ABSTRACT
A) Bacteriological study and sensitivity test against antimicrobial agents were made on 126 cases of infantile and childhood shigellosis treated at pediatric epartment of St. Vincent hospital from April, 78 to September, 80. The results are follows: 1. Sh. flexneri was most frequently isolated(86.5%) and the next was Sh. sonnei(13.5%). 2. The percentage of resistant strains against antimicrobial agents. Ampicillin: 95.2% Carbenicillin : 90.5% Cephalothin: 78.6% Choloramphenicol: 95.2% Gentamicin: 20.6% Kanamycin: 23.8% Lincomycin: 100% Methicillin: 100% B) The effect of rifampin on bacteriological cure and clinical course in group B shigellosis of sixty-four hospitalized children from one year to five years old age were compared with other antibiotics. gentamicin, ampicillin and trimethoprim-sulfamethoxazole. Based on our study, rifampin was most effective drug in curing of clinical symptoms of shigellosis and eradicating the organisms from stool, and gentamicin was similar effect. Trimethoprim-sulfamethoxazole twas less effective than rifampin and gentamicin, but more effective than ampicillin which has no appreciable effect on the course of shigellosis.
Subject(s)
Child , Humans , Ampicillin , Anti-Bacterial Agents , Anti-Infective Agents , Carbenicillin , Cephalothin , Child, Hospitalized , Dysentery, Bacillary , Gentamicins , Kanamycin , Lincomycin , Methicillin , Rifampin , Trimethoprim, Sulfamethoxazole Drug CombinationABSTRACT
Acanthosis nigricans is characterized by hyperpigmented, velvety thickening of the skin of any part of the body and frequently associated with internal malignancy, endocrine diseases and obesity. In children, systemic abnormality rarely occur in associated with prepubertal Acanthosis nigricans. We experienced a case of idiopathic Acanthosis nigricans, and made a brief review of literatures.
Subject(s)
Child , Humans , Acanthosis Nigricans , Endocrine System Diseases , Obesity , SkinABSTRACT
Cryptococcosis is a cosmopolitan infectious disease of man and animal resulting from the inhalation or ingestion of the encapsulated potentially pathogenic fungus Cryotococcus neoformans that can be isolated from many common environmental sources. The respiratory tract is considered to be the primany portal of entry. Following invasion of the lungs, the organism may become localized or may be disseminated hematogenously to any aprt of the body, especially the brain, meninges and cord. The patients withe malignant reticuloendothelial neoplasms; Hodgkin's disease, lymphowarcoma, leukemia and diabetes, and those receiving prolonged therapy with steroids were particularly susceptible to disease with Cryptococcus neoformans, We experienced a case of Cryptococcosis in 22 months old Korean boy which was confirmed histologically from lymphnode biopsy. Also we made a brief review of literatures.
Subject(s)
Animals , Humans , Infant , Male , Biopsy , Brain , Communicable Diseases , Cryptococcosis , Cryptococcus neoformans , Eating , Fungi , Hodgkin Disease , Inhalation , Leukemia , Lung , Meninges , Respiratory System , SteroidsABSTRACT
Morgagni hernia is an uncommon finding in adult and rarer still in infants and children, adn they say that Morgagni hernia occur about one in every 300 diaphragmatic hernias diagnosed. This paper presents a 16 months old Korean male infant with symptomatic Morgagni's hernia in whom the diagnosis was established during the course of treatment of upper respiratory tract infection and who were operated successfully. This well nourished patient was admitted with the chief complaints of mid dyspnea, coughing and restlessness for 2 days. During treatment and investigation we detected a peristaltic sound in the right side lung field and confirmed it as Morgagni hernia by chest X-ray and barium swallowing. We performed corrective surgery through a midline supra-umbilical incision. As opened the peritoneum, transverse colon was gushed out, which suspected as herniated intestinal loop. After well mobilization of visible bowel, hernia sac was notified from the anterior portion or right crus of diaphragm. The hernia was reduced very easily. The patient made an uninterrupted recovery and on the 8th post-op. day, he went to home with symptom-free state. We made a brief literature review.
Subject(s)
Adult , Child , Humans , Infant , Male , Barium , Colon, Transverse , Cough , Deglutition , Diagnosis , Diaphragm , Dyspnea , Hernia , Hernia, Diaphragmatic , Lung , Peritoneum , Psychomotor Agitation , Respiratory Tract Infections , ThoraxABSTRACT
This paper presents a case of ganglioneuroblastoma in 3-year-old Korean boy which was arised from right adrenal gland. The tumors arising from the ganglion cells of the peripheral nervous system are ganglioneuroma, neurplastoma and ganglioneuroblastoma. We experienced a case of ganglioneuroblastoma recently which was confirmed histologically and excised successfully. Also we made a brief review of literatures.