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JYMS : Journal of Yeungnam Medical Science

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Volume 29(1); June 2012
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Reviews
Efficacy of Pneumococcal Vaccines.
Hosun Park
Yeungnam Univ J Med. 2012;29(1):1-8.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.1
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AbstractAbstract PDF
Streptococcus pneumonia is a very important pathogen for children and elderly people. Two types of pneumococcal vaccines are available in the market: pneumococcal polysaccharide vaccine (PPSV) and pneumococcal conjugate vaccine (PCV). PPSVs have been used for more than 30 years, and PCVs for about 10 years. There have been many reports concerning the evaluation of the vaccines' efficacies in preventing pneumococcal diseases such as meningitis, pneumonia, and otitis media and bacteremia, but the clinical trials had been performed with different conditions, such as diverse vaccine valencies, age groups, races, target outcomes, immunological cut-off values, and follow-up periods. PPSV is recommended for elderly people and chronic disease patients such as asthma, diabetes mellitus, chronic renal failure, and hyposplenic patients. According to the data from several systemic reviews and population-based surveillances, PPSV is effective for pneumococcal pneumonia and vaccine-type bacteremia among healthy adults. Until now, however, there is insufficient evidence of the effectiveness of PPSV among high-risk adults. PCV is very effective in preventing vaccine-type invasive pneumococcal disease (IPD) among children, but its efficacy for pneumonia is very low among children. The incidence of vaccine-related or non-vaccine-type IPDs is increasing after the introduction of 7-valent PCV (PCV7) as a routine immunization for children. Recently, 10- and 13-valent PCVs have been used for children, instead of PCV7. Therefore, continuous surveillance for serotype change among pneumococcal diseases is necessary to evaluate the vaccines' efficacy.

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  • Regional Health Disparities between Mortality Rates in Three Leading Causes of Death : A Comparative Study of Spatial Dependence in Local Death Rate between Cancer, Heart Disease, and Pneumonia
    Hee-Jung Jun, SeungYeoup Kang
    Journal of Korea Planning Association.2023; 58(2): 38.     CrossRef
  • Adult Immunization in Patients with Diabetes Mellitus: Current Immunization Status and Recommended Schedule in Korea
    Eun-Jeong Joo, Joon-Sup Yeom
    The Journal of Korean Diabetes.2013; 14(3): 103.     CrossRef
Perioperative Management of Lung Resection Patients.
Jang Hoon Lee
Yeungnam Univ J Med. 2012;29(1):9-13.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.9
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AbstractAbstract PDF
Lung resection has various and commonly occurring postoperative complications. Pulmonary complication is well known as one of the most important among them, exerting a negative influence on the postoperative course and resulting in mortality. Thus, the prevention of pulmonary complication after lung resection is very important. To prevent postoperative pulmonary complication, the perioperative management must be optimal. Perioperative management begins long before the surgery and does not end until the patient leaves the hospital. The goal of perioperative management is to identify the high-risk patients, to provide appropriate intervention, to prevent postoperative complications, and to obtain the best outcomes.

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  • Case Report of a Soeumin Patient with Yang Collapse Syndrome Mistreated with Soeumin Gwakhyangjunggi-san
    Ji-eun Lee, Min-woo Kim, Se-eun Chun, Yong-jeen Shin, Sun-ho Shin
    The Journal of Internal Korean Medicine.2021; 42(2): 95.     CrossRef
  • Factors Influencing Complications after Therapeutic Lung Resection in Lung Cancer Patients
    Soojin Son, Jihyun Kim
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 106.     CrossRef
Original Article
Differentiation of Chromophobe Renal Cell Carcinoma and Clear Cell Renal Cell Carcinoma by Using Helical CT.
Hong Chul Kim, Jae Ho Cho
Yeungnam Univ J Med. 2012;29(1):14-18.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.14
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AbstractAbstract PDF
BACKGROUND
The purpose of this study was to differentiate chromophobe renal cell carcinoma and clear cell renal cell carcinoma on helical CT. METHODS: The CT images of 9 patients histopathologically proven to have chromophobe renal cell carcinoma and 20 patients with clear cell renal cell carcinoma were reviewed. The tumor sizes, margins, enhancement degrees and patterns, presence or absence of calcification, and tumor spread patterns (including perinephric changes, venous invasion, lymphadenopathy, and distant metastasis) were compared. RESULTS: All the chromophobe renal cell carcinomas showed well-demarcated margins. Thechromophobe renal cell carcinomas showed milder enhancements than the clear cell renal cell carcinomas. The sensitivity and specificity for differentiating the chromophobe renal cell carcinoma from the clear cell renal cell carcinoma were 100 and 88%, respectively, when 101 Hounsfield units was used as the cut-off value in the corticomedullary phase, and 95 and 100% when a less-than-three-time enhancement change was used as a cut-off value in the corticomedullary phase (p<0.05). The chromophobe renal cell carcinomas (67%) tended to show a homogeneous enhancement whereas the clear cell renal cell carcinomas (85%) usually showed a heterogeneous enhancement (p<0.05). Statistical analysis revealed that the frequencies of the tumor spread pattern and calcification in the two subtypes didnot differ significantly (p>0.05). CONCLUSION: The CT findings of the chromophobe renal cell carcinomascompared to those of the clear cell renal cell carcinomas showed that there were mild enhancements in the corticomedullary phase, homogeneous enhancements, and well-demarcated margins.

