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Tuberculosis & Respiratory Diseases

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Vol.57 No.6
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거대 농흉으로 발견된 폐방선균증 1예

A Case of Huge Empyema Caused by Pulmonary Actinomycosis

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2004, v.57 no.6, pp.579-583
김덕룡 (원자력병원)
최윤희 (원자력병원)
이승환 (원자력병원)
이종신 (원자력병원)
김민재 (원자력병원)
이승숙 (원자력병원)
최두환 (원자력병원)
김철현 (원자력병원)
이재철 (원자력병원)
김덕룡, 최윤희, 이승환, 이종신, 김민재, 이승숙, 최두환, 김철현, & 이재철. (2004). 거대 농흉으로 발견된 폐방선균증 1예. Tuberculosis & Respiratory Diseases, 57(6), 579-583.
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초록

저자들은 폐색전증과 파종성혈관내응고를 동반한 특발성 과호산구 증후군 1례를 경험하였다. 환자는 스테로이드 투여로 빠른 호전이 없어 시클로스포린을 추가하여 호전되었다.

keywords
Pulmonary actinomycosis, Empyema, Sulfur granule.거대 농흉으로 발견된 폐방선균증 1예원자력병원 내과, 병리과1, 진단방사선과2김덕룡, 최윤희, 이승환, 이종신, 김민재, 이승숙1, 최두환2, 김철현, 이재철A Case of Huge Empyema Caused by Pulmonary ActinomycosisDuck Ryung Kim, M.D., Yoon Hee Choi, M.D., Seung Whan Le, Pulmonary actinomycosis, Empyema, Sulfur granule.거대 농흉으로 발견된 폐방선균증 1예원자력병원 내과, 병리과1, 진단방사선과2김덕룡, 최윤희, 이승환, 이종신, 김민재, 이승숙1, 최두환2, 김철현, 이재철A Case of Huge Empyema Caused by Pulmonary ActinomycosisDuck Ryung Kim, M.D., Yoon Hee Choi, M.D., Seung Whan Le

Abstract

Actinomycosis is an indolent infectious disease characterized by pyogenic response and necrosis, followed by intense fibrosis. The main forms of human actinomycosis are cervicofacial, pulmonary, and abdominopelvic type. Pulmonary actinomycosis accounts for 15% to 20% of total cases and unfortunately, clinical manifestations and radiologic findings are nonspecific. Small pleural effusion or empyema may develop in advanced disease but massive empyema is infrequent and rarely reported. We report a case of huge empyema caused by pulmonary actinomycosis in a 55 year-old man, presented with one-month history of productive cough and fever. The CT scan revealed a huge cavity with air-fluid level occupying the left hemithorax. Empyema caused by actinomycosis was confirmed microscopically by demonstration of sulfur granules in empyema sac through thracotomy. Decortication and surgical resection of empyema sac and destructed lung was accomplished and followed by intravenous infusion of penicillin G.(Tuberc Respir Dis 2004; 57:579-583)

keywords
Pulmonary actinomycosis, Empyema, Sulfur granule.거대 농흉으로 발견된 폐방선균증 1예원자력병원 내과, 병리과1, 진단방사선과2김덕룡, 최윤희, 이승환, 이종신, 김민재, 이승숙1, 최두환2, 김철현, 이재철A Case of Huge Empyema Caused by Pulmonary ActinomycosisDuck Ryung Kim, M.D., Yoon Hee Choi, M.D., Seung Whan Le, Pulmonary actinomycosis, Empyema, Sulfur granule.거대 농흉으로 발견된 폐방선균증 1예원자력병원 내과, 병리과1, 진단방사선과2김덕룡, 최윤희, 이승환, 이종신, 김민재, 이승숙1, 최두환2, 김철현, 이재철A Case of Huge Empyema Caused by Pulmonary ActinomycosisDuck Ryung Kim, M.D., Yoon Hee Choi, M.D., Seung Whan Le

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Tuberculosis & Respiratory Diseases

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