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Internal Medicine
Endovascular treatment of Takayasu arteritis in a middle-aged woman with syncope and limb claudication: a case report
Ha-Young Choi, Sunggun Lee, Jino Park, Yeo-Jeong Song, Dong-Kie Kim, Ki-Hun Kim, Sang-Hoon Seol, Doo-Il Kim, Seunghwan Kim
J Yeungnam Med Sci. 2023;40(4):448-453.   Published online April 26, 2023
DOI: https://doi.org/10.12701/jyms.2023.00122
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  • 2 Web of Science
  • 2 Crossref
AbstractAbstract PDF
Takayasu arteritis (TA) is a disease that causes inflammation and stenosis of medium to large blood vessels. We report a case of a 50-year-old female patient with newly developed hypertension, syncope, and claudication of the extremities. Total occlusion of the left subclavian artery at the origin was found and significant stenosis of the right common iliac artery was revealed by hemodynamic analysis. She was successfully treated with percutaneous angioplasty for multiple peripheral arterial diseases and was finally diagnosed with TA. In consultation with a rheumatologist, medical treatment for TA was initiated, the patient’s hypertension disappeared, and her claudication symptoms improved.

Citations

Citations to this article as recorded by  
  • Claudication and Hypertension From Aortic Occlusion in Takayasu Arteritis: Revascularization With Excimer Laser and Drug-Eluting Stent
    Sicheng Yao, Xiao Di, Yuexin Chen
    Vascular and Endovascular Surgery.2026;[Epub]     CrossRef
  • Long-term successfully endovascular treatment of a complicated Takayasu’s arteritis with thrombectomy and stenting: a case report
    Claudio Chirico, Andrea Giorgianni, Veronica Clivio, Silvia Malnati, Tonia Gatta, Francesco Alberto Vizzari, Carlo Pellegrino, Massimo Fusco, Filippo Piacentino, Massimo Venturini, Federico Fontana
    Journal of Medical Case Reports.2025;[Epub]     CrossRef
Original article
Neurosurgery
Feasibility and efficacy of coil embolization for middle cerebral artery aneurysms
Jae Young Choi, Chang Hwa Choi, Jun Kyeung Ko, Jae Il Lee, Chae Wook Huh, Tae Hong Lee
Yeungnam Univ J Med. 2019;36(3):208-218.   Published online April 25, 2019
DOI: https://doi.org/10.12701/yujm.2019.00192
  • 12,187 View
  • 102 Download
  • 3 Crossref
AbstractAbstract PDF
Background
The anatomy of middle cerebral artery (MCA) aneurysms has been noted to be unfavorable for endovascular treatment. The purpose of this study was to assess the feasibility and efficacy of coiling for MCA aneurysms.
Methods
From January 2004 to December 2015, 72 MCA aneurysms (38 unruptured and 34 ruptured) in 67 patients were treated with coils. Treatment-related complications, clinical outcomes, and immediate and follow-up angiographic outcomes were retrospectively analyzed.
Results
Aneurysms were located at the MCA bifurcation (n=60), 1st segment (M1, n=8), and 2nd segment (M2, n=4). Sixty-nine aneurysms (95.8%) were treated by neck remodeling techniques using multi-catheter (n=44), balloon (n=14), stent (n=8), or combination of these (n=3). Only three aneurysms were treated by single-catheter technique. Angiographic results were 66 (91.7%) complete, five (6.9%) remnant neck, and one (1.4%) incomplete occlusion. Procedural complications included aneurysm rupture (n=1), asymptomatic coil migration to the distal vessel (n=1), and acute thromboembolism (n=10) consisting of eight asymptomatic and two symptomatic events. Treatment-related permanent morbidity and mortality rates were 4.5% and 3.0%, respectively. There was no bleeding on clinical follow-up (mean, 29 months; range, 6-108 months). Follow-up angiographic results (mean, 26 months; range, 6-96 months) in patients included one major and three minor recanalizations.
Conclusion
Coiling of MCA aneurysms could be a technically feasible and clinically effective treatment strategy with acceptable angiographic and clinical outcomes. However, the safety and efficacy of this technique as compared to surgical clipping remains to be ascertained.