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  • Density of Orbital Fat and Extraocular Muscle in Thyroid-Associated Myopathy and Idiopathic Orbital Myositis
    Hye Mi Cheong, Woo Jin Jeong, Hee Bae Ahn
    Journal of the Korean Ophthalmological Society.2013; 54(11): 1641.     CrossRef
Case Reports
A Case of Rifampin-Induced Recurrent Adrenal Insufficiency During the Treatment of Pulmonary Tuberculosis in a Patient with Addison's Disease.
Jong Sik Kang, Gwang Beom Ko, Jae June Lee, Minsoo Kim, Sung Jin Jeon, Gwang Hyeon Choi, Sun Mok Kim, Woo Je Lee
Yeungnam Univ J Med. 2012;29(1):19-23.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.19
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AbstractAbstract PDF
Adrenal insufficiency during the treatment of pulmonary tuberculosis is a troublesome condition and can at times be lifethreatening if untreated. Rifampin is one of the most widely prescribed anti-tuberculosis agents. Furthermore, rifampin has been known to be capable of affecting the metabolism of various medications, including glucocorticoids. In this paper, a case of recurrent adrenal insufficiency induced by rifampin during the treatment of pulmonary tuberculosis is reported. The patient was a 63-year-old man who was diagnosed with Addison's disease 17 years earlier and had been undergoing glucocorticoid replacement therapy. Five months before, the patient manifested pulmonary tuberculosis and was immediately given anti-tuberculosis medication that included rifampin. After one week of medication, general weakness and hyponatremia occurred. Despite the increased dose of the glucocorticoid medication, the adrenal insufficiency recurred many times. Since the substitution of levofloxacin for rifampin, the episodes of adrenal insufficiency have not recurred so far.
A Case of Ruptured Mycotic Hepatic Artery Aneurysm Successfully Treated Using Arterial Embolization.
Gi Ae Kim, Han Chu Lee, Young Joo Jin, Jee Eun Yang, Min Jung Lee, Ji Hyun Park, Bo Young Lee
Yeungnam Univ J Med. 2012;29(1):24-27.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.24
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AbstractAbstract PDF
Mycotic hepatic artery aneurysms (HAAs) have become very rare due to antibiotics. Untreated, they have a high possibility of rupture and mortality. In this paper, on the case of a 67-year-old male who had severe right-upperquadrant abdominal pain and a history of infective endocarditis is reported. The computed tomography (CT) and arterial angiography findings led to a diagnosis of a ruptured mycotic HAA. The CT showed an HAA and the formation of an intrahepatic hematoma caused by aneurysmal rupture. The arterial angiography showed a mycotic HAA that arose from the right posterior hepatic artery. Percutaneous transcatheter arterial embolization was used to successfully treat the HAA. Since then, the patient has been doing well, without symptoms.

