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최상분 ( Sang Bun Choi ),서정숙 ( Jeong Sook Seo ),한양천 ( Yang Chun Han ),김애란 ( Ae Ran Kim ),허진원 ( Jin Won Hur ),이성순 ( Sung Soon Lee ),이영민 ( Young Min Lee ),이혁표 ( Hyuk Pyo Lee ),김주인 ( Joo In Kim ),염호기 ( Ho K 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.4
The Inhalation of certain freshly formed metal oxides can cause metal fume fever, which is an acute, self-limiting, flu-like illness. The most common cause of this syndrome is the inhalation of zinc oxide. The inhalation of zinc oxide can lead to tracheobronchiolitis, chemical pulmonary edema or to respiratory failure and acute respiratory distress syndrome(ARDS). We encountered a 43-years-old man who developed severe dyspnea after inhaling of zinc oxide while working for 5 hours in a closed space. He was diagnosed with ARDS and was treated successfully with glucocorticoid. We report a case of ARDS caused by the inhalation of zinc fumes. (Tuberc Respir Dis 2007; 62: 314-317)
고립성폐결절의 경피적 바늘생검 이후 발생한 결핵성 흉수
구호석 ( Ho Seok Koo ),김태균 ( Tae Kyun Kim ),박성길 ( Sung Kil Park ),최상분 ( Sang Bun Choi ),김애란 ( Ae Ran Kim ),최상봉 ( Sang Bong Choi ),정훈 ( Hoon Jung ),박이내 ( I Nae Park ),허진원 ( Jin Won Hur ),이혁표 ( Hyuk Pyo Le 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.3
A tuberculous pleural effusion may be a sequel to a primary infection or represent the reactivation of pulmonary tuberculosis. It is believed to result from a rupture of a subpleural caseous focus in the lung into the pleural space. It appears that delayed hypersensitivity plays a large role in the pathogenesis of a tuberculous pleural effusion. We encountered a 52 years old man with pleural effusion that developed several days after a CT guided percutaneous needle biopsy of a solitary pulmonary nodule. He was diagnosed with TB pleurisy. It is believed that his pleural effusion probably developed due to exposure of the parenchymal tuberculous focus into the pleural space during the percutaneous needle biopsy. This case might suggest one of the possible pathogeneses of tuberculous pleural effusion. (Tuberc Respir Dis 2007; 63: 268-272)