Citations

Citations to this article as recorded by  
  • Efficacy and safety of endovascular interventions for unruptured middle cerebral artery aneurysms: a systematic review and meta-analysis of occlusion rates and periprocedural complications
    Glenn O. Taryana, Asra A. Fauzi, Muhammad Miftahussurur, Nur S. Suroto
    Journal of Clinical Neuroscience.2025; 139: 111380.     CrossRef
  • Adverse events during endovascular treatment of ruptured aneurysms: A prospective nationwide study on subarachnoid hemorrhage in Sweden
    Bryndís Baldvinsdóttir, Paula Klurfan, Johanna Eneling, Elisabeth Ronne-Engström, Per Enblad, Peter Lindvall, Helena Aineskog, Steen Friðriksson, Mikael Svensson, Peter Alpkvist, Jan Hillman, Erik Kronvall, Ola G. Nilsson
    Brain and Spine.2023; 3: 102708.     CrossRef
  • Microsurgical Clipping versus Advanced Endovascular Treatment of Unruptured Middle Cerebral Artery Bifurcation Aneurysms After a “Coil-First” Policy
    Muriel Pflaeging, Christoph Kabbasch, Marc Schlamann, Lenhard Pennig, Stephanie Theresa Juenger, Jan-Peter Grunz, Marco Timmer, Gerrit Brinker, Roland Goldbrunner, Boris Krischek, Lukas Goertz
    World Neurosurgery.2021; 149: e336.     CrossRef
Original Article
Neurology
Association of head circumference with cognitive decline and symptoms of depression in elderly: a 3-year prospective study
Oh Dae Kwon, So-Young Choi, Jisuk Bae
Yeungnam Univ J Med. 2018;35(2):205-212.   Published online December 31, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.2.205
  • 9,492 View
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  • 2 Crossref
AbstractAbstract PDF
Background
Brain volume is associated with dementia and depression in the elderly. An easy way to predict relative brain volume is to measure head circumference. In this study, we investigated the relationship between head circumference and cognition as well as depression in a non-demented elderly community.
Methods
Baseline and follow-up surveys were conducted in 2007 and 2010. At baseline, community residents aged 65 years or over (n=382) within a rural area of South Korea were screened for dementia and symptoms of depression and were followed using the same screening battery after 3 years (n=279). Data from anthropometric measurements (head circumference, height, and body weight), demographics, and blood tests were gathered. Neuropsychological tests, including the Korean version of mini-mental state examination (K-MMSE), clinical dementia rating (CDR) including the CDR-sum of boxes, the Korean version of instrumental activities of daily living, and geriatric depression scale (GDS), were performed. None of the 279 subjects followed were demented.
Results
Baseline performance on the K-MMSE and GDS was poorer for participants with smaller head circumferences. Follow-up performance on the MMSE was also poorer for participants with smaller head circumferences. Interestingly, participants with smaller head circumference showed worse GDS scores at baseline but on follow-up examination, participants with larger head circumference showed rapid worsening than those with smaller head circumference with marginal significance by ANOVA test. In regression coefficient analysis, GDS decline showed significant difference.
Conclusion
Head circumference was not associated with cognitive change but was associated with symptoms of depression in non-demented community residents.

