Journal of Yeungnam Medical Science

Young Hyun Lee

9 Articles

A Case of Tsutsugamushi Disease.: Shie Hwoa Park, Seong Chul Yoon, Young Hyun Lee, Jae Chun Chung, Chong Suhi Kim, Seak il Hong; Yeungnam Univ J Med. 1987;4(1):173-176. Published online August 31, 1987; DOI: https://doi.org/10.12701/yujm.1987.4.1.173

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Abstract PDF: Tsutsugamushi disease is an acute, febrile, typhus-like disease of rural Asia transmitted by the bite of larval trombiculid mites. The disease is caused by infection with Rickettsia tsutsugamushi. Recently the authors experienced a case of tsutsugamushi disease which was serologically confirmed. Here we report a case of tsutsugamushi disease which successfully managed with doxycycline and reviewed literatures on it briefly.

A Case of Eosinophilia with Bronchoalveolar Cell Carcinoma of Lung.: Kyeong Soon Kwon, Young Hyun Lee, Jae Chun Chung, Chong Suhi Kim, Myeun Shik Kang; Yeungnam Univ J Med. 1987;4(1):165-171. Published online August 31, 1987; DOI: https://doi.org/10.12701/yujm.1987.4.1.165

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Abstract PDF: The solid and hematologic cancer are occasionally accompanied by peripheral blood eosinophilia and suggest tumor necrosis or wide dissemination, but the mechanisms underlying this curious relationship remain obscure. The association of this eosinophilic leukemoid reaction with carcinoma seems to occur must frequently with bronchogenic carcinoma. Several mechanisms for this association were considered: eosinophil chemotactic factor, eosinophil mediated by T-lymphocyte, and eosinopoietic hormone. We are here reporting a case of bronchoalveolar cell carcinoma of lung associated with peripheral eosinophilia in a 60-year-old male patient.

Clinical Study of Lung Cancer.: Pill Young Kim, Jung Kyu Choi, Myung Soo Hyun, Chong Suhi Kim, Young Hyun Lee, Jae Chun Chung, Chong Suhi Kim; Yeungnam Univ J Med. 1986;3(1):201-207. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.201

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Abstract PDF: 159 histologically proved cases of lung cancer have been reviewed at the Department of Internal Medicine, Yeungnam University Medical School for the past two years and six months from January, 1984 to July 1986. 1. The age distribution ranged from 27 to 87 years and 69.2% of the patient were distributed between the ages of 51 and 70. 2. The ratio of male and female was 4.6 : 1 (131 males, 28 females) 3. Chief complains were in order of dyspnea, chest pain, cough, hemoptysis and weight loss. 4. Localization on chest film. Right was more than left (right 58.6%, left 36.2%) and the most frequent site is right upper lung field (33 cases, 21.7%) 6. 76.8% of case was diagnosed histologically under the bronchoscopic biopsy. 8. The most common treatment was conservative therapy In general. However chemotherapy was most common treatment of the small cell type carcinoma.

Diagnostic Significance of Total Lactate Dehydrogenase(LD) and LD Isoenzyme Measurement in the Body Fluids.: Chang Ho Jeon, Eun Kyung Bae, Seok Il Hong, Chung Sook Kim, Young Hyun Lee; Yeungnam Univ J Med. 1986;3(1):193-199. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.193

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Abstract PDF: Body fluid Lactate dehydrogenase and its isoenzyme Measurement was performed in 132 patients: 8 cases with peritonitis, 21 cases with malignant ascites, 43 cases with liver cirrhosis, 48 cases with tuberculous pleuritis, 12 cases with malignant pleural effusion respectively. Body fluid protein and glucose contents, red blood cell counts, white blood cell counts, cytologic examination were also performed as a comparative study. The results were as follows: 1. Measurement of total LD and protein amount could differentiate between transudate and exudates in the ascitic fluids. 2. In the malignant exudate of ascites and pleural fluid, the activity of LD2 isoenzyme was statistically increased compared with that of inflammatory exudates and the activity of LD4 isoenzyme was also incereased compared with that of serum (P<0.05). 3. The inflammatory exudates of pleural fluid and ascites demonstrated the increase of LD5 isoenzyme activity statistically compared with that of serum and malignant exudates (P<0.05). 4. A difference of total LD activity between malignant ascites and inflammatory ascites was significant statistically, while this was not observed in the pleural exudate. 5. Total LD and LD5 isoenzyme activity didn't correlated with the number of white blood cells in the exudate.

A Study on the Intrapulmonary Shunt Measured by (99m) Tc-MAA Perfusion Lung Scan.: Jin Myung Choi, Chan Kyu Kang, Young Hyun Lee, Soo Bong Choi, Jae Chun Chung, Chong Suhl Kim; Yeungnam Univ J Med. 1986;3(1):163-169. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.163

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Abstract PDF: Intrapulmonary shunt measured by (99m)Tc-MAA perfusion lung scan. The study was included 76 patients. Significant amount of intrapulmonary shunt was observed in the pulmonary disease patients and liver disease patients. The shunt amount was correlated well with PaO2 and AaDO2 level. Further study is needed to search the various factors affecting the amount of intrapulmonary shunt.

