비장티푸스성 살모넬라 감염으로 발생한 농흉과 종격동염 1예
A Case of Empyema and Mediastinitis by Non-typhi Salmonella
곽희원 (중앙의대)
송주한 (중앙의대)
전은주 (중앙의대)
최재철 (중앙대학교)
김재열 (중앙대학교)
박인원 (중앙대학교)
최병휘 (중앙대학교)
신종욱 (중앙대학교)
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초록
NTS의 호흡기계 감염은 매우 드문 질환으로 보통 후천성 면역 결핍증, 악성 종양, 교원성 혈관 질환, 스테로이드의 장기간 사용, 겸상적혈구 빈혈증, 당뇨 환자에서 나타난다. 하지만 저자들은 특별한 면역성 질환을 갖고 있지않은 26세 남자에서 농흉과 종격동염을 진단 후, 환자의 흉수에서 비장티푸스성 살모넬라균이 동정된 1예를 경험하였기에 문헌 고찰과 함께 보고한다
- keywords
- Salmonella enteritidis, Empyema, Mediastinitis
Abstract
There are few reports of the pleuropulmonary involvement of a non-typhi Salmonella infection in immunocompromised patients with AIDS, malignancy, collagen vascular diseases, extended use of corticosteroids, sickle cell disease, or diabetes. We report a case of a non-immunocompromised patient who presented with concomitant empyema and mediastinitis due to Salmonella without a comorbid disease. A 26-year-old male patient, with a history of pneumonia 5 years earlier and having lived abroad for several years, presented chronic cough and febrile sensation. Pneumonia, empyema and mediastinitis were noted in a chest CT scan and Salmonella enteritidis and β-hemolytic streptococcus were identified from a culture of the pleural fluid. Initially, he was treated with cefepime, metronidazole and clarithromycin. He was cured clinically and radiographically after an 8 week treatment with antibiotics. In conclusion, this report suggests that S. enteritidis can cause empyema and mediastinitis, albeit rarely.
- keywords
- Salmonella enteritidis, Empyema, Mediastinitis
참고문헌
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