Citations

Citations to this article as recorded by  
  • Integrating Non-Invasive Physical and Behavioral Indicators Into Routine Health Check-Ups for Detecting Early Depression in Older Adults Living Alone
    Hyun Woo Jung, Jae-Hyun Kim, Jung Jae Lee
    Journal of Korean Medical Science.2026;[Epub]     CrossRef
  • Genetic Insights into Head-to-Body Ratios Via Deep Learning-Based Image Segmentation and Implications for Common Diseases
    Wei Shi, Shan-Shan Dong, Ren-Jie Zhu, Shi-Hao Tang, Jia-Hao Wang, Feng Jiang, Hao Wu, Yuan-Yuan Duan, Jing Guo, Kai Liu, Zheng-Qiang Li, Meng Li, Jianzhong Wang, Yan Guo, Tie-Lin Yang
    Nature Communications.2025;[Epub]     CrossRef
Original article
Urology
Comparison of three different endoscopic approaches in the treatment of bladder calculi
Jae Youn Jang, Young Hwii Ko, Phil Hyun Song, Jae Young Choi
Yeungnam Univ J Med. 2019;36(1):16-19.   Published online December 19, 2018
DOI: https://doi.org/10.12701/yujm.2019.00045
  • 9,771 View
  • 153 Download
  • 4 Crossref
AbstractAbstract PDF
Background
This study compared the following three endoscopic techniques used to treat bladder stones: transurethral cystoscope used with a pneumatic lithoclast or nephroscope used with a pneumatic lithoclast and nephroscope used with an ultrasonic lithoclast.
Methods
Between January 2013 and May 2016, 107 patients with bladder stones underwent endoscopic treatment. Patients were classified into 3 groups based on the endoscopic techniques and energy modalities used in each group as: group 1 (transurethral stone removal using a cystoscope with pneumatic lithoclast), group 2 (transurethral stone removal using a nephroscope with pneumatic lithoclast), and group 3 (transurethral stone removal using a nephroscope with ultrasonic lithoclast). Baseline and perioperative data were retrospectively compared between three groups.
Results
No statistically significant intergroup differences were observed in age, sex ratio, and stone size. A statistically significant intergroup difference was observed in the operation time—group 1: 71.3±46.6 min; group 2: 33.0±13.7 min; and group 3: 24.6±8.0 min. All patients showed complete stone clearance. The number of urethral entries was higher in group 1 than in the other groups. Significant complications did not occur in any patient.
Conclusion
Nephroscopy scores over cystoscopy for the removal of bladder stones with respect to operation time. Ultrasonic lithoclast is a safe and efficacious modality that scores over a pneumatic lithoclast with respect to the operation time.

Citations

Citations to this article as recorded by  
  • Emerging Role of Laser Lithotripsy for Bladder Stones: Real-World Outcomes from Two European Endourology Centers with a Systematic Review of Literature
    Clara Cerrato, Maria Florencia Frascheri, Shriya Napoleon Fernandez, Esteban Emiliani, Paola Arena, Amelia Pietropaolo, Bhaskar K. Somani
    Journal of Endourology.2025; 39(3): 285.     CrossRef
  • Endoscopic Management of Large Vesical Calculus