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  • A mycotic hepatic artery aneurysm, a rare complication of aortic valve endocarditis.
    Jaime López-Sánchez , José Quiñones Sampedro , Luis Muñoz-Bellvís
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Hepatic Artery Mycotic Aneurysm Associated with Staphylococcal Endocarditis with Successful Treatment: Case Report with Review of the Literature
    Dhara Chaudhari, Atif Saleem, Pranav Patel, Sara Khan, Mark Young, Gene LeSage
    Case Reports in Hepatology.2013; 2013: 1.     CrossRef
Rhabdomyolysis and Mild Kidney Injury in a Patient with Acute Hepatitis A.
Gu Min Cho, Chang Wook Kim, Hyeonjin Seong, Joon Hur, Bu Seok Jeon, Jonghwan Lee, Eun Hui Sim, Seok Jong Lee, Chang Don Lee
Yeungnam Univ J Med. 2012;29(1):28-30.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.28
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AbstractAbstract PDF
A 48-year-old male visited the emergency room of the authors' hospital due to nausea, vomiting, and myalgia for four days. Acute hepatitis A was identified from the serologic marker of the hepatitis A virus. Mild elevation of the serum creatinine and creatinine phosphokinase (CPK) suggested rhabomyolysis, which was confirmed with the serum aldolase, myoglobin, and urine myoglobin. With supportive care, both the liver and renal functions were recovered gradually and fully. This case shows that rhabdomyolysis can be one of the mechanisms of renal complication in cases of acute symptomatic hepatitis A.
Contralateral Tension Pneumothorax during One Lung Ventilation by a Univent(R) Tube.
Min Young No, Sung Ha Moon, Hyun Soo Kim
Yeungnam Univ J Med. 2012;29(1):31-34.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.31
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AbstractAbstract PDF
Tension pneumothorax during one-lung ventilation (OLV) is a rare but life-threatening complication. A 79-year-old male patient who was diagnosed with lung cancer underwent Univent(R) Tube (Fuji Systems Corporation, Tokyo) intubation for left upper lobectomy. Two hours after the initiation of OLV, the patient could not tolerate it. Thus, oneand two-lung ventilation were alternatively applied to continue the operation. After the operation, an emergent chest radiograph was taken, and pneumothorax was found at the right (dependent) lung field.

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  • Mechanical ventilation-associated pneumothorax presenting with paroxysmal supraventricular tachycardia in patients with acute respiratory failure
    Jeong Ho Eom, Myung Goo Lee, Chang Youl Lee, Kyong Min Kwak, Won Jae Shin, Jung Wook Lee, Seong Hoon Kim, Sang Hyeon Choi, So Young Park
    Yeungnam University Journal of Medicine.2015; 32(2): 106.     CrossRef
A Case of Traumatic Bilateral Adrenal Hemorrhage Mimicking Bilateral Adrenal Adenomas.
Min Jung Lee, Gi Ae Kim, Jung Eun Jang, Hyo In Choi, Seo Hyun Lee, Gwang Beom Koh, Ga Hee Kim, Min Seon Kim
Yeungnam Univ J Med. 2012;29(1):35-37.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.35
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AbstractAbstract PDF
Adrenal hemorrhages caused by blunt abdominal trauma have been frequently reported, and most of the lesions are unilateral. In contrast, bilateral hemorrhage of the adrenal glands after trauma rarely occurs in subjects with predisposing conditions such as coagulopathy, thromboembolism, and sepsis. Furthermore, bilateral hemorrhage of the adrenal glands is potentially fatal by inducing acute adrenal insufficiency. Here,a case of a 40-year-old man who developed traumatic bilateral adrenal hemorrhage after a car accident, without any predisposing condition, is reported. The spontaneous shrinkage of the bilateral lesions revealed in the follow-up abdominal computed tomography (CT) scansupported the aforementioned diagnosis. Fortunately, the patient had no clinical or biochemical evidence suggesting acute adrenal insufficiency. To these authors' knowledge, this is the first South Korean report of traumatic bilateral adrenal hemorrhage in a subject with no predisposing factors.

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  • Adrenal hematoma following falling in a 5-year-old boy
    Fateme Guitynavard, Seyed Saeed Tamehri Zadeh, Hossein Zabihi Mahmoudabadi, Seyed Mohammad Kazem Aghamir
    Urology Case Reports.2021; 34: 101480.     CrossRef
Superior Vena Cava Syndrome Without Thrombosis Found in Behcet's Disease.
Hyun Soo Kim, Hyung Jun Kim, Ki Hwan Hur, Kyung Rok Kim, Jae Won Choi, Dong Woo Kang
Yeungnam Univ J Med. 2012;29(1):38-41.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.38
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AbstractAbstract PDF
Behcet's disease is a rare multisystemic disorder whose main pathological defectis vasculitis, and superior vena cava (SVC) syndrome without thrombosis is a very rare manifestation of the disease. These authors encountered a case of SVC syndrome without thrombosis caused by Behcet's disease. A 33-year-old man visited the hospital for aggravated dyspnea without any related medical and familial history. He had a three-day history of abrupt swelling of the face, neck, and right arm. He suffered from recurrent oral ulcer, and there were acneiform nodules on his face as well as redness and swelling at the site of the intravenous injection. On the multi-detected computed tomography (CT) chest angiograms (chest angio MDCT), the SVC narrowed without thrombosis. Venogram was carried out, and percutaneous transluminal balloon angioplasty of the SVC stenotic site was performed. The following day, the swelling was found to have subsided. The details of the case are reported herein.

