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포스터 발표 : 일차성 갑상선기능저하증 및 일차성 부신기능저하증이 합병된 환자에서 발생한 횡문근융해증 및 IgA신증 1예
장윤경 ( Jang Yun Gyeong ),장인선 ( Jang In Seon ),최범순 ( Choe Beom Sun ),신영신 ( Sin Yeong Sin ),진동찬 ( Jin Dong Chan ),김석영 ( Kim Seog Yeong ),장윤식 ( Jang Yun Sig ),방병기 ( Bang Byeong Gi ),서광선 ( Seo Gwang Seon ) 대한신장학회 2003 춘계학술대회 초록집 Vol.22 No.1
김순섭 ( Kim Sun Seob ),윤선애 ( Yun Seon Ae ),김영수 ( Kim Yeong Su ),송준창 ( Song Jun Chang ),김현진 ( Kim Hyeon Jin ),장석태 ( Jang Seog Tae ),김영옥 ( Kim Yeong Og ),장윤식 ( Jang Yun Sig ),방병기 ( Bang Byeong Gi ) 대한신장학회 2004 Kidney Research and Clinical Practice Vol.23 No.3
Hemorrhagic fever with renal syndrome (HFRS) causes arrythmia, myocarditis, atrial hemorrhage, and heart failure as a cardiac complication. But, acute myocardial infarction has not been reported yet in patient with HFRS. We here report a case of acute myocardial infarction in a young adult with HFRS. A 43-year-old man was admitted with high fever and petechiae in the trunk and extremities. He had no history of hypertension, heart disease, and diabetes mellitus. Initial electrocardiographic finding was normal. On the 4th hospital days, sudden cardiac arrest developed and he recovered promptly with cardioversion. After recovery, electrocardiography revealed ST segment elevation in Ⅱ, Ⅲ, and aVF. Cardiac enzymes (CPK, LDH, CK-MB, and troponin-I) were also elevated. Echocardiography showed akinesia of inferior wall of heart. He was treated with continuous veno-venous hemodiafiltraion but he expired due to multiorgan failure on the 12th hospital days. (Korean J Nephrol 2004;23(3):488-491)