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1.
Kosin Medical Journal ; : 244-250, 2017.
Artigo em Inglês | WPRIM | ID: wpr-60695

RESUMO

Stress induced cardiomyopathy is a disease that shows a dysfunction of the ventricle, but it can be rapidly reversible. It often occurs in older women primarily who suffers from emotional or physical stress. There are some case reports about postpartum stress induced cardiomyopathy. Most of the patients are recovered naturally within days to weeks. We report a case of a 37 years-old woman, who had experienced postpartum stress induced cardiomyopathy 8 years ago, revisited hospital because of cardiomyopathy after secondary delivery. Herein we report a rare case of recurrent stress induced cardiomyopathy after secondary normal vaginal delivery.


Assuntos
Feminino , Humanos , Cardiomiopatias , Período Pós-Parto , Recidiva
2.
The Korean Journal of Internal Medicine ; : 616-619, 2016.
Artigo em Inglês | WPRIM | ID: wpr-48486

RESUMO

No abstract available.


Assuntos
Feminino , Humanos , Artrite , Bacteriemia , Articulação do Joelho , Joelho , Listeria monocytogenes , Listeria
3.
The Korean Journal of Gastroenterology ; : 39-43, 2016.
Artigo em Coreano | WPRIM | ID: wpr-30651

RESUMO

Epstein-Barr virus (EBV) causes various acute and chronic diseases. Chronic active EBV infection (CAEBV) is characterized by infectious mononucleosis-like symptoms that persist for more than 6 months with high viral loads in peripheral blood and/or an unusual pattern of anti-EBV antibodies. Severe CAEBV is associated with poor prognosis with severe symptoms, an extremely high EBV-related antibody titer, and hematologic complications that often include hemophagocytic lymphohistiocytosis. However, CAEBV which led to the development of aplastic anemia (AA) has not been reported yet. A 73-year-old woman was admitted to our hospital with intermittent fever, general weakness and elevated liver enzymes. In the serologic test, EBV-related antibody titer was elevated, and real-time quantitative-PCR in peripheral blood showed viral loads exceeding 10(4) copies/microg DNA. Liver biopsy showed characteristic histopathological changes of EBV hepatitis and in situ hybridization with EBV-encoded RNA-1 was positive for EBV. Pancytopenia was detected in peripheral blood, and the bone marrow aspiration biopsy showed hypocellularity with replacement by adipocytes. AA progressed and the patient was treated with prednisolone but deceased 8 months after the diagnosis due to multiple organ failure and opportunistic infection. Herein, we report a rare case of severe CAEBV in an adult patient accompanied by AA and persistent hepatitis.


Assuntos
Idoso , Feminino , Humanos , Anemia Aplástica/complicações , Carbapenêmicos/uso terapêutico , Doença Crônica , DNA Viral/sangue , Infecções por Vírus Epstein-Barr/complicações , Hepatite/complicações , Herpesvirus Humano 4/genética , Reação em Cadeia da Polimerase em Tempo Real , Índice de Gravidade de Doença , Infecções Urinárias/tratamento farmacológico
5.
The Korean Journal of Internal Medicine ; : 372-383, 2015.
Artigo em Inglês | WPRIM | ID: wpr-62997

RESUMO

BACKGROUND/AIMS: Acute pyelonephritis (APN) is the most common cause of community-onset bacteremia in hospitalized elderly patients. The objectives of this study were to investigate the differences in the clinical and microbiological data of hospitalized elderly and non-elderly women with community-onset APN. METHODS: Women with community-onset APN as a discharge diagnosis were identified from January 2004 to December 2013 using an electronic medical records system. We compared the clinical and microbiologic data in elderly and non-elderly women with community-onset APN due to Enterobacteriaceae. RESULTS: Of the 1,134 women with community-onset APN caused by Enterobacteriaceae, 443 were elderly and 691 were non-elderly women. The elderly group had a lower frequency of upper and lower urinary tract symptoms/signs than the non-elderly. The incidence of bacteremia, extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae, patients with a C-reactive protein (CRP) level > or = 15 mg/dL, and patients with a leukocyte count > or = 15,000/mm3 in the blood, were significantly higher in the elderly group than in the non-elderly group. The proportion of patients requiring hospitalization for 10 days or more was significantly higher in the elderly group compared to the non-elderly group (51.5% vs. 26.2%, p < 0.001). The clinical cure rates at 4 to 14 days after the end of therapy were 98.3% (338/344) and 97.4% (519/533) in the elderly and non-elderly groups, respectively (p = 0.393). CONCLUSIONS: Elderly women with APN exhibit higher serum CRP levels, a higher frequency of bacteremia, a higher proportion of ESBL-producing uropathogens, and require a longer hospitalization than non-elderly women, although these patients may not complain of typical urinary symptoms.


Assuntos
Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Doença Aguda , Fatores Etários , Antibacterianos/uso terapêutico , Infecções Comunitárias Adquiridas/diagnóstico , Registros Eletrônicos de Saúde , Infecções por Enterobacteriaceae/diagnóstico , Hospitalização , Hospitais Universitários , Pielonefrite/diagnóstico , Indução de Remissão , República da Coreia , Estudos Retrospectivos , Fatores de Risco , Fatores Sexuais , Fatores de Tempo , Resultado do Tratamento , Infecções Urinárias/diagnóstico
6.
The Korean Journal of Internal Medicine ; : 421-421, 2015.
Artigo em Inglês | WPRIM | ID: wpr-62987

RESUMO

In the article cited above, upper part page in title page has an error. Ending page of the article should be 268, not 269.

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