Doxycycline 내성이 의심된 Scrub Tybhus

A Case of Possible Doxycycline-Resistant Scrub Typhus

  • 나동집 (을지의과대학교 호흡기내과) ;
  • 한상훈 (대전 선병원 내과) ;
  • 문경민 (을지의과대학교 호흡기내과) ;
  • 김동진 (을지의과대학교 호흡기내과) ;
  • 이양덕 (을지의과대학교 호흡기내과) ;
  • 조용선 (을지의과대학교 호흡기내과) ;
  • 한민수 (을지의과대학교 호흡기내과) ;
  • 윤희정 (을지의과학대학교 감염내과)
  • Na, Dong Jib (Division of Pulmonary Medicine, Eulji University School of Medicine) ;
  • Han, Sang Hoon (Internal Medicine, Sun General Hospital) ;
  • Moon, Kyung Min (Division of Pulmonary Medicine, Eulji University School of Medicine) ;
  • Kim, Dong Jin (Division of Pulmonary Medicine, Eulji University School of Medicine) ;
  • Lee, Yang Deok (Division of Pulmonary Medicine, Eulji University School of Medicine) ;
  • Cho, Yong Seon (Division of Pulmonary Medicine, Eulji University School of Medicine) ;
  • Han, Min Soo (Division of Pulmonary Medicine, Eulji University School of Medicine) ;
  • Yoon, Hee Jung (Division of Infectious Medicine, Eulji University School of Medicine)
  • 투고 : 2007.04.05
  • 심사 : 2007.05.11
  • 발행 : 2007.06.30

초록

쯔쯔가무시병은 추수 시기에 유행하는 대표적인 급성 열성질환으로 여전히 증가 추세에 있다. 의심되는 환자에게 Doxycycline 투여 후 급속한 해열이 질환의 독특한 특징이기도 한데 Doxycycline 투여 96시간 후에도 지속적인 고열과 근육통이 있었던 환자에게 Clarithromycin으로 변경 후 급속한 해열과 함께 증상이 호전된 증례를 보고한다.

키워드

참고문헌

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