    Pakistan Journal of Medicine and Dentistry.2025;[Epub]     CrossRef
  • Mechanical Lithotriptor: A Modern Perspective on an Undervalued Tool
    Halil İbrahim İvelik, Okan Alkış, Mehmet Sevim, İbrahim Kartal, Şeref Coşer, Hüseyin Özgür Kazan, Bekir Aras
    Endouroloji Bulteni.2025; 17(1): 1.     CrossRef
  • Comparison of nephroscopy and cystoscopy used in the treatment of bladder stones: a systematic review and meta-analysis of randomized controlled trials
    Liping Gou, Zhenghao Wang, Ye Zhou, Xiaofeng Zheng
    BMC Surgery.2021;[Epub]     CrossRef
Case Reports
Endocrinology, Diabetes, and Metabolism
Pheochromocytoma-induced cardiogenic shock successfully treated by extracorporeal circulation
Min Young Lee, Sang Bae Lee, Hyun Seo Cha, Ji Hong You, Eui Young Choi, Jong Suk Park
Yeungnam Univ J Med. 2017;34(2):285-289.   Published online December 31, 2017
DOI: https://doi.org/10.12701/yujm.2017.34.2.285
  • 3,328 View
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AbstractAbstract PDF
Pheochromocytoma can present with various symptoms including cardiogenic shock and cardiac arrest. Particularly, in cases of cardiogenic shock of unknown origin, pheochromocytoma should be considered. A 20-year-old woman without any medical history visited our emergency department due to nausea, vomiting, headache, and chest pain. Echocardiography revealed severe left ventricular dysfunction. Mechanical ventilation and veno-arterial extracorporeal membrane oxygenation (ECMO) were implemented owing to her unstable vital signs. For unstable vital sign and cardiogenic shock in a young woman without any previous medical history, pheochromocytoma was considered and diagnosed based on elevated levels of catecholamine derivatives in a 24-hour urine sample. Cardiac function recovered and ECMO was discontinued on the 5th day of hospitalization. She later underwent an elective adrenalectomy and no recurrence was found during the follow-up period. We reported a case of pheochromocytoma which was presented with cardiogenic shock in a young woman with no concomitant disease, and successfully treated with ECMO followed by an elective adrenalectomy.
Pulmonary and Respiratory Medicine
Partial spontaneous remission of small cell lung carcinoma with neurologic symptom
Kyung Hyun Yun, Sung Heon Song, Chung Hyoun Kim, Chan Hee Hwang, Jun Ho Lee, Je Hyoung Choi, Sun Young Kim
Yeungnam Univ J Med. 2017;34(2):275-278.   Published online December 31, 2017
DOI: https://doi.org/10.12701/yujm.2017.34.2.275
  • 3,380 View
  • 13 Download
AbstractAbstract PDF
Small cell lung carcinoma (SCLC) is a cancer that shows aggressive behavior, early spread to distant sites, and frequent association with distinct paraneoplastic syndromes. Spontaneous remission of cancer, particularly of SCLC, is a rare biological event. Cases involving spontaneous regression of SCLC were reported, and were associated with paraneoplastic syndromes of the nervous system. This article reports on a 78-year-old man with SCLC in remission, with neurological symptoms. The patient visited the hospital because of generalized weakness, and imaging studies revealed a mass in the lower lobe of the left lung, pathological evaluation showed SCLC. The patient refused oncologic treatment and was treated only with conservative care. In follow-up study the diameter of the mass had decreased from initial 32 mm, 9 months after admission to 20 mm, 17 months after admission to 13 mm. The patient kept complaining of generalized weakness, dizziness, and paresthesia of limbs. We assumed that, in this case, the spontaneous remission of lung cancer was related to the immunologic response directed against the tumor, which is believed to be an important factor in the pathogenesis of paraneoplastic neurologic syndromes.
Nephrology
Severe ileus after colonoscopy in a patient on peritoneal dialysis
Sang Un Kim, Su Hee Kim, So Yoon Hwang, Ryang Hi Kim, Ji Young Choi, Jang Hee Cho, Chan Duck Kim, Yong Lim Kim, Sun Hee Park
Yeungnam Univ J Med. 2017;34(1):119-122.   Published online June 30, 2017
DOI: https://doi.org/10.12701/yujm.2017.34.1.119
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AbstractAbstract PDF
Peritoneal dialysis (PD) is associated with the development of various complications, such as exit site infection or peritonitis, and rarely, intestinal obstruction in prolonged PD patients with recurrent peritonitis. However, post-colonoscopy acute intestinal obstruction has not been reported in PD patients to date. Herein, we report a case of severe ileus after a colonoscopy without previous episodes of peritonitis in a PD patient. A 51-year-old man undergoing PD for 7 years visited our emergency department due to severe abdominal pain and vomiting after colonoscopic polypectomy. A simple abdominal radiography and abdominal computed tomography showed ileus with collapsed distal ileal loop. A peritoneal dialysate study revealed no evidence of peritonitis. The patient was treated with decompression therapy, and ileus was successfully treated without complications. This case suggests that it is not only necessary to prevent peritonitis, but also important to monitor the development of ileus after colonoscopy in PD patients.
