleeding. Rhodotorula glutinis was identified on blood culture, and amphotericin B was administered for fungemia treatment.
, Sun Hee Roh, Jin Kyeong Park, Jung Youn Jo, Sung Shin Kwon, Eun Jin Shim, Kyung Joo Kwon, Young Wook Noh, Kyung Jong Lee, Jung Yoon Yoon, In Seon Kim, So I Kim, Dong Ryeol Ryu, Soon Hee Sung, Ki Sook Hong Rapidly progressive glomerulonephritis(RPGN) is one of the most calamitous renal disease which is clinically characterized by sudden and relentless deterioration in renal function within weeks to months and associated with the pathologic finding of extensive extracapillary proliferation. Pauci-immune RPGN is mostly associated with anti neutrophil cytoplasmic antibody (ANCA) positive systemic vasculitis, but renal-limited RPGN may be found in part. We experienced a case of ANCA positive RPGN associated with polyclonal gammopathy without systemic symptoms. A 64-year-old woman was admitted with gross hematuria and azotemia. Laboratory findings revealed polyclonal gammopathy and severe anemia without definite cause, and she was diagnosed as C-ANCA positive crescentic glomerulonephritis without systemic vasculitis. She was treated with steroid pulse therapy and her renal function and anemia were progressively improved. We report herein a rare case of C-ANCA positive crescentic glomerulonephritis associated with polyclonal gammopathy and severe anemia with the review of literature.
, Jin Kyeong Park, Jung Youn Jo, In Seon Kim, Sung Shin Kwon, Hee Jung Choi, Mi-Ae Lee We have analyzed 9 cases of
All 9 cases were community acquired. The causes of bacteremia were hepatobiliary disease(66.7%), Primary bacteremia(22.2%) and spontaneous bacterial peritonitis(11.1%). Underlying diseases were colon cancer, type 2 diabetes, hypertension and hepatobiliary disease. In 44.4% patients, there were no underlying diseases. Acute renal failure and shock occurred in 33.3% patients. All of the isolated strain were resistant to ampicillin, and only 1 case was resistant to cephalothin, piperacillin/tazobactam.
Citations
, Ki Nam Shim, In Seon Kim, Jin Kyeong Park, Kyung Jong Lee, Jae Beom Lee, Jung Yoon Yoon, Hye Sung Won, In Jeong Cho Acute appendicitis is the one of the most common operative disease in general surgery following by acute cholecystitis and intestinal obstruction, and most of the acute appendicitis is diagnosed at the emergency room.
Especially, because the number of patient who present atypical symptoms of acute appendicitis increases, it is hard to be diagnosed as acute appendicitis and it is often misdiagnosed as other disease.
We report one case of acute appendicitis diagnosed by colonoscopy performed to evaluate for atypical abdominal pain.
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