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증례 : 화농성 간농양으로 유발된 당뇨병성 케톤산증 2예
장석태 ( Suk Tae Jang ),오병선 ( Byoung Sun Oh ),손태서 ( Tae Seo Sohn ),손현식 ( Hyun Shik Son ),손호영 ( Ho Young Son ),이광우 ( Kwang Woo Lee ),강성구 ( Sung Ku Kang ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
저자들은 화농성 간농양으로 유발된 당뇨병성 케톤산증 2예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Diabetic ketoacidosis as the most severe acute metabolic complication of diabetes mellitus, may herald the onset of type 1 diabetes but most often occurs in established diabetic patients as a result of intercurrent illness (e.g., infection), an inappropriate reduction in insulin dosage, or missed insulin injections. Diabetics are more prone to infections than non-diabetics and infection is the most common precipitant of diabetic ketoacidosis. Infection such as pneumonia, urinary tract infection, gastroenteritis and sepsis, is believed to precipitate episodes of diabetic ketoacidosis. We report two cases of diabetic ketoacidosis precipitated by pyogenic liver abscess caused by Klebsiella pneumoniae. (Korean J Med 69:S861-S866, 2005)
이달의 X-선 : 패렴을 동반한 기관 및 주기관지의 확장 소견
주겨레 ( Kyu Re Joo ),옥주현 ( Ju Hyun Oak ),이성은 ( Sung Eun Lee ),장석태 ( Suk Tae Jang ),김성경 ( Sung Kyoung Kim ),이상학 ( Sang Haak Lee ),송정섭 ( Jeong Sup Song ),박성학 ( Sung Hak Park ),문화식 ( Hwa Sik Moon ),이배영 ( B 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.4
저자들은 폐렴을 동반한 기도의 드문 질환인 Mounier-Kuhn syndrome을 가진 환자의 단순흉부방사선, 기도내시경 소견과 함께 고식적인 흉부 전산화 단층 촬영을 시행 후 3차원적인 입체 영상으로 재구성한 소견을 고찰과 함께 1예 보고하는 바이다. A 66-years-old man was refered to our hospital because of cough, sputum, chill and fever. Enlargement of the trachea and main bronchi on radiography and bronchoscopy is compatible with Mounier-Kuhn syndrome. Mounier-Kuhn syndrome or tracheobronchomegaly is a rare disorder of uncertain etiology, characterized by marked dilatation of the trachea and major bronchi. This syndrome is associated with tracheal diverticulosis, bronchiectasis and recurrent respiratory tract infection. We report a rare case of Mounier-Kuhn syndrome with pneumonia and literature reviews. (Tuberc Respir Dis 2006; 61: 403-406)