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증례 : 소화기 ; 당뇨병 환자에서 발생한 식도 방선균증 1예
구동영 ( Dong Yeong Gu ),노지훈 ( Ji Hun Roh ),임대관 ( Dae Gwan Lim ),조영화 ( Yeong Hwa Jo ),유재훈 ( Jae Hoon Yu ),윤준모 ( Jun Mo Yoon ),김기수 ( Gi Su Kim ) 대한내과학회 2012 대한내과학회지 Vol.82 No.5
A 47-year-old patient with diabetes mellitus was admitted with the complaints of sore throat and dysphagia. We performed an esophagogastroduodenoscopy and found esophageal ulcers. Histological examination of the esophageal biopsy revealed sulphur granules, and immunological findings ruled out viral infection. Thus, we diagnosed an isolated actinomycotic infection of the esophagus and treated the infection with oral amoxicillin. This case illustrates that actinomycotic infection of the esophagus can occur in immunocompetent patients. Therefore, when evaluating dysphagia, the probability of actinomycotic infection must be considered not only in immunocompromised patients, but in immunocompetent individualswith diabetes mellitus. (Korean J Med 2012;82:580-584)