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Unexpected Septic Shock after Ureteroscopic Lithotripsy in a Patient Preoperatively Treated for a Urinary Tract Infection
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Jong Wook Kim, Hyoung Kook Jeong, Jong Jin Park, Ji Yun Chae, Hong Seok Park, Du Geon Moon, Mi Mi Oh
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Urogenit Tract Infect 2016;11(2):66-68. Published online August 31, 2016
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- We describe a case of life-threatening septic shock after ureteroscopic lithotripsy. Prior to surgery, the patient had a confirmed sterile urine culture posttreatment for a urinary tract infection due to extended spectrum beta-lactamase-positive Escherichia coli.
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Renal Actinomycosis Initially Misdiagnosed as Renal Cell Carcinoma with Renal Vein Thrombosis
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Jong Wook Kim, Hyoung Kook Jeong, Jong Jin Park, Ji Yun Chae, Hong Seok Park, Du Geon Moon, Mi Mi Oh
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Urogenit Tract Infect 2016;11(2):73-75. Published online August 31, 2016
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- This case report describes an uncommon case of renal actinomycosis in a 63-year-old man. The patient underwent radical nephrectomy for suspicious renal cell carcinoma with renal vein thrombosis and spinal metastasis. The postoperative diagnosis of renal and spinal actinomycosis was established in accordance with the results from histological examination. Three years after surgery, the patient did not show any symptoms of recurrence.
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Treatment of Neisseria gonorrhoeae in the Era of Multidrug Resistance
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Ji Yun Chae, Mi Mi Oh
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Korean J Urogenit Tract Infect Inflamm 2015;10(1):12-18. Published online April 30, 2015
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- Neisseria gonorrhoeae (NG) is becoming increasingly less susceptible to the extended spectrum cephalosporin (ESC), which has been recommended for first-line treatment, and cases of treatment failure are being reported globally. An era of untreatable gonorrhea may have started, and it calls for novel treatment strategies. Essential actions should include use of higher doses of ceftriaxone administered as part of dual therapy and further development of alternative drug combinations. This review focuses on the global spread of ESC resistant NG and potential treatment options for the future.
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Superbug: Vancomycin-Resistant Enterococcus and Carbapenem Resistant Organisms
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Ji Yun Chae, Mi Mi Oh
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Korean J Urogenit Tract Infect Inflamm 2012;7(2):99-105. Published online October 31, 2012
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- The emergence of multi-drug resistant organisms, so-called ‘superbugs’, are a major public health concern. Multi-drug resistant organisms can cause serious, life-threatening infections. The acquisition of vancomycin resistance by Gram-positive bacteria and carbapenem resistance by Gram-negative bacteria made some hospital-acquired infections impossible to treat. Unless alternative treatment regimens are developed, our difficulty to treat totally resistant bacteria will halt other advances in modern medicine. Overuse of antibiotics and environmental factors all have a role in the emergence and spread of resistance. This article reviews the mechanisms and recent trends in the spread of multi-drug resistant bacteria, especially vancomycin-resistant Enterococcus and carbapenem-resistant organisms. (Korean J UTII 2012;7:99-105)
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