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후천성 면역 결핍증에서의 폐렴구균 감염 부검 1예 : An Autopsy Report
이미숙,우준희,진소영,김종원,최창현,김양수,김은옥,김백남,이동화,류지소 대한감염학회 1996 감염 Vol.28 No.3
28세 남자의 후천성 면역 결핍증 환자에서 S. pneumoniae 폐렴이 합병되어 사망한 1예를 경험하여 부검소견과 함께 보고하는 바이다. Pulmonary infections such as Pneumocystis carinii, cytomegalovirus, and tuberculosis are a major cause of morbidity and mortality in patients with human immunodeficiency virus(HIV) infection. Patients with HIV infection are at increased risk for bacterial pneumonia in addition to opportunistic infection. Although in a primary defect, HIV infection is associated with substantial dysfunction of humoral immunity, which predisposes patients to bacterial infections, particularly with encapsulated organisms, such as Streptococcus pneumoniae. We report a case of 28 year-old Korean male with HIV infection who died of respiratory failure due to pneumococcal pneumonia with autopsy findings.
( Mi Hyeon Lee ),( Joo Hyun Jun ),( Eun Mi Choi ),( Eun Mi Kim ),( Young Ryong Choi ),( Pil Hyun Jeon ),( Seung Hwa Baek ),( Mi Hwa Chung ),( Wha Ja Kang ) 경희대학교 경희의료원 2016 慶熙醫學 Vol.31 No.1
Paragangliomas are rare tumors that arise from extra-adrenal chromaffine tissues and that secrete catecholamine. The abnormal secretion of catecholamine can cause cardiovascular complications such as severe hypertension, cardiomyopathy, cardiac arrhythmia, and aortic aneurysm rupture. In particular, the risk of mortality and morbidity increases if the patient has not been diagnosed or if the preparation for a possible hypertensive crisis has been insufficient. Moreover, it can lead to high risks of cardiovascular complications if the patient has a concomitant disorder such as aortic aneurysm. We report a case of preoperatively undiagnosed paraganglioma that caused a hypertensive crisis during the surgical removal of a retroperitoneal mass and the repair of an infra-renal abdominal aortic aneurysm (AAA) and left common iliac artery aneurysm.