Gastroenterology and Hepatology
Successful removal of a foreign body by endoscopic balloon dilatation at the colonic stricture.
Chang Jo Im, Ji Hoon Na, Hyun Sik Kim, Sung Sam Ha, Yoo Li Lim, Ji Hyeon Lee, Hee Kyoung Choi, Hee Man Kim
Yeungnam Univ J Med. 2016;33(1):29-32.   Published online June 30, 2016
DOI: https://doi.org/10.12701/yujm.2016.33.1.29
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AbstractAbstract PDF
Most ingested foreign bodies pass readily throughout intestinal tract if they reach the stomach. In some cases, foreign bodies may be impacted behind a luminal constriction but are rare in colon. Here, we report the case of a 59-year-old man who did laparoscopic anterior resection due to sigmoid colon cancer 2 years ago and ischemic colitis was repeated on the anastomosis site. He initially presented with symptoms of abdominal pain 3 months before and melena 1 day before admission. Abdomen computerized tomography showed a 3.2 cm segment of luminal narrowing of the proximal colon involving upstream foreign material stasis. Sigmoidoscopic approaches revealed near complete obstruction on the anal verge of 20 cm and scope passing failed. Balloon dilatations were done on the obstruction site four times all and a foreign body impacted above the obstruction site was removed by an alligator without any complications. The foreign body removed looks like plastic or a shell, about 20 mm in size.
Cardiology and Cardiovascular Medicine
Severe Mitral Regurgitation Due to Coronary Vasospasm, Confirmed by Ergonovine Echocardiography.
Jung Joon Cha, Chan Hee Kyung, Jang Ho Cho, Yong Hoon Kim, Haewon Kim, Sung Joo Lee, Se Joong Rim, Eui Young Choi
Yeungnam Univ J Med. 2013;30(2):120-123.   Published online December 31, 2013
DOI: https://doi.org/10.12701/yujm.2013.30.2.120
  • 2,589 View
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AbstractAbstract PDF
The common causes of organic mitral regurgitation (MR) include mitral valve prolapse (MVP) syndrome, rheumatic heart disease, and endocarditis. MR also occurs secondary to dilated cardiomyopathy and coronary artery disease. In acute severe MR, the hemodynamic overload often cannot be tolerated, and mitral valve repair or replacement must be performed immediately. We report herein a case of severe MR due to coronary vasospasm that was confirmed via ergonovine echocardiography in a 70-year-old man. He was scheduled to undergo mitral valve surgery, but it did not push through and he was put on medical therapy.
Pulmonary and Respiratory Medicine
A Case of Severe Enterovirus Pneumonia in an Immunocompetent Adult.
Dong Won Lee, Eun Young Choi
Yeungnam Univ J Med. 2013;30(1):58-61.   Published online June 30, 2013
DOI: https://doi.org/10.12701/yujm.2013.30.1.58
  • 2,635 View
  • 15 Download
AbstractAbstract PDF
Enterovirus commonly causes neurologic diseases (aseptic meningitis, encephalitis, etc.), hand-foot-mouth disease, herpangina, and acute hemorrhagic conjunctivitis. However, it rarely causes pneumonia in immunocompetent adults. In Korea, no case has been reported about pneumonia caused by enterovirus in healthy adults. We can cite the case of a 20-year-old woman who presented severe community-acquired pneumonia caused by enterovirus. The diagnosis was based on reverse transcriptase polymerase chain reaction (RT-PCR) of a respiratory specimen.
Original Articles
Pediatrics, Perinatology, and Child Health
Symptomatic Pneumothorax in the Full-term Neonate.
Woo Kyoung Choi, Chan Eui Hong, Dong Jin Lee, Nam Jin Hur, Young Hwan Lee
Yeungnam Univ J Med. 2005;22(2):183-190.   Published online December 31, 2005
DOI: https://doi.org/10.12701/yujm.2005.22.2.183
  • 6,246 View
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  • 1 Crossref
AbstractAbstract PDF
BACKGROUND
This study was performed to evaluate the incidence and clinical characteristics of symptomatic pneumothorax in the full-term neonate. MATERIALS AND METHODS: We retrospectively reviewed the medical records of 32 symptomatic pneumothorax patients in the full term neonates who admitted to the neonatal intensive care unit in Ulsan Dong Kang General Hospital from January, 2000 to December, 2004. The subjects were divided into two groups according to underlying causes; spontaneous pneumothorax group and secondary pneumothorax group, then each clinical characteristics were assessed. RESULTS: Spontaneous pneumothorax patients were 10 (31%) and secondary pneumothorax patients were 22 (69%). Overall incidence of spontaneous pneumothorax was 0.4%. Most common cause of secondary pneumothorax was pneumonia. Twelve cases (54.5%) among secondary pneumothorax patients were associated with mechanical ventilator care. Clinical characteristics, courses and managements were similar between two groups, but more shorter duration of admission and chest-tube insertion in spontaneous pneumothorax group CONCLUSION: The patient with symptomatic pneumothorax needs careful observation and proper management with or without underlying respiratory diseases

