화분 조각에 의한 열상 후 발생한 Scedosporium prolificans 감염증 = 1예 보고

국문 초록 (Abstract)

Scedosporium prolificans는 주로 흙에서 기생하는 진균류로 흙과 관련된 감염시 반드시 의심해보아야 한다. Scedospo­rium prolificans에 의한 근 골격계 감염은 매우 드물며, 면역 능력이 저하되지 않은 경우에 진균에 의한 감염을 간과하기 쉬워 진단과 지화 지연되는 경우가 많다. 저자들은 화분 조각에 의한 슬관절의 열상 후 발생한 Scedosporium prolificans감염에 대하여 적절한 치료가 이루어지지 않고 간과 된 1예를 보고하고자 한다.

다국어 초록 (Multilingual Abstract)

Scedosporium prolificans is a fungus that can be found in soil or polluted water. It is mandatory to evaluate Scedosporium prolificans infection in case of injury by soil-contaminated materials. Musculoskeletal infections by Scedosporium prolificans are extremely rare and the clinical manifestations are similar to other bacterial infections. So it is difficult to detect Scedosporium prolificans infection. We report a neglected case with bone and joint infection by Scedosporium prolificans after joint laceration with a broken piece of flowerpot in a 10-year-old boy.

목차 (Table of Contents)

• 증례 보고
• 고찰
• 참고문헌

참고문헌 (Reference)

1 "Septic arthritis due to Scedosporium apoispermum" 43 : 210-216, 2001

2 "Scedosporiumprolificans osteomyelitis in an immunocompetent child treatedwith voriconazole and caspofungin, as well as locally applied polyhexamethylenebiguanide" 41 : 3981-3985, 2003

3 "Fungal arthritis due to Pseudallescheria boydii (Scedosporium apiospermum)" 21 : 766-768, 1994

4 "Experience with infectionby Scedosporium prolificans including apparent cure withfluconazole therapy" 33 : 193-197, 1996

5 "Comparative invitro antifungal activity of amphotericin B lipid complex,amphotericinB and fluconzole" 46 : 235-244, 2000

6 "Bone and joint infection after traumatic implantationof Scedosporium prolificans treated with voriconazole andsurgery" 92 : 980-982, 2003

7 "Allescheria boydii osteomyelitisfollowing multiple steroid injection and surgery" 126 : 232-234, 1976