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Internal medicine [journal]
- Hypopharyngeal foreign body. [Journal Article]
- Intern Med 2013; 52(10):1151.
- Pigmented villonodular synovitis of the ankle. [Journal Article]
- Intern Med 2013; 52(10):1149-50.
- Reversible Splenial Lesion Associated with Staphylococcus aureus Endocarditis. [Journal Article]
- Intern Med 2013; 52(10):1147-8.
- Recurrent refractory arterial thromboembolism in a patient with anti-phospholipid antibody syndrome. [Journal Article]
- Intern Med 2013; 52(10):1145-6.
- Severe right coronary artery kinking treated with stent placement. [Journal Article]
- Intern Med 2013; 52(10):1143-4.
- Endoscopic diagnosis of appendicitis. [Journal Article]
- Intern Med 2013; 52(10):1141.
- Incidental Finding of the Sternalis Muscle on Chest Multidetector-row Computed Tomography (MDCT): The Diagnostic Value of Additional Postprocessed MDCT Images for an Uncommon Muscular Variant. [Journal Article]
- Intern Med 2013; 52(10):1137-9.
We herein report two cases of incidental finding of the sternalis muscle in the right anterior chest wall on multidetector-row computed tomography (MDCT). We emphasize the diagnostic utility and value of additional postprocessed MDCT images, which can be easily created using volume data sets of MDCT, in establishing an accurate diagnosis of the sternalis muscle, an uncommon muscular variant.
- Infective Endocarditis Caused by Enterococcus faecalis treated with Continuous Infusion of Ampicillin without Adjunctive Aminoglycosides. [Journal Article]
- Intern Med 2013; 52(10):1131-5.
Aminoglycosides are useful antimicrobial agents for treating infective endocarditis; however, they occasionally cause troublesome side effects, such as nephrotoxicity and ototoxicity. We herein report a case of infective endocarditis caused by Enterococcus faecalis that was treated successfully with continuous infusion of ampicillin without adjunctive aminoglycosides. The serum ampicillin concentrations were higher than the minimal inhibitory concentration for the target strain. Although the use of ampicillin monotherapy is currently avoided because double β-lactam therapy is reportedly more effective, continuous penicillin administration remains an effective therapeutic choice for treating infective endocarditis.
- Successful Treatment of Class IV+V Lupus Nephritis with Combination Therapy of High-dose Corticosteroids, Tacrolimus and Intravenous Cyclophosphamide. [Journal Article]
- Intern Med 2013; 52(10):1125-30.
A substantial number of patients with lupus nephritis (LN) are refractory to conventional glucocorticoid (GC) treatment. Although many of these patients respond to immunosuppressive drugs such as intravenous cyclophosphamide (IVCY), azathioprine (AZA), mizoribine, tacrolimus, cyclosporine A (CSA) and mycofenolate mofetil (MMF), some remain refractory to such therapies. Recent studies of multi-target therapies have reported effective outcomes for immunosuppression following renal transplantation and refractory LN when therapy consists of two or more immunosuppressive drugs with different mechanisms of action. We herein report a case of LN unresponsive to IVCY that was successfully treated with the addition of tacrolimus and discuss the usefulness of multi-target therapy for LN.