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  • Recurrent onycholysis in a patient with Behcet's disease
    Hyeon Seok Kim, Dong Seok Lee, Seung Hwan Lee, Woo Hyuk Kwon, Yun Jeong Kim
    Yeungnam University Journal of Medicine.2016; 33(1): 56.     CrossRef
A Case of Intracranial Involvement in Plasma Cell Myeloma.
Su Hyun Lee, Yoon Yung Chung, Ye Jee Lim, Sun Young Ko, Yoo A Choi, Young Woon Kim, Sung Eun Lee, Chong Won Park
Yeungnam Univ J Med. 2012;29(1):42-44.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.42
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AbstractAbstract PDF
Plasma cell myelomas generally manifest as bone or soft-tissue tumors with variable mass effects, pain, and infiltrative behavior. Extramedullary involvement occurs most commonly in the spleen, liver, lymph nodes, and kidneys, but intracranial involvement in plasma cell myeloma is a rare extramedullary manifestation. These authors recently encountered a case of intracranial involvement of plasma cell myeloma. A 69-year-old man was hospitalized for headache and mental changes. Brain CT showed subdural hemorrhage caused by plasma cell myeloma. Plasma cell myeloma with intracranial involvement has poor prognosis, and the patient in this case died from acute complications, such as subdural hemorrhage. Based on this case report, it is suggested that more effective treatment regimens of plasma cell myeloma with intracranial involvement be developed. Moreover, a screening method and decision on the appropriate time for intracranial involvement are needed for plasma cell myeloma patients.

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  • Relapsed plasmacytoma in central nervous system after complete remission of extramedullary plasmacytoma
    Sun Mi Kang, Seong Gyu Kim, Ji Ho Seo, Ji Yoon Kim, Woo Jung Sung, Sung Hwa Bae, Hun Mo Ryoo
    Yeungnam University Journal of Medicine.2014; 31(1): 43.     CrossRef
Osteochondroma of the Rib Mimicking a Mediastinal Mass: Unexpected Menifestation in Hereditary Multiple Exostoses.
Sang Kyun Bae, Won Sik Kang, Seung Hoon Yoo, Jeong Hyeon Cho, Kyung Won Park, Bu Hyun Lee, Jung Hun Baek, Jae Ho Chung
Yeungnam Univ J Med. 2012;29(1):45-47.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.45
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AbstractAbstract PDF
Osteochondroma is a common bone tumor but a rare tumor in the rib. It is often asymptomatic and observed incidentally. This is a case report of a 49-year-old woman with an osteochondroma mimicking a mediastinal mass in hereditary multiple exostoses. The chest X-ray and computed tomography (CT) scans revealed the bony density feature of the mass. Surgical excision confirmed that the lesion was an osteochondroma.

