Acute and Critical Care

Jong Seok Lee

3 Articles

Delayed Splenic Rupture with a 1-month Latent Period after Minor Trauma: A Case Report: Jong Seok Lee, Oh Young Kwon, Han Sung Choi, Hoon Pyo Hong, Young Gwan Ko; Korean J Crit Care Med. 2010;25(2):104-106.; DOI: https://doi.org/10.4266/kjccm.2010.25.2.104

2,534 View
24 Download
1 Crossref

Delayed splenic rupture is a rare complication of blunt abdominal trauma in which the time interval from injury to splenic rupture is > 48 hours. The diagnosis can be challenging if the history of trauma is remote, or initially missed, because symptoms may present subtly and without classic historical associations. We report a case of delayed rupture of the spleen from remote, minor trauma that required an emergency splenectomy.

Citations

Citations to this article as recorded by

Delayed splenic rupture presenting 70 days following blunt abdominal trauma
Nancy Resteghini, Jonpaul Nielsen, Matthew L. Hoimes, Adib R. Karam
Clinical Imaging.2014; 38(1): 73. CrossRef

Multiple Organ Dysfunction Syndrome and Quadriplegia due to Acute Methamphetamine Intoxication: A Case Report: Oh Young Kwon, Jong Seok Lee, Han Sung Choi, Hoon Pyo Hong, Young Gwan Ko; Korean J Crit Care Med. 2010;25(1):33-36.; DOI: https://doi.org/10.4266/kjccm.2010.25.1.33

2,433 View
18 Download

Abstract PDF: Methamphetamine (MA) is an extremely addictive central nervous system stimulant. MA abuse has increased during the past three decades in Korea because it is cheap relatively and easily produced. Acute toxicity can occur via nasal insufflation, intravenous administration and ingestion of liquid formulations. The clinical manifestations include hypertension, tachycardia, hyperthermia, an altered mentality and seizure. Severe complications can occur such as pulmonary edema, rhabdomyolysis, disseminated intravascular coagulation and multiple organ dysfunction syndrome. This case report describes a previously healthy 40-year-old woman who presented to an emergency department with complaints of hyperthermia, an altered mentality and vomiting. This patient was diagnosed as acute MA intoxication by urine toxicology screening, and she showed a variety of clinical manifestations and complications. Physicians should suspect MA intoxication if a patient shows an unknown fever, an altered mentality and hypertension, and they should carefully manage these patients in the ICU.

Admission Hyperglycemia Aggravates the Prognosis of Critically Ill Patients: Jong Seok Lee, Chul Ho Chang, Yon Hee Shim, Dong Woo Han, Chang Seok Kim, Cheung Soo Shin; Korean J Crit Care Med. 2004;19(2):121-125.

1,569 View
11 Download

Abstract PDF: BACKGROUND
Hyperglycemia is a common disease in critically ill patients, even those without diabetes. It has been recognized acute increase of blood glucose level would increase mortality in patients with and without diabetes in vascular disease such as acute myocardial infarct or acute stroke. However, there is not much data about hyperglycemic effects on the prognosis of patients with heterogenous disease in general intensive care unit (ICU). Aim of this study was to evaluate the effects of admission hyperglycemia on prognosis of critically ill patients with heterogenous disease. METHODS: We reviewed medical records of 712 patients admitted general ICU from July, 2000 to March, 2002 in teaching hospital. The patients who were not checked blood glucose level at ICU admission were excluded. We regarded diabetes patients who have been diagnosed diabetes before ICU admission. Hyperglycemia was defined as a fasting glucose level above 140 mg/dl or random glucose level above 200 mg/dl on 2 or more determinations. We measured hospital mortality, ICU stay, and hospital stay as well as blood glucose level. RESULT: Patients mortalities of diabetic hypergylcemia, nondiabetic hyperglycemia, diabetic normoglycemia, and nondiabetic normoglycemia were 17%, 19%, 26% and 10% respectively. CONCLUSIONS: Mortality of diabetic patients regardless of hyperglycemia at admission time and nondiabetic hyperglycemia patients were higher than nondiabetic normoglycemia patients in ICU.

Author index