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노인 환자에서 발생한 거짓막 괴사성 기관지 아스페르길루스증 1예

A Case of Pseudomembranous Necrotizing Bronchial Aspergillosis in An Old Age Host

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2007, v.63 no.3, pp.278-282
이승은 (중앙의대)
김미경 (중앙대학교)
신종욱 (중앙대학교)
김재열 (중앙대학교)
박인원 (중앙대학교)
최병휘 (중앙대학교)
최재철 (중앙대학교)
전은주 (중앙의대)
송주한 (중앙의대)
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초록

거짓막 괴사성 기관지 아스페르길루스증은 심한 면역 저하가 있는 환자에서 발생하는 드문 질환으로 높은 사망률을 보이고 있다. 저자들은 당뇨병 외에는 과거력이 없는 고령의 환자에서 거짓막 괴사성 기관지 아스페르길루스증을 1예 진단하였으며 적절한 치료로 호전되어 문헌고찰과 함께 보고하는 바이다.

keywords
Aspergillosis, Pseudomembranous, Tracheobronchitis., Aspergillosis, Pseudomembranous, Tracheobronchitis.

Abstract

Invasive aspergillus tracheobronchitis is uncommon manifestation of infection due to Aspergillus species, occurring in severely immunocompromised patients who are generally neutropenic with haematological diseases, AIDS, or after heart and lung transplantation. The pseudomembranous form is the most severe condition and is usually fatal despite treatment with antifungal agents. However, there are a few cases reported with no apparent severe compromise in the host defences. We encountered a pseudomembranous necrotizing bronchial aspergillosis in a 73-year old male patient, who was treated successfully with antifungal agents. (Tuberc Respir Dis 2007; 63: 278-282)

keywords
Aspergillosis, Pseudomembranous, Tracheobronchitis., Aspergillosis, Pseudomembranous, Tracheobronchitis.

참고문헌

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Tuberculosis & Respiratory Diseases