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Yoo M, Chung SH, Park YS, Oh IH, Chae WY, Kim SH, Lee KY, Song CW, Son BK, Kim SH, Jo YK, Jung KH, Lee HY, Chae JD. Clinical Characteristics of Campylobacter Enterocolitis in Korean Adults: A Retrospective Study at a Single Center. Korean J Gastroenterol 2021; 75:188-197. [PMID: 32326685 DOI: 10.4166/kjg.2020.75.4.188] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/25/2019] [Revised: 03/03/2020] [Accepted: 03/03/2020] [Indexed: 11/03/2022]
Abstract
Background/Aims Although the diarrheal disease caused by Campylobacter bacteria has been continuously increasing in Korea, there has been limited study on the clinical aspects of Campylobacter enteritis in adults in Korea. The purpose of this study was to analyze the clinical features and characteristics of adult patients with Campylobacter enteritis. Methods This retrospective study included patients diagnosed with Campylobacter enterocolitis at Nowon Eulji University Hopsital between January 2016 and December 2017. Campylobacter enterocolitis was diagnosed through polymerase chain reaction of stools from patients with acute diarrhea. Results Among 630 hospitalized patients with acute diarrhea, Campylobacter enterocolitis was diagnosed in 88 patients (14.0%). The mean age was 37.9±19.1 years. Campylobacter enterocolitis was most prevalent in the summer (52 patients, 59.1%). Patients exhibited more than 10 times of diarrhea in 36 (40.9%), high fever above 39°C in 19 (21.59%), and abdominal pain above 5 points on the numeric rating scale in 23 (26.14%) cases. In abdominal CT scan, pancolitis was found in 58 patients (65.9%). Small intestine was involved in 37 patients (42.4%). Mean CRP was 10.14 mg/dL (range 0.72-32.27 mg/dL). The duration of diarrhea after antibiotics treatment was 2.34±1.51 days in the ciprofloxacin treatment group and 2.26±1.71 days in the 3rd cephalosporin treatment group. Conclusions Campylobacter enterocolitis was common during summer. Commonly healthy young adults were hospitalized due to severe symptoms of Campylobacter enterocolitis. Whole colon and small bowel were frequently involved. Most patients were treated with antibiotics, and the efficacy of 3rd cephalosporin treatment was not inferior to that of ciprofloxacin treatment.
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Affiliation(s)
- Minseok Yoo
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Sook Hee Chung
- Department of Internal Medicine, Anyang SAM Hospital, Anyang, Korea
| | - Young Sook Park
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Il Hwan Oh
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Won Young Chae
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Soo Hyung Kim
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Ki Young Lee
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Chi Woo Song
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Byoung Kwan Son
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Seong Hwan Kim
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Young Kwan Jo
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Kwang Hyun Jung
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Hyo Young Lee
- Department of Internal Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
| | - Jeong Don Chae
- Department of Laboratory Medicine, Nowon Eulji University Hopsital, Eulji Universitiy, School of Medicine, Seoul, Korea
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Lee SJ, Park JY, Ryu SK, Choi JW, Chae WY, Ryu HY, Yoo MS, Bak YS. Pulmonary thromboembolism combined with intracardiac thrombus occurred during the steroid reduction in nephrotic syndrome patient. Yeungnam Univ J Med 2016. [DOI: 10.12701/yujm.2016.33.1.25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Se Jin Lee
- Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Ji Young Park
- Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Sung Kee Ryu
- Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Jae Woong Choi
- Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Won Young Chae
- Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Hee Yun Ryu
- Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Min Seok Yoo
- Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Yoon Suk Bak
- Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
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Chae WY, Lee JL, Cho DH, Yu CS, Roh J, Kim JC. Preliminary Suggestion about Staging of Anorectal Malignant Melanoma May Be Used to Predict Prognosis. Cancer Res Treat 2015; 48:240-9. [PMID: 25761474 PMCID: PMC4720093 DOI: 10.4143/crt.2014.305] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2014] [Accepted: 12/29/2014] [Indexed: 02/06/2023] Open
Abstract
PURPOSE Anorectal malignant melanomas (AMM) are rare and have poor survival. The study aims to evaluate the clinicopathologic characteristics and outcomes of patients with AMM, and to devise a staging system predictive of survival outcome. MATERIALS AND METHODS This was a retrospective study of 28 patients diagnosed with, and treated for AMM. Patients classified by clinical staging of mucosal melanoma (MM) were reclassified via rectal and anal TNM staging. Survival outcomes were compared among patients grouped by the three different staging systems. RESULTS The three staging systems were equated with similar figures for 5-year overall survival (OS) and 5-year disease-free survival (DFS) of patients diagnosed with stage I disease. Patients (n=19) diagnosed with MM stage II disease were reclassified by rectal TNM staging into three subgroups: IIIA, IIIB, and IIIC. For these patients, both 5-year OS and 5-year DFS differed significantly between the subgroups IIIA and IIIC (OS: IIIA vs. IIIC, 66.7% vs. 0%, p=0.002; DFS: IIIA vs. IIIC, 51.4% vs. 0%, p < 0.001). CONCLUSION The accuracy of prognosis in patients diagnosed with AMM and lymph node metastasis has improved by using rectal TNM staging, which includes information regarding the number of lymph node metastases.
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Affiliation(s)
- Won Young Chae
- Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jong Lyul Lee
- Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea ; Department of Surgery, Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Dong-Hyung Cho
- Department of Surgery, Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea ; Graduate School of East-West Medical Science, Kyung Hee University, Yongin, Korea
| | - Chang Sik Yu
- Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jin Roh
- Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jin Cheon Kim
- Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea ; Department of Surgery, Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Affiliation(s)
- Won Young Chae
- Department of Internal Medicine, Eulji General Hospital, Seoul, Korea
| | - Sang-Hoon Kim
- Department of Internal Medicine, Eulji General Hospital, Seoul, Korea
- Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea
| | - Yung-Hee Lee
- Department of Internal Medicine, Eulji General Hospital, Seoul, Korea
| | - Byoung-Hoon Lee
- Department of Internal Medicine, Eulji General Hospital, Seoul, Korea
- Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea
| | - Jae-Hyung Lee
- Department of Internal Medicine, Eulji General Hospital, Seoul, Korea
- Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea
| | - Jeong Joo Woo
- Department of Radiology, Eulji University School of Medicine, Daejeon, Korea
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