Citations

Citations to this article as recorded by  
  • Clinical feature of neonatal pneumothorax induced by respiratory distress syndrome and pneumonia
    Ji-Sun Jung, Sang-Woo Park, Chun-Soo Kim, Sang-Lak Lee, Tae-Chan Kwon
    Korean Journal of Pediatrics.2009; 52(3): 310.     CrossRef
Obstetrics, Gynecology, and Reproductive Medicine
A Clinical Usefulness of Office Hysteroscopy.
Min Whan Koh, Tae Hyung Lee, Jeong Suk Kim, Yoon Young Choi, Sang Hoon Jeong
Yeungnam Univ J Med. 2005;22(1):81-89.   Published online June 30, 2005
DOI: https://doi.org/10.12701/yujm.2005.22.1.81
  • 2,399 View
  • 2 Download
AbstractAbstract PDF
BACKGROUND
Hysteroscopy is considered to be the gold standard not only for visualizing the cervical canal and the uterine cavity, but also for treating many different types of benign pathologies localized to those regions. The advent and evolution of endoscopic imaging and surgery during the last two decades has added new dimensions to the armamentarium of a gynecologist to combat intrauterine lesions. Office hysteroscopy is increasingly being used as a first line investigation for abnormal uterine bleeding and other diseases involving the uterine cavity. The aim of our study is to assess the diagnostic and operative efficacy of office hysteroscopy. MATERIALS AND METHODS: In our department, 140 patients underwent a hysteroscopy examination and 18 of these underwent an office based hysteroscopy examination from September 1995 to March 2005. The cases who underwent an office based hysteroscopy examination were reviewed in order to assess the clinical usefulness and significance in the management of intrauterine lesions. RESULTS: Major indication was abnormal uterine bleeding (12 cases, 66.7%). The others were a missed IUD and infertility. The hysteroscopic findings were a normal uterine cavity (6 cases, 33.3%), IUD in situ, polyp, submucosal myoma, endometrial hyperplasia and a placenta remnant. CONCLUSION: Office hysteroscopy is a safe, quick and effective method for making an intrauterine evaluation. In addition, it provides immediate results, offers the capacity of direct targeted biopsies of suspicious focal lesions, and offers the direct treatment of some intrauterine conditions.
Case Report
Gastroenterology and Hepatology
Giant esophageal schwannoma.
Min Jae Kim, Joon Cheol Song, Il Kim, Jin Tak Yun, Young Woo Kim, Young Choi, Yeon Ho Joo, Chang Hyun Kang
Yeungnam Univ J Med. 2016;33(1):21-24.
DOI: https://doi.org/10.12701/yujm.2016.33.1.21
  • 2,923 View
  • 7 Download
AbstractAbstract PDF
Esophageal schwannoma is a very rare submucosal tumor. We report successful management of esophageal schwannoma in a 41-year-old man who complained of progressively worsening dysphagia. A huge submucosal tumor was found via endoscopy and a chest computed tomography scan. Esophagectomy was performed with no post-operative complications. Post-operative immunohistochemistry staining showed a positive result for S-100 and negative results for c-kit and CD34. The post-operative mild dysphagia persisted, and the follow-up endoscopic findings revealed anastomosis site stenosis. Approximately 2 months later, we performed endoscopic balloon dilatation. We report herein a case of esophageal schwannoma with reviews.
Original Article
Pulmonary and Respiratory Medicine
Microbiologic distribution and clinical features of nontuberculous mycobacteria in the tertiary hospital in Daegu.
Kyung Soo Hong, June Hong Ahn, Eun Young Choi, Hyun Jung Jin, Kyeong Cheol Shin, Jin Hong Chung, Kwan Ho Lee
Yeungnam Univ J Med. 2015;32(2):71-79.
DOI: https://doi.org/10.12701/yujm.2015.32.2.71
  • 3,676 View
  • 28 Download
  • 4 Crossref
AbstractAbstract PDF
BACKGROUND
Recent studies have shown that the nontuberculosis mycobacterium (NTM) recovery rate in clinical cultures has increased within Korea. However, another study conducted by a secondary hospital within Daegu reported different results. Therefore, the purpose of this study is to understand and evaluate the microbiological distribution and clinical features of NTM in Daegu. METHODS: A retrospective study was conducted on 11,672 respiratory specimens undergoing acid fast bacilli (AFB) culture from 6,685 subjects who visited Yeungnam University Respiratory Center from January 2012 to December 2013. RESULTS: Of the 11,672 specimens undergoing AFB culture, 1,310 specimens (11.2%) showed positive results. Of these specimens, NTM was recovered from 587 specimens, showing a recovery rate of 44.8%. Identification test for NTM was performed on 191 subjects; the results were as follows: M. avium-intracellulare complex (MAC) 123 (64.4%), M. abscessus 20 (10.5%), M. kansasii 12 (6.3%), and 33 other NTM germ strains. Of the 382 subjects with NTM, 167 were diagnosed with pulmonary NTM disease (43.7%), however virulence differed depending on NTM strain. Multivariate analysis showed that nodular bronchiectasis, the nodules, and finding consistent with cavity under imaging study were statistically significant for triggering pulmonary NTM disease. AFB culture showing MAC and M. abscessus was statistically significant as well. Positive predictive value for NTM polymerase chain reaction (NTM-PCR) was 88.6%. CONCLUSION: Results for NTM recovery rate within the Daegu area were similar to those for the Seoul metropolitan area. We can assume that NTM infection is increasing in our community, therefore AFB-positive subjects (1) should undergo NTM-PCR, (2) should have their culture results checked for differentiation of mycobacterium tuberculosis complex (MTB) from NTM, and (3) undergo NTM identification test to confirm its type. Administration of treatment with the above results should be helpful in improving the patients' prognosis.