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  • Spontaneous pneumothorax in a 17-year-old male patient with multiple exostoses: A case report and review of the literature
    Koichi Nakamura, Kunihiro Asanuma, Akira Shimamoto, Shinji Kaneda, Keisuke Yoshida, Yumi Matsuyama, Tomohito Hagi, Tomoki Nakamura, Motoshi Takao, Akihiro Sudo
    World Journal of Orthopedics.2021; 12(11): 945.     CrossRef
  • COSTAL OSTEOCHONDROMA OF RIB: CASE REPORT
    Chandra Sekharam Naidu M, Sankara Rao S, Murali Krishna Ch. V., Srinivasa Rao K, Ashok Kumar P
    Journal of Evidence Based Medicine and Healthcare.2015; 2(17): 2624.     CrossRef
Huge Hepatocellular Carcinoma Abruptly Developed within 3 Months.
Sang Hyuk Lee, Byung Ik Kim, Chang Uk Chon, Ki Bae Bang, Eun Haeng Jeong, Jeong Yeon Seo, Eun Hye Park, Ji Soo Seol
Yeungnam Univ J Med. 2012;29(1):48-53.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.48
  • 1,636 View
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AbstractAbstract PDF
Hepatocellular carcinoma (HCC) is the second leading cause of cancer-related deaths in South Korea. To decrease its mortality rate, its early detection is very important. Screening for HCC detection has been accepted as the management modality for patients with chronic liver disease. Reported herein is a case involving the marked rapid growth of HCC detected at an advanced stage in a screening test with a 3 months interval. A 49-year-old male patient with chronic hepatitis B was admitted to the hospital due to a liver mass detected on CT scan. The patient underwent a first CT scan 3 months earlier, and no tumor was detected. Follow-up CT scan was performed and showed a 9.1 cm HCC with portal vein thrombosis. Percutaneous liver biopsy was performed, and the diagnosis of hepatocellular carcinoma was confirmed. In the pertinent guidelines, the recommended screening interval for HCC is 6-12 months, but the screening interval and additional diagnostic methods should be considered due to the variation in the HCC growth rate according to the patient's clinical characteristics.
A Case of Primary Endobronchial Neurilemmoma Without Intraspinal Extension.
Mi Young Kim, Hyun Ji Kim, Ah Lim Kim, Hyeong Seok Kim, Hyun Woong Shin, Seung Wook Jeong
Yeungnam Univ J Med. 2012;29(1):54-57.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.54
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AbstractAbstract PDF
Neurilemmoma is a benign and slowly growing neurogenic tumor. Intrathoracic neurilemmoma often develops in the chest wall and posterior mediastinum, but endobronchial neurilemmoma is extremely rare. The diagnosis of endobronchial neurilemmoma with preoperative imaging findings is challenging and is usually made via postoperative pathological examination. These authors encountered a case of primary endobronchial neurilemmoma in a 52-year-old woman who had no symptoms. A 3.0 x 2.6 cm mass in the right lower lobe projecting into the mediobasal segmental bronchus was shown in the results of the contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) of the chest. Benign neurilemmoma was confirmed via bronchoscopic biopsy, and surgical resection (sleeve bronchial excision and end-to-end anastomosis) was performed.

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  • Endobronchial Neurilemmoma Mimicking a Bronchial Polyp
    Ryoung Eun Ko, Seung Yong Park, Yeong Hun Choe, So Ri Kim, Heung Bum Lee, Yong Chul Lee, Seoung Ju Park
    Soonchunhyang Medical Science.2015; 21(2): 176.     CrossRef
A Case of Scopolamine-Induced Central Anticholinergic Syndrome.
Dong Sung Shin, Ho Sun Lee, Se Jin Lee
Yeungnam Univ J Med. 2012;29(1):58-60.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.58
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AbstractAbstract PDF
Central anticholinergic syndrome occurs when an anticholinergic substance works in vivo or as a result of the insufficient release of acetylcholine. Its symptoms include confusion, agitation, behavioral change, hallucination, blurred vision, and dysarthria. Occasionally, these symptoms occur with the use of a scopolamine patch. A 54-year-old female complained of behavioral change and confused mentality. She attached a scopolamine patch at the postauricular area in the morning of the day before her hospital visit. Neurological examination revealed bilateral symmetric mydriasis without light reflex. The brain MRI was normal, and electroencephalography showed nonspecific abnormalities. The patient recovered completely after the removal of the scopolamine patch.
A Case of Aberrant Right Subclavian Artery (Arteria Lusoria) with Chest Tightness and Coughing.
Seung Hee Han, Su Young Kim, Hye Kyong Park, Jong Sung Park
Yeungnam Univ J Med. 2012;29(1):61-64.   Published online June 30, 2012
DOI: https://doi.org/10.12701/yujm.2012.29.1.61
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AbstractAbstract PDF
The left aortic arch with an aberrant right subclavian artery, or arteria lusoria, is the most common aortic arch anomaly, occurring in 0.5-2.5% of individuals. In such cases, the angular course of the arteria lusoria to the ascending aorta imposes difficulty in passing a guide wire to the ascending aorta during right transradial catheterization. Here, the case of a 53-year-old woman with intermittent chest tightness and coughing is reported. Aberrant right subclavian artery (arteria lusoria) was diagnosed via aortogram during right transradial coronary angiography. Compression of the esophagus and trachea by the aberrant right subclavian artery was demonstrated by chest computed tomography (CT).

JYMS : Journal of Yeungnam Medical Science