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6 "Pneumonia"
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Case reports
Klebsiella pneumoniae-induced Liver Abscess Complicated with Septic Pulmonary Embolism in a Non-diabetic Adult
Byung Hun Lim, Song-I Lee
Kosin Med J. 2020;35(1):69-75.   Published online June 30, 2020
DOI: https://doi.org/10.7180/kmj.2020.35.1.69
  • 1,430 View
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Abstract PDFPubReader   ePub   

A 72-year-old non-diabetic man was admitted to the intensive care unit because of liver abscess, cholecystitis, and septic shock. He underwent percutaneous catheter drainage and received intravenous antibiotics. Shock was improved, and the patient’s fever subsided. Klebsiella pneumoniae was isolated in blood and bile cultures. However, he suddenly developed dyspnea and oxygen desaturation. Chest computed tomography scan revealed multifocal ground-glass opacities with consolidation with peripheral preponderance. Appropriate antibiotic therapy was provided for 2 weeks. The patient recovered fully, and cholecystectomy was then performed. Herein, we report a case of K. pneumoniae-induced liver abscess complicated with septic pulmonary embolism in a non-diabetic patient.

Mycoplasma Pneumoniae-Associated Necrotizing Pneumonia in Children: a case-report
Chan ho Lee, So Yoon Jo, Keon Woo Na, Sung Won Kim, Yoon Ha Hwang
Kosin Med J. 2019;34(1):57-64.   Published online June 30, 2019
DOI: https://doi.org/10.7180/kmj.2019.34.1.57
  • 1,634 View
  • 7 Download
  • 1 Citations
Abstract PDFPubReader   ePub   

Mycoplasma pneumoniae is the most common bacterial strain causing atypical pneumonia in children and adolencents. Although it is known to cause mild symptoms, it can also cause severe pulmonary or extrapulmonary complications in rare cases. Necrotizing pneumonia (NP) is often reported as a complication of Streptococcus pneumoniae and is very rarely caused by M. pneumoniae. We report a case in which a 5-year-old boy was diagnosed with lobar pneumonia with symptoms that aggravated even with macrolide antibiotic treatment. Anti-mycoplasma pneumoniae Ig-M test yielded high values, and direct polymerase chain reaction results were also positive. NP caused by M. pneumoniae was confirmed on computed tomography. After treatment involving tosufloxacin and systemic steroid, the lesion decreased in size and improved gradually when followed-up for more than 1 year. The patient did not have any predisposing or risk factors for NP.

Citations

Citations to this article as recorded by  
  • Cavitatory necrotising pneumonia with extrapulmonary multi-systemic involvement — a rare presentation of macrolide-resistant Mycoplasma pneumoniae
    Namitha Mohan, Vishal Dnyaneshwar Sawant, Alpana Kondekar
    The Egyptian Journal of Internal Medicine.2023;[Epub]     CrossRef
Original article
Prognostic Value of Procalcitonin in Pneumonia among Patients Admitted to Intensive Care Unit.
Deok Hee Kim, Hae Won Jung, Hyung Koo Kang
Kosin Med J. 2019;34(1):15-23.   Published online June 30, 2019
DOI: https://doi.org/10.7180/kmj.2019.34.1.15
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Abstract PDFPubReader   ePub   
Objectives

Pneumonia is one of the leading causes of death in the intensive care unit (ICU). Many biomarkers for predicted prognosis have been suggested; among these, procalcitonin (PCT) is known to increase in cases of bacterial infection. However, there have been many debates regarding whether PCT is an appropriate prognostic marker for pneumonia. Therefore, we investigated whether PCT can serve as a biomarker for pneumonia, and compared it with CURB-65, which is a known tool for predicting the prognosis of pneumonia.

Methods

Levels of PCT and CURB-65 scores were compared between 30-day non-survival (n = 30) and survival (n = 101) patients. Relationships between PCT and CURB-65 were determined by using linear regression analysis, as well as by using receiver operating characteristic (ROC) curve analysis and calculation of the area under the curve (AUC). High and low PCT groups were compared.

Results

High PCT and high CURB-65 score were positively associated with 30-day mortality. For the prediction of 30-day mortality, initial PCT and CURB-65 exhibited AUCs of 0.63 and 0.66; these were not significantly different (P = 0.132). We found that the high PCT group had a higher rate of initial treatment failure (91%, P = 0.004).

Conclusions

Initial PCT can be a prognostic biomarker for mortality in severe pneumonia, similar to the CURB-65 score. Initial high PCT was positively associated with initial treatment failure.

Case reports
A Case of Pneumocystis Carinii Pneumonia in a Patient Receiving Chemotherapy for Rectal Cancer
Yang Soo Kim
Kosin Med J. 2008;23(4):193-196.   Published online December 31, 2008
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A Case of Acute Lipoid Pneumonia Due to Aspiration of Shark Liver-Oil
Seong Kyeong Lim, Chul Ho Oak, Hee Kyoo Kim, Tae Won Jang, Man Hong Jung
Kosin Med J. 2008;23(4):246-249.   Published online December 31, 2008
  • 192 View
  • 1 Download
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Three Cases of Interstitial Pneumonia Occurred in Children with Chemotherapy for Acute Lymphoblastic Leukemia
Chang Dae Shin, Hyun Jung Kim, Dong Il Oh, Kyoung Jee Jun, Jae Sun Park, Gyoo Sik Jung
Kosin Med J. 2000;15(1):84-89.
  • 261 View
  • 1 Download
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KMJ : Kosin Medical Journal