Publications by authors named "Choi Sang Ho"

Background: Identifying risk factors for mortality in patients with bacteremia (SAB) is crucial due to its high fatality. However, data on risk factors for infection-attributable deaths considering competing risk events such as non-infection-attributable deaths remain limited. We performed a competing risk analysis to elucidate risk factors associated with 30-day infection-attributable mortality in a large cohort of patients with SAB.

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Background: Although recommended isolation periods for Coronavirus disease 2019 (COVID-19) have been shortened as the pandemic has subsided, prolonged Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) shedding remains common in immunocompromised patients. This study estimated the probability of viral clearance in these patients based on elapsed days and specific risk factors.

Methods: We prospectively enrolled immunocompromised patients with a confirmed COVID-19 diagnosis from January 2022 to May 2023 during the Omicron variant era.

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  • Fascioliasis is a disease mainly found in livestock but has seen an increase in human cases in Korea, linked to a green vegetable juice delivery service.
  • Patients diagnosed with fascioliasis often presented with specific symptoms like eosinophilia and were treated with triclabendazole, showing varying recovery patterns in liver abscesses over time.
  • MRI findings indicated that late-diagnosed patients had a higher incidence of bile duct issues, while antibody levels and eosinophil counts significantly declined after treatment, suggesting the need for ongoing monitoring.
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For successful infection, the life-threatening pathogen Vibrio vulnificus elaborately regulates the expression of survival and virulence genes using various transcription factors (TFs). In this study, a library of the V. vulnificus mutants carrying specific signature tags in 285 TF genes was constructed and subjected to 16 phenotypic analyses.

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Introduction: Marmosets spontaneously develop pathological hallmarks of Alzheimer's disease (AD) including amyloid beta plaques. However, tau expression in the marmoset brain has been understudied.

Methods: Isoforms of tau were examined by western blot, mass spectrometry, immunofluorescence, and immunohistochemical staining.

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Unlabelled: As a response regulator of the EsrA-EsrB two-component system, EsrB is conserved in and plays a crucial role in virulence and pathogenicity. EsrB possesses DNA binding abilities, enabling it to regulate the transcription of virulence genes to confront different stresses and achieve systematic infections. Here, ChIP-seq analysis of EsrB in Dulbecco's Modified Eagle's Medium (DMEM) (mimicking environments) revealed that EsrB preferred to bind to virulence-associated promoters with a distinct 7'-4-7'' pseudopalindromic DNA motif and interact with metabolic-related promoters with a high AT DNA motif.

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  • ST72 is a common strain of methicillin-resistant Staphylococcus aureus (MRSA) in Korea, and there's a growing need to study its methicillin-susceptible variant (MSSA) due to rising infections.
  • This study reviewed cases from a hospital over 11 years, finding that 35.5% of patients with ST72 had MSSA infections, which were less likely to show multidrug resistance compared to MRSA.
  • Both MSSA and MRSA had similar clinical characteristics, but MSSA showed a lower recurrence rate after 90 days while mortality rates were comparable, highlighting an alarming trend of MSSA increase in hospital settings.
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, an opportunistic human pathogen, employs biofilm formation as a key survival and virulence mechanism. BrpT, a transcriptional regulator, is essential for biofilm development by regulating the expression of biofilm-related genes. In this study, we aimed to identify a small molecule inhibitor of BrpT to combat biofilm formation.

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  • This text serves as a correction to a previously published article found on page e237 in volume 39.
  • The specific PMID for the original article is 39252682.
  • The correction addresses specific errors or clarifications related to the content of that article.
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Many pathogenic bacteria form biofilms that are resistant to not only host immune defenses but also antibiotics, posing a need for the development of strategies to control biofilms. In this study, to prevent biofilm formation of the fulminating foodborne pathogen , chemical libraries were extensively screened to identify a small molecule inhibiting the activity of BrpR, a transcriptional regulator for biofilm genes. Accordingly, the BrpR inhibitor BFstatin [N1-(2-chloro-5-fluorophenyl)-N3-propylmalonamide], with a half-maximal effective concentration of 8.

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Background: Severe fever with thrombocytopenia syndrome (SFTS) is an emerging tick-borne disease caused by (SFTS virus [SFTSV]). Recently, at least 6 different genotypes of SFTSV have been identified, with genotypes A, D, and F dominant in China and B dominant in Japan and Korea. This study investigated the effect of SFTSV genotypes circulating in South Korea on disease severity, viral load, and cytokine profile.

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Background: The pathophysiological mechanisms underlying the post-acute sequelae of severe acute respiratory syndrome coronavirus 2 infection (PASC) are not well understood. Our study aimed to investigate various aspects of theses mechanisms, including viral persistence, immunological responses, and laboratory parameters in patients with and without PASC.

Methods: We prospectively enrolled adults aged ≥ 18 years diagnosed with coronavirus disease 2019 (COVID-19) between August 2022 and July 2023.

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Artificial intelligence (AI) has had a significant impact on human life because of its pervasiveness across industries and its rapid development. Although AI has achieved superior performance in learning and reasoning, it encounters challenges such as substantial computational demands, privacy concerns, communication delays, and high energy consumption associated with cloud-based models. These limitations have facilitated a paradigm change in on-device AI processing, which offers enhanced privacy, reduced latency, and improved power efficiency through the direct execution of computations on devices.

