Bilateral gluteal abscess caused by Kluyvera cryocrescens: a case report

Kluyvera is a relatively new genus, belonging to family Enterobacteriaceae. This organism colonizes mainly respiratory and gastrointestinal tract. It has also been reported from various environmental sources. Due to a rise in immune-compromised states and ease of identification using automated methods rare organisms are now being reported with their role as potential opportunistic pathogens. Meticulous detailed identification and reporting of pathogens like Klyuvera to differentiate it from other members of Enterobacteriaceae can lead to solving the pathogenic importance of such organisms. We report a case of bilateral gluteal abscess due to Kluyvera cryocrescens in an obese diabetic adult male.

Spatial distribution combined cold and hotspots of China's healthy adult male serum CA19-9 reference value based on classification and regression tree / 西安交通大学学报(医学版)

Objective: To provide clinical criteria with regional basis of the reference values of carbohydrateantigen 19-9 (CA19-9) in healthy Chinese male adults. Methods: First, the reference values of CA19-9 in 9,382 healthy male adults distributed in 64 cities and counties in China were collected to construct the database. Then geographical factors received dimensionality reduction by comprehensive application of the principal component analysis, variation coefficient method, and correlation analysis; then the classification regression tree model was constructed. Third, the hotspot and spatial distribution of the reference values of CA19-9 in healthy male adults was drawn based on 2,322 observation data points. Results: The reference value of CA19-9 showed spatial variation, which was higher in the southern region than in the northern region, and higher in Jilin and Liaoning provinces than in the eastern central region. Hotspots were mostly distributed in the southern region, and cold spots in the northern region. Conclusion: There exist spatial variation of the reference values of CA19-9 at spatial level. Therefore, when it comes to clinical diagnosis, it is necessary to consider regional variation.

Tick Bite by Male Amblyomma testudinarium in a Korean Woman / 대한피부과학회지

A 53-year-old woman presented with asymptomatic pedunculated mass on her buttock. She was attacked by the tick while climbing the Jungbyung mountain located in Changwon City, the southern coastal area of the Korean Peninsula. It was identified as male Amblyomma testudinarium according to its morphological characteristics. Histological examination showed dense inflammatory infiltration of neutrophils and eosinophils, and dilated vessels on the dermis beneath the biting site of the tick. There have been only few reports of the tick bite by A. testudinarium in the Korean literature. To the best of our knowledge, our patient is the second case of tick bite from this species and the first tick bite from the male tick recorded in Korea. Here, we report a case of tick bite by male A. testudinarium in a woman, including a review of relevant literature.

An Adult Male Presenting with a Left Gluteal Region Hemangioma – An Unusual Site.

The word “hemangioma” comes from the Greek haema- (αιμα), “blood”; angeio (αγγειο), “vessel”; -oma (-ωμα), “tumor”. A Hemangioma is a benign and usually selfinvoluting tumor of the endothelial cells that lines blood vessels, and is characterized by increased number of normal or abnormal vessels filled with blood. It usually appears in the initial weeks of life and grows most rapidly over the first six months. Usually, growth is complete and involution has commenced by twelve months. Half of all infantile hemangiomas have completed involution by age five, 70% by age seven, and most of the remainder by age twelve years1. In more severe cases hemangiomas may leave residual tissue damage. In infancy, it is the most common tumor 2.

Unilateral Punctate inner choroidopathy with choroidal neovascular membrane in a young male.

Punctate inner choroidopathy (PIC), first described by Watzke et al., in 1984, is a disease of young, relatively healthy, myopic women characterized by small yellow‑white lesions of the inner choroid and retinal pigment epithelium (RPE).[1] The chorioretinal lesions seen in PIC tend to be small and acutely no larger than 500 μm. Acute lesions heals to atrophic scars and develop more pigmentation with time. Choroidal neovascular membranes (CNVM) develops in more than half of these individuals. We describe a case of PIC occurring in a young adult male with CNVM. The clinical characteristics, fundus fluorescein angiography (FFA), and indocyanine green angiography (ICGA) findings are described.

Wernicke’s Encephalopathy in a Patient with Nasopharyngeal Carcinoma: Magnetic Resonance Imaging Findings

We report a case of Wernicke’s encephalopathy in a patient with nasopharyngeal carcinoma with a 3-month history of poor oral intake related to nausea and vomiting due to chemotherapy. The patient later developed deep coma while receiving in-patient therapy. Magnetic resonance imaging of the brain revealed typical findings of Wernicke’s encephalopathy. The patient was treated with thiamine injections, which resulted in subsequent partial recovery of neurological function. This paper stresses the importance of magnetic resonance imaging for prompt diagnosis of Wernicke’s encephalopathy.

Effect of circumcision in reducing high-risk human papilloma virus infection / 中国综合临床

Objective To understand the effect of circumcision in reducing high-risk human papilloma virus (HPV) infection in male adults. Methods One hundred and twenty-eight married adults with phimosis who underwent circumcision enrolled in the case group and high-risk HPV of urethral discharge specimens were detected before and 2 years after operation. A total of 128 cases of phimosis without circumcision were recruited in the control group. High-risk HPV infection rates were compared between the two groups. Results The highrisk HPV infection rates in the two groups were comparable at baseline. In the circumcision group, high-risk HPV infection rate was 27. 3% preoperative and it significantly decreased to 12.5% two years after operation( x2 =8. 839 ,P =0. 005). In the control group,high risk HPV infection rate was 28. 1% at baseline and it was 25.0%two years later, with no significant difference (x2 =0.320,P = 0.671).Conclusion Circumcision can significantly reduce high-risk HPV infection. Promoting circumcision actively in our country may have an important role in preventing high-risk HPV infection.

