ABSTRACT
Urinary tract infection is the main cause of death in spinal cord injury patient. Unfortunately. it is difficult accurately to diagnose acute renal parenchymal infection and to recognize the response of therapy in the spinal cord injury patient who may have abnormal voiding pattern as well as complete or partial loss of sensation. Thus to know any helpful method for diagnosis and follow-up in spinal cord injury patient with acute pyelonephritis, we analyzed 13 cases of clinical pyelonephritis and 14 cases of control group in spinal cord injury patient during the period from Feb, 1987 to Aug, 1988. The results were as follows ; 1. Serum C-reactive protein (CRP) determination and urinary lactate dehydrogenase (LDH) isoenzyme fraction rates were very valuable as the diagnostic test in patients of spinal cord injury with acute pyelonephritis. 2. Clinically the loss of fever was an important determinant of the response to therapy, and loss of pyuria and bacteriuria was little significant. But serum CRP was thought to be the important index for the follow-up test in these patients. 3. Vesicoureteral reflux and renal stones were proved as the important causative factors of acute pyelonephritis.
Subject(s)
Humans , Bacteriuria , C-Reactive Protein , Cause of Death , Diagnosis , Diagnostic Tests, Routine , Fever , Follow-Up Studies , L-Lactate Dehydrogenase , Pyelonephritis , Pyuria , Sensation , Spinal Cord Injuries , Spinal Cord , Urinary Tract Infections , Vesico-Ureteral RefluxABSTRACT
Because of its usually abnormal mesorchial attachments the undescended testis is more prone to undergo torsion than normally-sited organ, but the incidence of this complication appears to have lessened in recent years. We present two cases with torsion of the unilateral cryptorchid testis and a review of the literature. Two cryptorchids complained of the painful mass on the inguinal area. Exploration revealed testicular torsion and orchiectomy was done.
Subject(s)
Male , Cryptorchidism , Incidence , Orchiectomy , Spermatic Cord Torsion , TestisABSTRACT
We experienced a case of tuberculous epididymitis in 3-year-old boy who presented with a chief complaint of right scrotal swelling without evidences of tuberculosis of other organs. Physical examination revealed bilateral epididymal induration and beaded vas with another firm and tender nodule on right epididymal tail. During anti-Tbc chemotherapy, right scrotal draining sinus developed and so right epididymectomy was performed. Tuberculous epididymitis was confirmed pathologically.
Subject(s)
Child, Preschool , Humans , Male , Male , Drug Therapy , Epididymitis , Physical Examination , TuberculosisABSTRACT
A total of 110 computed tomographic scans of the brain in pediatric population were reviewed. They wereretrospectively analyzed focusing on the ventricular dilatation, widening of subdural space in frontal region andprominence of cerebral sulci in hemisphere. The results were compared with clinical recored. In the measurementbicaudate ventricular index waas above 0.18, which ws considered ventricular dilatation. The subdural space in thefrontal region and teh prominent cerbral sulci in the hemisphere were visualized among the cases aged over twoyears with clinical evidence of cerbral problem is pediatric population. The diagnostic application of CT to thecases of cerebral disorder in pediatric population is highly recommended.
Subject(s)
Brain , Dilatation , Subdural SpaceABSTRACT
Various methods of taking of optic foramen view and avalubilities have been studied by many foreigninvistigators, but those in Korea have not been reported yet. The authors have measured and examined the size andshapes of optic foramina of optic foramen views in 111 Korean checked at Inje Medical College Hospital duringabout 3 years form June 1979 to March 1982. The cases were divided into gwo groups, A and B, for the convenienceof study. Group A consisted of 50 normal Korean 5 to 55 years of age with no visual symptoms and signs. Group Bincluded 69 patients 3 to 75 yrs of age with visual symptoms and signs. The results were as follows; 1. Mean valueof actual diameter of optic foramen meassured by Goalwin's method in Group A; Right; A diameter; 4.21mm, Bdiameter; 4.32mm, Left; A diameter; 4.29mm, B diameter; 4.30mm. 2. Absolute symmetry of the greatest diameters ofboth optic foramina in Group A; 36%, difference of 0.5 or lessl 28%, from 0.5 to 1.0mm; 18%, from 1.0 to 1.5mm;8%, uncomparable cases; 10%. The greatest difference was 1.4mm. 3. The shapes of optic foramen in Group A; ovalshape; 65%, circular ; 29%, keyhole or double foramen; 6%. 4. In Goup B, the peak age group was second decade(31%), the most comon clinical cause of examiniation of optic foramen view was optic nerve atrophy(30%), and thepathologic findings were only 4 cases(7%). 5. The technique of optic foramen view by modified Pfeiffer's methoddelineated the outline of optic foramen more clearly than ordinary Rhese's method in our experience.