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Volume 41(5); May 1998
Medical Lecture Course
Syncope in Infants and Children
Chung Il Noh
J Korean Pediatr Soc. 1998;41(5):577-584.   Published online May 15, 1998
Original Articles
Nationwide Survey on Group A beta-Hemolytic Streptococcal Carrier Rate in Normal Korea School Children in 1996
Sung-Ho Cha, Yong-Mook Choi, Sei-Won Yang, Dong-Hwan Lee, Chong-Guk Lee, Chang-Ho Hong
J Korean Pediatr Soc. 1998;41(5):585-592.   Published online May 15, 1998
Purpose : The accuracy of bacteriologic diagnosis of beta-hemolytic streptococcal pharyngotonsillitis depends on the degree of carrier rate in that area. It is the purpose of this study to obtain the carrier rate from seven different areas and to find results and epidemiologic factors. Methods : Throat swab was obtained from the tonsillar fossa of normal school children during March through...
A Clinical Study of Antithrombin Ⅲ Therapy for Disseminated Intravascular Coagulation in Neonates
Ji Young Kim, Cheong Nyen Kim, Myoung Jae Chey, Cheol Young Cheong
J Korean Pediatr Soc. 1998;41(5):593-598.   Published online May 15, 1998
Purpose : The purpose of this study is to evaluate the clinical effect of antithrombin Ⅲ concentrates in disseminated intravascular coagulation(DIC) of neonates. Methods : We reviewed the clinical records of 11 newborn patients who had been admitted and diagnosed as DIC at the neonatal intensive care unit of Sanggye Paik Hospital from November, 1995 to September, 1996. Results : There were...
Comparison of Continuous versus Intermittent Infusion of Indomethacin in PDA of Preterm Infants
Yun Kyoung Lee, Hee Seok Kim, Kyoung Ran Park, Chan Hu Park, June Dong Park, Beyong Il Kim, Woong Heum Kim, Jung Hwan Choi, Chong Ku Yun
J Korean Pediatr Soc. 1998;41(5):599-605.   Published online May 15, 1998
Purpose : Patent ductus arteriosus(PDA) of prematurity is very important disease to study because it causes many cases of perinatal morbidity and its incidence is now increasing. Nowadays indomethacin is the drug of choice for PDA closure, but its use has been limited due to its side effects. Therefore, we compared the effect and side effects of indomethacin according to...
Comparison of Phototherapy Guidelines for Neonatal Jaundice in Healthy Term Newborns
Hyo-Jung Kim, Chang-Ryul Kim, Jae-Won Oh, Myung-Kul Yum, Soo-Jee Moon
J Korean Pediatr Soc. 1999;41(5):606-613.   Published online May 15, 1999
Purpose : We hypothesized that phototherapy, if the total serum bilirubin(TSB) is ≥14mg/dl, would decrease not only in frequency and duration, but complications due to phototherapy, such as weight loss, rash, temperature instability, feeding intolerance, and diarrhea, would decrease when compared to phototherapy TSB ≥10mg/dl after 48 hours of life in healthy term newborns without hemolysis. Methods : Forty healthy newborns...
Prognosis of Bacterial Meningitis based on Cerebrospinal Fluid Culture
Yun Ju Lee, Won Sung Lee, Kyoung Sim Kim, Ki Bok Kim
J Korean Pediatr Soc. 1998;41(5):614-621.   Published online May 15, 1998
Purpose : The present study was undertaken to assess whether the results of cerebrospinal fluid (CSF) culture are related to prognosis. Methods : Subjected to this study were 51 cases admitted to our department who had been diagnosed as bacterial meningitis. They were divided into two groups, Group Ⅰ(20) with positive CSF culture and Group Ⅱ(31) with negative outcome, then both...
Living Related Donor Liver Transplantation in Children : Indication and Clinical Outcome
Kyung Mo Kim, Sung gyu Lee, Young Joo Lee, Kwang Min Park, Seong Chul Kim, Hoon Bae Chun, Eun Sil Yoo, Sang Hoon Han, Kyung Suk Ko, Mon Gyu Lee, Kyu Taek Choi, Jae Kon Ko, Hyung Nam Moon
J Korean Pediatr Soc. 1998;41(5):622-632.   Published online May 15, 1998
Relation of Postoperative Complication and Duration of Artificial Ventilation in Infants with Large Ventricular Septal Defect
Jeong-Yeol Song, Hyang-Suk Yoon, Hyun-Woong Yang, Jong-Bum Choi, Soon-Ho Choi
J Korean Pediatr Soc. 1998;41(5):633-639.   Published online May 15, 1998
Purpose : The importance of postoperative management of those who have undergone intracardiac repair for congenital heart diseases has increased in recent years. In this study, we investigated postoperative complications and their relations to preoperative age or duration of the intubation and artificial ventilation in infants with large symptomatic ventricular septal defect. Methods : Between January, 1993 and December, 1996, sixty...
