Journal of Yeungnam Medical Science

Case report

Treatment of phlegmonous esophagitis in various patients: a case series: Han Sol Lee, Chul Ho Lee, Yun-Ho Jeon; J Yeungnam Med Sci. 2023;40(4):442-447. Published online April 26, 2023; DOI: https://doi.org/10.12701/jyms.2023.00136

Abstract PDF: Acute phlegmonous esophagitis (APE) is a rare and fatal disease. Phlegmonous infection involves the submucosal layer and muscularis propria but not the mucosal layer. Because surgery is not the first treatment option for this disease, an accurate diagnosis is crucial. Herein, we report three cases of APE with various clinical features. All patients were successfully treated with antibiotics and appropriate medical procedures.

Case Reports

Simultaneous Actinomycosis with Mucormycosis in Maxillary Sinus.: Han Sol Lee, Min Jung Kim, Seung Il Bae, Jung Min Park, Myung Soo Hyun, Choong Ki Lee, Jian Hur; Yeungnam Univ J Med. 2012;29(2):106-109. Published online December 31, 2012; DOI: https://doi.org/10.12701/yujm.2012.29.2.106

Abstract PDF: Actinomycosis is a rare subacute-to-chronic infection that causes sinus fistula, tract, or abscess due to the invasion surrounding the soft tissue. Actinomyces colonize the mouth, colon, and vagina. Mucosal disruption may lead to infection at virtually any site in the body. Cervicofacial infection accounts for 50-60% of all actinomycosis cases. The mandible and nasopharynx are the sites of predilection, but maxillary sinus infection is rare. Reported herein is a case involving a 57-year-old female with acute myeloid leukemia who had simultaneous actinomycosis with mucormycosis in the maxillary sinus.

A Case of Systemic Lupus Erythematosus Misdiagnosed as Adult-onset Still's Disease.: Myung Jin Oh, Hyun Je Kim, Han Sol Lee, Ji An Hur, Young Hoon Hong, Choong Ki Lee; Yeungnam Univ J Med. 2010;27(1):78-84. Published online June 30, 2010; DOI: https://doi.org/10.12701/yujm.2010.27.1.78

Abstract PDF: Adult-onset Still's disease (AOSD) is an inflammatory disorder that's characterized by daily, spiking high fever, arthritis and an evanescent, salmon-pink rash. AOSD is diagnosed purely on the basis of the typical clinical features of the illness. The symptoms commonly include swelling of the lymph nodes, enlargement of the spleen and liver, and a sore throat. AOSD is difficult to differentiate from systemic lupus erythematosus (SLE) due to the similar clinical manifestations. We report here on a case of a 16-year-old female patient with autism and epilepsy and who complained of daily spiking fever for 20 days. The patient had maculopapular skin rashes on the face and whole body and lymphadenopathy. The liver function tests were elevated mildly. The initial rheumatoid factor (RF) and antinuclear antibody (ANA) tests were negative. We diagnosed her as having adult-onset Still's disease according to the criteria of Yamaguchi. We successfully treated her with oral prednisolone. But her antinuclear antibody test was changed to positive after discharge. So we finally diagnosed her as having SLE.

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