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골수이식 후 만성 이식편대숙주질환으로 발생한 폐쇄성 세기관지염에 의한 이차성 재발성 기흉 1례
안철민 ( Chul Min Ahn ),황상연 ( Sang Yun Hwang ),변민광 ( Min Kwang Byun ),이진형 ( Jin Hyoung Lee ),정우영 ( Wou Young Chung ),문진욱 ( Jin Wook Moon ),박무석 ( Moo Suk Park ),민유홍 ( Yoo Hong Min ),김세규 ( Se Kyu Kim ),장준 대한결핵 및 호흡기학회 2004 Tuberculosis and Respiratory Diseases Vol.57 No.2
안철민 ( Chul Min Ahn ),박민찬 ( Min Chan Park ),이상원 ( Sang Won Lee ),심재민 ( Jae Min Shim ),이근만 ( Kun Man Lee ),박용범 ( Yong Beom Park ),이수곤 ( Soo Kon Lee ),용동은 ( Dong Eun Yong ) 대한류마티스학회 2005 대한류마티스학회지 Vol.12 No.2
We report a 43-year old woman of Listeria monocytogenes bacteremia associated with systemic lupus erythematosus (SLE). She had been treated with glucocorticoid pulse therapies and a cyclophosphamide pulse therapy for relapsed lupus nephritis class IV. After the immunosuppressive treatment, she complained of fever, vomiting, diarrhea, and abdominal pain. Diffuse edematous thickening of bowel wall was seen on abdominal CT scan and Listeria monocytogenes was identified on blood culture study. After antibiotic therapy that lasted for more than 4 weeks, her presenting symptoms were resolved and no more Listeria monocytogenes was identified on follow-up culture studies. Infection with Listeria monocytogenes, a rare food-borne illness, can be life-threatening with high fatality rates and is known to occur more frequently in immunocompromised patients, including those receiving high-dose glucocorticoid or immunosuppressive therapy for collagen vascular disease. In Korea, a case of Listeria meningitis was reported, but a case of bacteremia caused by Listeria monocytogenes enteritis has never been reported in SLE patients. Thus, we report a case of Listeria monocytogenes bacteremia that occurred due to food poisoning after aggressive immunosuppressive treatment in a patient with SLE.
증례 : 활동성 크론병 환자에서 발생한 감염성 심내막염 1예
안철민 ( Chul Min An ),김성훈 ( Seong Hun Kim ),김인희 ( In Hee Kim ),김상욱 ( Sang Wook Kim ),이승옥 ( Seung Ok Lee ),이수택 ( Soo Teik Lee ),김대곤 ( Dae Ghon Kim ) 대한내과학회 2007 대한내과학회지 Vol.72 No.4
저자들은 활동성 크론병으로 치료 중인 22세 남자 환자로서 발열 기침을 주소로 내원하여 경험적 항결핵제와 항생제 치료 중 발생한 감염성 심내막염을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Crohn`s disease is a condition of chronic inflammation potentially involving any location of the alimentary tract, from the mouth to the anus. Numerous extraintestinal manifestations also may be present. Inflammatory bowel disease may be considered an independent risk factor for infective endocarditis. Reasons for endocarditis may be more frequent bacteremia because of the higher incidence of diagnostic and therapeutic interventions, as well as an increased permeability of the damaged mucosa for bacteremia and therapeutic immunosuppression in patients with active inflammatory bowel disease. We report here a case of a 22-year old male who was diagnosed with infective endocarditis in active Crohn`s disease. This is the first case report in Korea of this diagonsis. (Korean J Med 72:420-425, 2007)