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국군수도병원에 입원한 지역사회 획득 폐렴 환자에서 바이러스 감염의 빈도 및 임상양상
이지은 ( Ji Eun Lee ),김혜강 ( Hye Gang Kim ),심성훈 ( Sung Hoon Shim ),차용준 ( Yong Joon Cha ),심영수 ( Young-soo Shim ) 국군의무사령부 2013 대한군진의학학술지 Vol.44 No.1
Background: Community-acquired pneumonia(CAP) is a common disease in military and can be a cause of death in previously young and healthy adults. We aimed to investigate the prevalence of viral infection in CAP and clinical characteristics of the patients hospitalized with CAP in military referral hospital. Methods: We reviewed all patients with pneumonia who admitted to the Armed Forces Capital Hospital between March. 2011 and February. 2012. Among these patients, patients who were tested for multiplex polymerase chain reaction (multiplex-PCR) for respiratory viruses with throat swab were enrolled for analysis. Results: In total, 54 patients with pneumonia were enrolled. Nineteen (35%) of patients had respiratory virus infection. The most common organisms were adenovirus(n=14, 73.7%), rhinovirus(n=5, 26.3%), and influenza A(n=2, 10.5%). Two patients with adenovirus infection died during study period. Patients with respiratory virus infection complained of rhinorrhea more commonly (47.4% vs. 14.3%; p=0.01), had lower CRP(17.39[6.02-31.1]mg/dl vs. 7.45[7.42-7.47]mg/dl, p=0.05). There were no significant differences in radiologic findings between two groups. Conclusion: Infections with respiratory viruses are common in patients who are hoapitalized with CAP, comprising 35% of all enrolled patients in our study. Our study suggests that routine testing for common respiratory viruses may be warranted for patients hoapitalized with CAP.