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  • The study focused on investigating the occurrence of aspergillosis coinfection in patients diagnosed with mucormycosis, as information on this topic is limited, especially regarding antifungal treatment optimization.
  • Researchers reviewed medical records of 67 adult patients who had been diagnosed with mucormycosis from 2007 to 2023, using a combination of fungal cultures and PCR assays to identify the presence of Aspergillus species.
  • The findings revealed that about 31% of the patients had evidence of aspergillosis coinfection, with higher positive rates of specific diagnostic markers in this group compared to those with only mucormycosis, indicating a need for more detailed future research on co-infections for improved treatment
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We evaluated the clinical performance of the T2Candida assay. The overall agreement of the T2Candida assay results with the blood culture results was 95.3 % (121/127).

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This study evaluated the determinants of mortality and the T cell immune response in patients with persistent Staphylococcus aureus bacteremia (SAB). This was a prospective cohort study and patients with confirmed SAB were enrolled from 2008 to 2020. We compared clinical, microbiological, and genotypic features between surviving and deceased patients with persistent SAB.

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  • The study looked at patients with a serious infection called hVISA who were treated with a medicine called vancomycin and found that a lot of them (78%) didn't get better.
  • Older patients and those with serious health problems had a harder time improving compared to younger and healthier patients.
  • Researchers discovered that age and how severe the infection was played big roles in whether the treatment worked or not, suggesting doctors should pay extra attention to these factors when treating hVISA infections.
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  • A study analyzed 143 adults with severe pneumonia caused by human parainfluenza virus (HPIV) from 2010 to 2019, finding HPIV to be a leading cause of both hospital-acquired and community-acquired pneumonia.
  • Common underlying conditions among patients included hematologic malignancy, diabetes, and structural lung disease, with over half experiencing co-infections, particularly in those in intensive care.
  • The mortality rate for HPIV pneumonia was high and similar to that of severe influenza, with co-infections, particularly fungal, contributing significantly to deaths; therefore, clinicians should be vigilant about infections and promote hygiene practices to limit HPIV spread.
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Introduction: Marmosets have been shown to spontaneously develop pathological hallmarks of Alzheimer's disease (AD) during advanced age, including amyloid-beta plaques, positioning them as a model system to overcome the rodent-to-human translational gap for AD. However, Tau expression in the marmoset brain has been understudied.

Methods: To comprehensively investigate Tau isoform expression in marmosets, brain tissue from eight unrelated marmosets across various ages was evaluated and compared to human postmortem AD tissue.

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  • The study analyzes the effectiveness of the interferon-gamma releasing assay (IGRA) in diagnosing latent tuberculosis infection (TBI) among Korean military candidates from 2017 to 2021, focusing on its relationship with tuberculosis disease (TBD) risk.
  • Of 1,647,941 individuals screened, 29,574 tested IGRA positive, with 9,219 untreated individuals and 5,818 treated individuals monitored, revealing a significantly higher TBD incidence in untreated IGRA positives compared to treated ones and IGRA negatives.
  • The research suggests that raising the IGRA cutoff from 0.35 IU/mL to 1.33 IU/mL improves the positive predictive value for initiating treatment while maintaining reasonable sensitivity
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The production of endogenous hydrogen sulfide (HS) is an important phenotype of bacteria. HS plays an important role in bacterial resistance to ROS and antibiotics, which significantly contributes to bacterial pathogenicity. Edwardsiella piscicida, the Gram-negative pathogen causing fish edwardsiellosis, has been documented to produce hydrogen sulfide.

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Our study analyzed 95 solid organ transplant (SOT) and 78 hematopoietic stem cell transplant (HSCT) recipients with prior coronavirus disease 2019 (COVID-19). Patients who underwent transplantation within 30 days of COVID-19 infection comprised the early group, and those who underwent transplantation post-30 days of COVID-19 infection comprised the delayed group. In the early transplantation group, no patient, whether undergoing SOT and HSCT, experienced COVID-19-associated complications.

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Introduction: Fundamental questions remain about the key mechanisms that initiate Alzheimer's disease (AD) and the factors that promote its progression. Here we report the successful generation of the first genetically engineered marmosets that carry knock-in (KI) point mutations in the presenilin 1 (PSEN1) gene that can be studied from birth throughout lifespan.

Methods: CRISPR/Cas9 was used to generate marmosets with C410Y or A426P point mutations in PSEN1.

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  • Pulmonary nocardiosis is an uncommon infection that can spread to other parts of the body, and the study analyzed CT scan results and outcomes in patients diagnosed with this condition over a 22-year period.
  • Of the 75 patients studied, 18.7% had cases that spread to other areas, with brain and soft tissue involvement being common, and these disseminated cases were more likely to show certain CT findings like cavitation and pleural effusion.
  • Factors like having cancer, using steroid medication, and specific CT patterns were linked to higher death rates within 12 months, while the spread of the infection itself did not significantly influence survival outcomes.
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