Total Count of White Blood Cells in Adult Male Smokers.

The present study was carried out to observe the changes in total count in WBC in cigarette smokers. The study population consisted of 105 adult male smokers and non-smokers, aged 20~40 years, from different socio-economic classes. Among them, 30 apparently healthy non-smokers were taken as control . 75 apparently healthy smokers, who had the history of smoking of one or more cigarette per day, regularly for at least last one year, were taken as the study group. Smokers were again subdivided into three categories according to the number of cigarettes they consumed per day. For statistical analysis unpaired “t” test was used for comparison. Mean ± SD of Total count of WBC in non smokers and smokers were 7501.66 ± 929.4 /mm3 and 9171.3 ± 1037.7/mm3 respectively. Smokers had significantly (P <0.001) higher WBC counts than non-smokers. In addition, WBC count was found increased with intensity of smoking. The smokers who were smoking e” 20 cigarettes per day had the higher total WBC count than those who were smoking lesser. The findings of the present study suggest that cigarette smoking may cause increased the total count of WBC, which may predict high risk for some fatal diseases.

The Effects of Regular Dietary Habits on Obesity Indices and Nutrition Intakes in Adult Males

This study was conducted to find and compare the effects of dietary habits on and obesity indices and nutrition intakes among four hundreds and seven healthy adults males subjects. Subjects were classified as regular meal group(RMG) and irregular meal group(IRMG). Two hundreds and thirteen subjects of RMG had regularly 3times meal(time and amount) per 1 day during more than last 6 month. One hudred and ninety four subjects of IRMG(n=194) were not had regularly meal during last 6 month. Obesity indices were BMI(Body Mass Index), WHR(Waist Hip Ratio) and PIBW(Percentage of Ideal Body Weight). And the mean BMI, WHR and PIBW of RMG and IRMG were 23.1, 0.91, 104.8 and 24.7, 0.93, 112.9. PIBW of IMG were significantly lower than IRMG(p<0.01). The mean daily intakes of starches, seeds, meats, eggs, fishes, milk, fats and processed food intakes of RMG were significantly lower than IRMG. And the mean daily intakes of vegetables, mushrooms and beverages intakes of the IRMG were significantly lower than RMG. Energy intake of RMG and IRMG were 1978.2kcal and 1988.2kcal. For nutrient intake, vitamin C intake of IRMG was significantly lower than RMG. But niacin and cholesterol intake of RMG were significantly lower than the IRMG. Meal regularity was mainly related with obesity indices and nutrition intakes. Therefore, it might be necessary to manage meal regularity to prevent obesity and chronic disease in Korean adult males.

The Effects of Regular Exercise on Obesity Indices and Dietary Factors in Adult Males / 대한지역사회영양학회지

This study was performed to investigate the effects of regular exercise on dietary factors and obesity indices among 407 healthy adult males subjects. Subjects were classified into regular exercise group (REG) and irregular exercise group (IREG). Two hundred and thirteen subjects of REG excercised regularly 3 times (more than 30 minutes/time) per week during more than last 1 month or more. One hundred and ninety-four of IREG (n = 194) didn't regularly exercise during the last 1 month. Obesity indices were BMI (Body Mass Index), WHR (Waist Hip Ratio) and PIBW (Percentage of Ideal Body Weight). And the mean BMI, WHR and PIBW of REG were (22.1, 0.90 and 105.8) significantly lower than those of IREG (25.7, 0.98 and 117.7) respectively. The mean daily starches, seeds, meats, eggs, fish, milk, fats and processed food intakes of REG were significantly lower than those of IREG. And the mean daily vegetables, mushrooms and beverages intakes of the IREG were significantly lower than REG. Energy intake of REG and IREG were 1968.2 kcal and 1978.9 kcal respectively. Vitamin C intake of IREG was significantly lower than REG. But niacin and cholesterol intake of REG were significantly lower than the IREG. Exercise regularity was positively related with obesity indices and dietary factors. Therefore, it is necessary to exercise regularly to prevent obesity and cardiovascular disease in Korean adult males.

Results of Pressure-Flow Studies in Adult Male Patients without Voiding Symptom / 대한비뇨기과학회지

PURPOSE: The pressure-flow study is only objective study that can determine the presence or absence of bladder outlet obstruction and impaired detrusor contractility. Although many results of pressure-flow study are reported in diseased state such as benign prostatic hyperplasia, but are rarely evaluated in adult male patients without voiding symptoms as control group. The purpose of this study was to evaluate the findings of pressure-flow study in asymptomatic male patients. MATERIALS AND METHODS: Twenty-three male patients without voiding symptom were recruited for this study. Mean age of these patients was 49.8 years(range 21-70). Mean AUA symptom score was 1.1(range 0-4) and mean prostatic volume was 27.3gm(range 20-35) on digital rectal examination. The study was done by using 7 Fr. urethral catheter on sitting or standing position. RESULTS: Mean values were followed; PdetQmax was 48.1cmH2O(range 25-94), Qmax was 15.7ml/sec(range 3-23), and postvoid residual urine was 14.5ml(range 0-80). According to the Abrams-Griffiths nomogram, 8 were unobstructed and 4 were obstructed, the remaining 11 falling in the equivocal zone. In each types, mean group specific urethral resistance factor (URA) was 12.8cmH2O in unobstructive type, 51.5 in obstructive type, and 22.1 in equivocal type. CONCLUSIONS: The results were maybe guessed as following; First, the values of defining obstrucion were set too low. Second, obstruction was less relevance in the development of symptoms than had been suggested previosly by some observers. Therefore, we thought that interpretations of pressure-flow finding were carefully considered to method of test, and/or uncomfortable voiding.