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1.
Korean Journal of Medicine ; : 367-371, 2014.
Artículo en Coreano | WPRIM | ID: wpr-62551

RESUMEN

Staphylococcus lugdunensis is a member of coagulase-negative staphylococci (CoNS), an uncommon microbial culture isolate with virulent potency. Although CoNS are common skin commensals, and often regarded as contaminants or colonizers when isolated from clinical specimen cultures, the clinical course and microbiological characteristics of Staphylococcus lugdunensis may resemble those of Staphylococcus aureus rather than other CoNS. Invasive infectious diseases such as infective endocarditis, peritonitis, skin and soft tissue infection, vascular prosthetic infection, septicemia, and osteomyelitis have been found to be associated with Staphylococcus lugdunensis. Here we report the first case of psoas abscess caused by methicillin-sensitive Staphylococcus lugdunensis in Korea.


Asunto(s)
Colon , Enfermedades Transmisibles , Endocarditis , Corea (Geográfico) , Osteomielitis , Peritonitis , Absceso del Psoas , Sepsis , Piel , Infecciones de los Tejidos Blandos , Staphylococcus aureus , Staphylococcus lugdunensis , Staphylococcus
2.
Chonnam Medical Journal ; : 133-135, 2013.
Artículo en Inglés | WPRIM | ID: wpr-788271

RESUMEN

At the time of diagnosis, about 20% of patients with gastric cancer have stage IV disease involving the liver, lung, and bone. Brain metastasis from gastric cancer is exceedingly rare, with an incidence of <1% of clinical cases. A 59-year-old man was admitted with hearing loss in the left ear and left facial palsy for 1 month. A magnetic resonance imaging scan revealed a tumor in the cerebellopontine angle that extended to the inner auditory canal and that was clinically diagnosed as acoustic neuroma. After complete resection, histological examination showed metastatic poorly differentiated carcinoma. Further investigation revealed advanced gastric cancer involving the antrum with no evidence of the involvement of other sites except the brain parenchyma. Palliative total gastrectomy was performed and the surgical specimen revealed a poorly cohesive carcinoma that was histopathologically identical to that of the resected brain tumor. Here we report this rare case of gastric cancer that initially presented as a solitary brain metastasis mimicking acoustic neuroma.


Asunto(s)
Humanos , Persona de Mediana Edad , Acústica , Neoplasias Encefálicas , Encéfalo , Ángulo Pontocerebeloso , Diagnóstico , Oído , Parálisis Facial , Gastrectomía , Pérdida Auditiva , Incidencia , Hígado , Pulmón , Imagen por Resonancia Magnética , Metástasis de la Neoplasia , Neuroma Acústico , Neoplasias Gástricas
3.
Chonnam Medical Journal ; : 133-135, 2013.
Artículo en Inglés | WPRIM | ID: wpr-78978

RESUMEN

At the time of diagnosis, about 20% of patients with gastric cancer have stage IV disease involving the liver, lung, and bone. Brain metastasis from gastric cancer is exceedingly rare, with an incidence of <1% of clinical cases. A 59-year-old man was admitted with hearing loss in the left ear and left facial palsy for 1 month. A magnetic resonance imaging scan revealed a tumor in the cerebellopontine angle that extended to the inner auditory canal and that was clinically diagnosed as acoustic neuroma. After complete resection, histological examination showed metastatic poorly differentiated carcinoma. Further investigation revealed advanced gastric cancer involving the antrum with no evidence of the involvement of other sites except the brain parenchyma. Palliative total gastrectomy was performed and the surgical specimen revealed a poorly cohesive carcinoma that was histopathologically identical to that of the resected brain tumor. Here we report this rare case of gastric cancer that initially presented as a solitary brain metastasis mimicking acoustic neuroma.


Asunto(s)
Humanos , Persona de Mediana Edad , Acústica , Neoplasias Encefálicas , Encéfalo , Ángulo Pontocerebeloso , Diagnóstico , Oído , Parálisis Facial , Gastrectomía , Pérdida Auditiva , Incidencia , Hígado , Pulmón , Imagen por Resonancia Magnética , Metástasis de la Neoplasia , Neuroma Acústico , Neoplasias Gástricas
4.
Soonchunhyang Medical Science ; : 115-119, 2013.
Artículo en Inglés | WPRIM | ID: wpr-167277

RESUMEN

Acute myocardial infarctions involving multiple coronary arteries simultaneously are infrequent and causative risk factors of the occlusions are unclear. However, severe complications arise, such as congestive heart failure or death. We report a case of two simultaneously occluded coronary arteries. A 39-year-old Korean man with simultaneous total occlusion of the left anterior descending artery and the right coronary artery presented with chest discomfort and cardiogenic shock. Immediate percutaneous coronary intervention was performed and a transvenous temporary pacemaker and intra-aortic balloon counterpulsation catheter were inserted. Through continuous effort he was discharged 8 days post intervention without any complaints.


Asunto(s)
Adulto , Humanos , Arterias , Catéteres , Oclusión Coronaria , Vasos Coronarios , Contrapulsación , Insuficiencia Cardíaca , Infarto del Miocardio , Intervención Coronaria Percutánea , Factores de Riesgo , Choque Cardiogénico , Tórax
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