Clinical Study of Empyema Thoracis.: Tae Nyeun Kim, Young Hyun Lee, Jae Chun Chung, Chong Suhl Kim; Yeungnam Univ J Med. 1986;3(1):87-94. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.87

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Empyema thoracis following pneumonia, intra-abdominal pathology, trauma, and surgical procedure continues to be a source of major morbidity and mortality. Thirty seven adult and eleven pediatric patients with empyema thoracis were treated at the University of Yeungnam Medical Center from May 1983 to November 1986. Age distribution ranged from 6 months to 72 years and showed a double-peaked curve with the highest incidence between 36 and 65 years and below 15 years of age. There were male predominance in patients above 16 years of age. The most common predisposing factors was impaired consciousness due to either alcoholism or head injury. The causes of empyema were as follows: pneumonia 64.6%, ling abscess 6.4%, intraabdominal pathology 6.4%, and surgical procedure 6.4%. The cardinal symptoms were fever, cough, chest pain, dyspnea, sputum, weight loss, anorexia, and night sweat in orders. Culture of empyema fluid were positive in 50% of patients. The isolated organisms were Gram-negative bacilli 33.3%, staphylococcus aureus 25%, and streptococcus 25%. The patients received antibiotics in conjunction with various invasive procedures: chest tube drainage 77.1%, decortications 6.3%, and repeated thoracentesis 10.3%. There were 4 deaths, 1 child and 3 adults, with an overall mortality of 8.3%.

Citations

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Empyema caused byClostridium perfringens
Hyun-Sun Park, Chul-Min Jung, Jang-Won Choi, Yoonki Hong, Woo Jin Kim
Yeungnam University Journal of Medicine.2015; 32(1): 35. CrossRef

Flexible Bronchoscopic Observation on Endobronchial Tuberculosis.: Jae Sung Choi, Young Hyun Lee; Yeungnam Univ J Med. 1985;2(1):161-166. Published online December 31, 1985; DOI: https://doi.org/10.12701/yujm.1985.2.1.161

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Abstract PDF: Endobronchial tuberculosis is frequently associated with lymphadenopathy, bronchial stenosis, atelectasis which needs to be differentiated with other pulmonary disease. Authors are presenting 25 cases of endobronchial tuberculosis which were confirmed boy bronchoscopic biopsy and AFB smear and/or culture. The study was done on patients who visited Yeungnam University Hospital from May 1983 to July 1985. The following results were obtained: 1. Of the 25 cases, 8 cases were male and 17 cased were female (male:female=1:2). 32 percent of the cases was older than 60 years of age. 2. Abnormal findings on chest x-ray were seen on 22 cases of 25 cases (88%) and its most predilective site was right upper lobe (24%). 3. Symptoms were coughing (56%), hemoptysis, hoarseness, chest pain, dyspnea and fever in orders. 4. The positive results were obtained in 73 percent of sputum AFB smear (11 cases of 15 cases). 60 percent of AFB culture (3 cases of 5 cases) and 58 percent of bronchoscopic biopsy (14 cases of 24 cases). 5. Complete pulmonary function test was done on 19 cases and showed normal result in 6 cases, restrictive pattern in 8 cases and small airway dysfunction in 5 cases. No case of obstructive airway disease was detected. 6. Associated disease were hypertension (2 cases), tuberculous meningitis (1 case), diabetes mellitus (1 case), and cataract (1 case). 7. The site of bronchoscopic lesion on bronchoscopic examination were as follow; 8. All 25 patients were treated with anti-tuberculosis therapy and 6 patients were treated with additional steroid therapy because of severe respiratory symptom and showed dramatic improvement of symptom as well as lung function.

A Case of Pseudomembranous Colitis.: Moon Kwan Chung, Chang Heon Yang, Heon Ju Lee, Young Hyun Lee, Chong Suhl Kim, Won Hee Choi; Yeungnam Univ J Med. 1984;1(1):171-178. Published online December 31, 1984; DOI: https://doi.org/10.12701/yujm.1984.1.1.171

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Abstract PDF: Many reports have been made concerning underlying and associated conditions causing pseudomembranous colitis and it has been documented that occurrence of pseudomembranous colitis is related with antibiotics administration. Recent study showed that Clostridium difficile produced enterotoxin by colonization in intestinal wall and leading into pseudomembranous colitis. Diagnosis is based on positive culture of Clostridium difficile, positive test of Clostridium difficile toxin and specific histological findings after observation of whitish plaque on colonoscopic or sigmoidoscopic examination. Authors have experienced one case of pseudomembranous colitis developing after long term ampicillin administration in a case with colon cancer associated with diarrhea and diagnosis was confirmed by typical pseudomembrane on biopsy following classical whitish plaque absevation on sigmoidoscopic examination. Symptoms have been ameliorated by discontinuation of antibiotics and administration of metron-idazole in four days and disappearance of whitish plaque on repeated sigmoidoscopic examination and improvement of clinical symptoms after 9 days of medication.

A Case of Hepatic Hemangioma.: Si Hwan Kim, Young Hyun Lee, Heon Ju Lee, Moon Kwan Chung, Soo Bong Choi, Chong Suhl Kim, Koing Bo Kwun, Mi Soo Hwang, Jae Chun Chang, Tae Sook Lee; Yeungnam Univ J Med. 1984;1(1):161-169. Published online December 31, 1984; DOI: https://doi.org/10.12701/yujm.1984.1.1.161

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Abstract PDF: Hepatic hemangioma is a benign neoplastic disease of the liver and characterized by high vascularity and accompanied with bleeding episode. We report a case of giant hepatic cavernous hemangioma and review the literature briefly. A 44-year old female patient was admitted because of palpable abdominal mass, which growing for 15 years. She was diagnosed as hepatic hemangioma by abdominal CT scan and selective celiac angiography. She was performed the left lateral segmentectomy of liver and the pathological report was cavernous hemangioma of the liver.

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