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복막 투석 환자에서 Pantoea agglomerans에 의해 발생한 복막염 1예
이천범 ( Cheon Beom Lee ),김문철 ( Mun Chul Kim ),박재우 ( Jae Woo Park ),양민아 ( Min A Yang ),윤현주 ( Hyun Ju Yoon ),선인오 ( In O Sun ),이광영 ( Kwang Young Lee ) 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.2
Pantoea agglomerans (P. agglomerans) is a ubiquitous gram-negative aerobic bacillus member of the Enterobacteriaceae family that is found in plants, fruits and vegetables, and that can also be found in the human and animal fecal matter. It has been reported to play a limited role as an infectious agent, as well as an unusual pathogen for peritoneal dialysis (PD)-associated peritonitis. Beta-lactam antibiotics have been used against this pathogen with good results. Most of the reported cases of P.agglomerans peritonitis were also resolved with antibiotic therapy. Two cases of PD peritonitis caused by P.agglomerans were reported in Korea; clinical improvement was achieved by antibiotic treatment. However, no patient required catheter removal. Here we report a case of PD-associated peritonitis due to P.agglomerans that was successfully treated after catheter removal.
혈액 투석 중인 만성 신부전 환자에서 조영 증강 전산화 단층 촬영 후 발생한 정맥 내 공기 색전증의 1례
양민아 ( Min A Yang ),김문철 ( Mun Chul Kim ),박재우 ( Jae Woo Park ),윤현주 ( Hyun Ju Yoon ),이천범 ( Cheon Beom Lee ),김정관 ( Jeong Gwan Kim ),선인오 ( In O Sun ),이광영 ( Kwang Young Lee ) 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.2
Venous air embolism (VAE) was reported in up to 23% of patients after contrastenhanced computed tomography (CT) examination; most of the emboli are small and not associated with the symptoms. In cases of small and moderate-sized emboli, most patients recovered with supportive care, including intravascular fluid infusion to increase venous pressure and venous return, oxygen therapy, and patient positioning. However, with larger emboli, VAE can be a serious and even fatal event. There have been few cases of VAE in Korea, in which patients improved with supportive treatment. We report a successfully treated case of VAE in a patient with end-stage renal disease (ESRD) on regular hemodialysis, in whom large air emboli developed after contrast-enhanced CT scan, and who experienced improvement with supportive care including cardiopulmonary resuscitation.