The Assessment of Pulmonary Parenchymal Damage in Congenital Heart Disease using Lung Perfusion Scan
Hong Ryang Gil, Jae Goo Lee, Kang Uk Lee, Eun Ho Yi, Myung Ja Yun, Chung Il Noh, Jung Yeon Choi, Yong Soo Yun
J Korean Pediatr Soc. 1998;41(5):640-645.   Published online May 15, 1998
Purpose : In acyanotic congenital heart disease of children with left to right shunt, 99mTc- Macroaggregate albumin(MAA) was employed to determine the scintigraphic severity of pulmonary parenchymal damage. Methods : These data of lung perfusion scan using 99mTc-MAA were compared with hemodynamic values obtained from cardiac catheterization. Results : The mean Pulmonary arterial pressure(≥30mmHg), total pulmonary resistance(≥2 Wood unit)...
Atrial Ectopic Tachycardia in Infant
Myung Ja Yoon, Chung Il Noh
J Korean Pediatr Soc. 1998;41(5):646-653.   Published online May 15, 1998
Purpose : Atrial ectopic tachycardia(AET) in older children and adult is characterized by being chronic, incessant and intractable. However, the nature of infantile AET is not defined yet. The purpose of this study was to evaluate our experience of infantile AET. Methods : We retrospectively reviewed the medical records of 13 infants(mean onset age, 2.8±2.3 months) diagnosed at Seoul National University...
Acute Renal Failure in Children : Underlying Disease and Management according to Age
Eun Joung Park, Joung Sim Kim, Jai Bok Yoo, Joung Sook Sul, Si Whan Koh, Phil Soo Oh, I Suk Kang, Moon Soo Park, Heung Jae Lee, Dong Kyoo Jin
J Korean Pediatr Soc. 1998;41(5):654-662.   Published online May 15, 1998
Purpose : It has been stressed that age itself as well as multiple organ failure are important prognostic factors in acute renal failure(ARF) in children. This study was performed to find out the significance of age factor and underlying disease of ARF in children. Methods : We tried to review 58 pediatric ARF cases, retrospectively, in the pediatric intensive care unit(excluding...
A Clinical Study on Lennox-Gastaut Syndrome
Yong Hun Choi, Gyo Dang Koo, Yeong Ho Rah, Sa Jun Chung
J Korean Pediatr Soc. 1998;41(5):663-668.   Published online May 15, 1998
Purpose : Lennox-Gastaut syndrome is an intractable epilepsy which is comprised of several types of etiology and generalized seizures. It also combines with mental retardation. The present study was made to ascertain the clinical study on Lennox-Gastaut syndrome in Korea. Methods : From January, 1985 to December, 1995, 31 children, diagnosed with Lennox-Gastaut syndrome at Kyung Hee University Hospital, were analyzed...
On the Significance of Blood Sampling Time in Neonatal Neurologic Prognosis Using Creatine Kinase BB
Heung Taek Kim, Mi Kyung Son, Eun Ju Kim, Kyuchul Choeh
J Korean Pediatr Soc. 1998;41(5):669-676.   Published online May 15, 1998
Purpose : To investigate the cut-off value of creatine kinase(CK) BB according to blood sampling time in predicting neonatal prognosis, we studied the time-related releasing pattern of CK isoenzymes after birth asphyxia. Methods : CK was measured within 1 hour and at 6-10 hours after birth from 45 newborn infants who were suspected to be perinatal asphyxia or fetal distress. The...
The Risk Factor of Bacteremia in Children with Febrile Neutropenia due to Chemotherapy
Tae-Hong Kim, Young-Ho Lee
J Korean Pediatr Soc. 1998;41(5):677-683.   Published online May 15, 1998
Purpose : We evaluated the easily-assessable risk factors to predict bacteremia in children with febrile neutropenia, who received anticancer chemotherapy. Methods : We retrospectively reviewed 46 children who had febrile neutropenia caused by anticancer chemotherapy between March, 1993 and February, 1997. The patients with localized infection on presentation were not eligible for this study. We evaluated the correlation between bacteremia and...