Citations

Citations to this article as recorded by  
  • Epidemiological Characteristics of Nontuberculous Mycobacterial Pulmonary Disease in South Korea: A Meta-analysis of Individual Participant Data
    Geunin Lee, Sol Kim, Shihwan Chang, Hojoon Sohn, Young Ae Kang, Youngmok Park
    Tuberculosis and Respiratory Diseases.2024; 87(3): 386.     CrossRef
  • Distribution and Antimicrobial Resistance of Non-Tuberculous Mycobacteria during 2015∼2020: A Single-Center Study in Incheon, South Korea
    Jiwoo Kim, Hyo-Jin Ju, Jehyun Koo, Hyeyoung Lee, Hyeonhwan Park, Kyungcheol Song, Jayoung Kim
    The Korean Journal of Clinical Laboratory Science.2021; 53(3): 225.     CrossRef
  • Study on the Prevalence of Lung Disease of Non-Tuberculosis Mycobacterium Isolated from Respiratory Specimens in Gwangju Second Hospital over the Last 10 Years
    Hae-Gyeong Baek
    The Korean Journal of Clinical Laboratory Science.2020; 52(4): 349.     CrossRef
  • Recovery Rates of Non-Tuberculous Mycobacteria from Clinical Specimens Are Increasing in Korean Tertiary-Care Hospitals
    Namhee Kim, Jongyoun Yi, Chulhun L. Chang
    Journal of Korean Medical Science.2017; 32(8): 1263.     CrossRef
Case Report
Gastroenterology and Hepatology
Liver abscess and septic complications associated with advanced gastric cancer.
Gun Jung Youn, Young Choi, Min Jae Kim, Jae Sin Lee, Ui Won Ko, Yeon Ho Joo
Yeungnam Univ J Med. 2015;32(1):38-41.
DOI: https://doi.org/10.12701/yujm.2015.32.1.38
  • 3,951 View
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  • 2 Crossref
AbstractAbstract PDF
Pyogenic liver abscess with metastatic septic complications is a rare and serious infectious disease if not treated properly. Pyogenic liver abscesses are caused by bacterial, fungal, or parasitic organisms. Escherichia coli used to be the predominant causative agent, but Klebsiella pneumoniae emerged as a major cause in the 1990s. Liver abscesses are caused by hepatic invasion via many routes, such as, the biliary tree, portal vein, hepatic artery, direct extension, or penetrating trauma. Furthermore, diabetes mellitus and malignant conditions are established important risk factors of K. pneumoniae liver abscesses and of septic metastasis, and several recent studies have asserted that K. pneumoniae liver abscess might be a presentation of occult or silent colon cancer. We report a case of K. pneumoniae liver abscess, metastatic septic pulmonary embolism, and endophthalmitis associated with diabetes and advanced gastric cancer.

Citations

Citations to this article as recorded by  
  • Gastric cancer and adenomatous colorectal polyp concomitant with pyogenic liver abscess and bacteremia
    Min Kyu Kang, Hee Jung Kwon, Min Cheol Kim
    Yeungnam University Journal of Medicine.2020; 37(3): 246.     CrossRef
  • A Case of Advanced Gastric Cancer Concomitant with Pyogenic Liver Abscess in the Patient with Subtotal Gastrectomy
    Dong-Hee Park, Nae-Yun Heo, Heon Sa-Kong, Na-Ri Jeong, Su-Jin Jeong, Sung Jin Oh, Kyung Han Nam
    The Korean Journal of Gastroenterology.2017; 69(2): 143.     CrossRef

JYMS : Journal of Yeungnam Medical Science
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