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Outbreaks and Seasonal Variation of Mumps Orchitis: Report of Multicenter Data in Korea
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Hoon Choi, Jae Hyun Bae, Seung Il Jung, Seung Ki Min, Tae Hyung Kim, Yong Gil Na, Gil Ho Lee
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Korean J Urogenit Tract Infect Inflamm 2013;8(1):43-46. Published online April 30, 2013
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Abstract
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- Purpose: Mumps is an infectious viral disease that often results in painful swelling of testis preceded by parotitis. We report multicenter data on mumps orchitis from five community hospitals.
Materials and Methods: From January 2011 to December 2012, 98 patients diagnosed with acute mumps orchitis were treated at five community hospitals in different districts of Korea. As a report on an outbreak of mumps orchitis, age, bilaterality, monthly occurrence frequency, and vaccination status were recorded retrospectively. Results: The mean age of the 98 patients was 19.7 (range from 10 to 38) years old. Age distribution of patients included 60 teens (61.2%), 31 in their twenties (31.6%), and seven in their thirties (7.2%). No evidence of a previous mumps vaccination was found in medical records from six patients (6.1%), and the vaccination status of one patient was unknown. Bilateral orchitis was noted in eight patients (8.2%), and 90 patients (91.8%) had unilateral orchitis. Right-sided orchitis was noted in 50 patients (51.0%), and left-sided orchitis was noted in 40 patients (40.8%). Autumn (September to November) was the most prevalent season, with 35 outbreaks (35.7%). Seasonal outbreaks occurred in 13 patients (13.2%) in spring (3rd- 5th), 24 patients (24.7%) in summer (6th-8th), and 26 patients (26.4%) in winter (12th-2nd). Conclusions: In spite of continued vaccination, mumps orchitis is still a prevalent disease. Therefore, due to a large number of outbreaks, mumps orchitis should still be considered, especially in teenagers and during autumn season. Conduct of additional long-term follow-up and large prospective studies is needed in Korea.
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Synchronous Verrucous Carcinoma and Squamous Cell Carcinoma of Penis by Different Human Papillomavirus Infections
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Yumi Seo, Gil Ho Lee
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Korean J Urogenit Tract Infect Inflamm 2013;8(1):52-54. Published online April 30, 2013
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- Synchronous verrucous carcinoma and squamous cell carcinoma of the penis is a rare condition. We report on a case of penile carcinoma with a well demarcated and ulcerated endophytic squamous carcinoma lesion by human papillomavirus 16 and 61 types, and a whitish exophytic verrucous carcinoma lesion by an unknown lower risk human papillomavirus type.
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Diagnosis and Notification of Sexually Transmitted Infections
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Seong Woon Park, Gil Ho Lee
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Korean J Urogenit Tract Infect Inflamm 2012;7(2):121-128. Published online October 31, 2012
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Abstract
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- In 2010, the infectious disease surveillance system of Korea was faced with a series of changes. For sexually transmitted infections (STIs) such as syphilis, gonorrhea, chlamydia, chancroid, genital herpes, condyloma accuminata or acquired immunodeficiency syndrome (AIDS), every case had to be reported according to the Infectious Disease Prevention Law passed in 2003. But the reporting system for STIs was changed to a ‘Sentinel Surveillance System' in 2010, except for syphilis and AIDS, due to the fact that reporting every case was not practically possible and their occurrences should be continuously monitored to ensure the early detection and control of these diseases. In addition, the public health improvement or control activities of medical personnel need regular feedback of the surveillance results. However, the efficient reporting or surveillance of STIs has yet to be successfully carried out because of special requirements such as the need to protect patient's privacy. Therefore, to set up countermeasures and research to prevent the spread of STIs, first line medical personnel should be active and familiar with the reporting system so that the nationwide surveillance system can be successfully managed. (Korean J UTII 2012;7:121-128)
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