A Clinical Study of Survival Rate and Prognostic Factors in Advanced Neurobalstoma in Children
Seung Yang, Ho Joon Im, Nam Su Kim, Hahng Lee
J Korean Pediatr Soc. 1998;41(5):684-694.   Published online May 15, 1998
Purpose : Despite the use of improved therapeutic modalities, long-term survival remains poor in patients in stage Ⅲ or Ⅳ of neurobalstoma and for over 1 year olds at diagnosis. We evaluated the long-term survival rate and related prognostic factors in advanced neuroblastoma. Methods : Twenty-nine children diagnosed with stage Ⅲ or Ⅳ neuroblastoma after 1 year of age, between May...
The Study of Serum Troponin I and CK-MB in the Acute Stage of Kawasaki Disease
Minshik Kim, Yoonae Chun, Youngok Lee, Namji Cho, Kyungsook Kim
J Korean Pediatr Soc. 1998;41(5):695-700.   Published online May 15, 1998
Purpose : The pathogensis and etiologic agents are still unknown but clinical studies suggest that Kawasaki disease(KD) is an autoimmune disease caused by infectious agents associated with the early development of acute myocarditis and coronary artery abnormalities. The study investigates serum troponin I(cTnI) and creatine kinase(CK)-MB in the acute stage of KD before diagnosis the use of intravenous immunoglobulin(IVIG) treatment...
Case Reports
Two Cases of Acute Encephalopathy with Symmetrical Low Density Areas in Bilateral Thalami in Siblings
Soon Young Lee, Woo Jin Lee, Ji Eun Lee, So Yeon Kim, Jong Ho Lee, Seung Jae Lee
J Korean Pediatr Soc. 1998;41(5):701-706.   Published online May 15, 1998
Rhabdomyolysis-induced Acute Renal Failure in a Child
Weon Sang Yun, Keun Mo Ki, Byung Ju Kim, Jae Sook Ma
J Korean Pediatr Soc. 1998;41(5):707-710.   Published online May 15, 1998
Rhabdomyolysis has been reported as a cause of acute renal failure(ARF), and it can arise from traumatic and variable non-traumatic events. Rhabdomyolysis-induced ARF is very rare in children. We experienced a case of rhabdomyolysis-induced ARF in a 14-year-old boy who presented with generalized edema and oliguria following trauma, a compressed thigh by a cultivator. Laboratory tests showed marked elevation of muscle...
A Case of Dexamethasone induced Hypertrophic Cardiomyopathy in Neonate with Bronchopulmonary Dysplasia
Youn Jung Choi, Soon Mi Jung, Jae Kyun Yoon, Ki Hyeng Lee, Chang Sung Son, Chang Tocko
J Korean Pediatr Soc. 1998;41(5):711-715.   Published online May 15, 1998
Although hypertrophic cardiomyopathy is uncommon in infant and children, we have experienced a case of dexamethasone induced hypertrophic cardiomyopathy in preterm baby who had bronchopulmonary dysplasia. This patient had hyaline membrane disease. Therefore, he received prolonged mechanical ventilation that resulted in bronchopulmonary dysplasia. After we carried out dexamethasone therapy for 7 days, hypertrophic cardiomyopathy appeared in his echocardiographic finding. We...
A Case of Pulmonary Lymphangiectasis
Cheol-Hong Kim, Seong-Hoon Kim, Soo-Eun Park, Jae-Hong Park
J Korean Pediatr Soc. 1998;41(5):715-718.   Published online May 15, 1998
Pulmonary lymphangiectasis is relatively a rare disorder. This disorder can be divided into three groups. First, pulmonary abnormality is associated with lymphangiectasia in other viscera(especilly intestine) and extremities. In the second group, patients have a concomitant cardiac anomaly, which appears to be associated with obstructed pulmonary venous return. The third group comprises of patients whose lymphangicetasia is not associated with...
A Case of Chorea in the Recovery Phase of Pneumococcal Meningitis
Eun Ah Suh, Dong Un Kim, Yoon Kyung Lee, Bung Jun Choi, Young In Kim, Ik Jun Lee
J Korean Pediatr Soc. 1998;41(5):719-723.   Published online May 15, 1998
Movement disorders(chorea, athetosis, ballism) are a rare complication that develops during the course of bacterial meningitis although associations with tuberculous meningitis are established to some extent. Movement disorders are generally believed to reflect injury to the basal ganglia, thalamus, cerebellum and cerebral cortex. Ischemic infarctions of these areas have been proposed as the cause of dyskinesias in bacterial meningitis. We...