Extended Spectrum beta-lactamase-producing E. coli-related Nosocomial Peritonitis Treated Successfully with Meropenem in a Patient on Peritoneal Dialysis / 고신대학교의과대학학술지

Peritonitis is a common and potentially serious infection in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). The most common organisms usually associated with CAPD peritonitis are Staphylococcus aureus and Staphylococcus epidermidis. Rarely, aerobic gram negative bacilli have been the causative agents of CAPD peritonitis. The treatment of CAPD peritonitis requires removal of the peritoneal catheter and treatment with parenteral antibiotics active against the causative pathogen. While hospitalized for CAPD peritonitis, a 55-year-old man on CAPD had nosocomial peritonitis secondary to infection by ESBL-producing E.coli, that was sensitive to imipenem and meropenem. He was treated successfully with a 4-week course of intraperitoneal meropenem therapy without subsequent relapse, loss of peritoneal catheter, ultrafiltration failure, or dialysis inadequacy.

Recurrence Rate of Herpes Zoster during the Previous Decade / 대한피부과학회지

BACKGROUND: Herpes zoster recurrence, reported to be 1~5% globally, is thought to be more frequent in immunocompromised and older individuals. Data on the recurrence rate in Korea are very rare. OBJECTIVE: This study assessed the rate and affecting factors of herpes zoster recurrence, in a Korean population. METHODS: From May, 2001 to May, 2011, 2210 patients with confirmed herpes zoster episodes were enrolled. Recurrence episodes and affecting factors of herpes zoster were confirmed using telephone question and medical record review. RESULTS: The overall recurrence rate of herpes zoster was 2.31%. Recurrences were significantly more likely in persons with zoster-associated pain of 30 days or longer, at the initial episode, and in immunocmpromised patients. Women and anyone aged between 50 and 70 years, at the index episode, had a greater likelihood of recurrence. CONCLUSION: Recurrence of herpes zoster is more common in women and is associated with pain duration and immune status.

Percutaneous Retrieval of an Intravascular Catheter Embolus / 대한내과학회지

Intravascular catheter embolism is common and the most important complication of subclavian catheterization. The catheter fragment can lead to pulmonary embolism, vascular perforation, sepsis, arrhythmia, and even death. The intravascular foreign body can be removed using surgical or non-surgical methods. With technological advances, the percutaneous retrieval of intravascular foreign bodies has become a relatively common procedure. A commonly used method for retrieving intravascular foreign bodies is the loop snare. Sometimes biopsy forceps can be used. We experienced a case of non-surgical retrieval of an intravascular foreign body. We used the standard loop snare technique to remove a 5-cm catheter fragment from the left pulmonary artery.

Result of use of the autosuture in pulmonary resection / 대한흉부외과학회지

No abstract available.