Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pseudomembranous Necrotizing Bronchial Aspergillosis in An Old Age Host

노인 환자에서 발생한 거짓막 괴사성 기관지 아스페르길루스증 1예

  • Lee, Seung Eun (Division of Pulmonary and Critical Care Medicine, Chung-Ang University) ;
  • Jun, Eun Ju (Division of Pulmonary and Critical Care Medicine, Chung-Ang University) ;
  • Song, Ju Han (Division of Pulmonary and Critical Care Medicine, Chung-Ang University) ;
  • Shin, Jong Wook (Division of Pulmonary and Critical Care Medicine, Chung-Ang University) ;
  • Kim, Jae Yeol (Division of Pulmonary and Critical Care Medicine, Chung-Ang University) ;
  • Park, In Whon (Division of Pulmonary and Critical Care Medicine, Chung-Ang University) ;
  • Choi, Byoung Whui (Division of Pulmonary and Critical Care Medicine, Chung-Ang University) ;
  • Choi, Jae Chol (Division of Pulmonary and Critical Care Medicine, Chung-Ang University) ;
  • Kim, Mee Kyoung (Division of Pulmonary and Pathology, Chung-Ang University)
  • 이승은 (중앙대학교 의과대학 내과학교실, 중앙대학교 용산 병원 호흡기 내과) ;
  • 전은주 (중앙대학교 의과대학 내과학교실, 중앙대학교 용산 병원 호흡기 내과) ;
  • 송주한 (중앙대학교 의과대학 내과학교실, 중앙대학교 용산 병원 호흡기 내과) ;
  • 신종욱 (중앙대학교 의과대학 내과학교실, 중앙대학교 용산 병원 호흡기 내과) ;
  • 김재열 (중앙대학교 의과대학 내과학교실, 중앙대학교 용산 병원 호흡기 내과) ;
  • 박인원 (중앙대학교 의과대학 내과학교실, 중앙대학교 용산 병원 호흡기 내과) ;
  • 최병휘 (중앙대학교 의과대학 내과학교실, 중앙대학교 용산 병원 호흡기 내과) ;
  • 최재철 (중앙대학교 의과대학 내과학교실, 중앙대학교 용산 병원 호흡기 내과) ;
  • 김미경 (중앙대학교 용산 병원 호흡기 병리과)
  • Received : 2007.07.09
  • Accepted : 2007.08.20
  • Published : 2007.09.30
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Abstract

Invasive aspergillus tracheobronchitis is uncommon manifestation of infection due to Aspergillus species, occurring in severely immunocompromised patients who are generally neutropenic with haematological diseases, AIDS, or after heart and lung transplantation. The pseudomembranous form is the most severe condition and is usually fatal despite treatment with antifungal agents. However, there are a few cases reported with no apparent severe compromise in the host defences. We encountered a pseudomembranous necrotizing bronchial aspergillosis in a 73-year old male patient, who was treated successfully with antifungal agents.

거짓막 괴사성 기관지 아스페르길루스증은 심한 면역 저하가 있는 환자에서 발생하는 드문 질환으로 높은 사망률을 보이고 있다. 저자들은 당뇨병 외에는 과거력이 없는 고령의 환자에서 거짓막 괴사성 기관지 아스페르길루스증을 1예 진단하였으며 적절한 치료로 호전되어 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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