마이코플라즈마 폐렴에서 발생한 미만성폐포출혈에 의한 급성호흡부전 1예

Acute respiratory failure due to diffuse alveolar hemorrhage in mycoplasma pneumonia

  • 조정연 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 심윤수 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 김윤경 (이화여자대학교 의학전문대학원 방사선학교실) ;
  • 김유경 (이화여자대학교 의학전문대학원 방사선학교실) ;
  • 이진화 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 장중현 (이화여자대학교 의학전문대학원 내과학교실)
  • Jo, Jung-Youn (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Sim, Yun-Su (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Kim, Yoon-Kyung (Department of Diagnostic Radiology, Ewha Womans University School of Medicine) ;
  • Kim, Yoo-Kyung (Department of Diagnostic Radiology, Ewha Womans University School of Medicine) ;
  • Lee, Jin-Hwa (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Chang, Jung-Hyun (Department of Internal Medicine, Ewha Womans University School of Medicine)
  • 투고 : 2009.07.13
  • 심사 : 2009.11.17
  • 발행 : 2010.10.01

초록

저자 등은 15세의 면역적격 상태의 환자에서 마이코플라즈마 폐렴에서 발생한 미만성폐포출혈에 의한 급성호흡부전을 경험하였기에 문헌고찰과 함께 보고한다.

Acute respiratory failure from mycoplasma pneumonia is uncommon, because community-acquired pneumonia from mycoplasma pneumonia is typically not severe in patients without underlying disease. In addition, alveolar hemorrhage is a rare manifestation in these cases. We describe a case of acute respiratory failure that required mechanical ventilation due to diffuse alveolar hemorrhage in an immunocompetent patient with mycoplasma pneumonia.

키워드

참고문헌

  1. Green RJ, Ruoss SJ, Kraft SA, Duncan SR, Berry GJ, Raffin TA. Pulmonary capillaritis and alveolar hemorrhage: update on diagnosis and management. Chest 110:1305-1316, 1996 https://doi.org/10.1378/chest.110.5.1305
  2. Katzenstein AL, Bloor CM, Leibow AA. Diffuse alveolar damage: the role of oxygen, shock, and related factors. A review. Am J Pathol 85:209-228, 1976
  3. Mansel JK, Rosenow EC 3rd, Smith TF, Martin JW Jr. Mycoplasma pneumoniae pneumonia. Chest 95:639-646, 1989 https://doi.org/10.1378/chest.95.3.639
  4. Kane JR, Shenep JL, Krance RA, Hurwitz CA. Diffuse alveolar hemorrhage associated with Mycoplasma hominis respiratory tract infection in a bone marrow transplant recipient. Chest 105:1891-1892, 1994 https://doi.org/10.1378/chest.105.6.1891
  5. 나주옥, 김순종, 심태선, 임채만, 이상도, 김우성, 김동순, 김원동, 고윤석. 단일 병원에서 경험한 미만성 폐출혈 20 예. 대한내과학회지 62:258-267, 2002
  6. Koletsky RJ, Weinstein AJ. Fulminant Mycoplasma pneumoniae infection: report of a fatal case, and a review of the literature. Am Rev Respir Dis 122:491-496, 1980
  7. Venkatesan P, Patel V, Collingham KE, Ellis CJ. Fatal thrombocytopenia associated with Mycoplasma pneumoniae infection. J Infect 33:115-117, 1996 https://doi.org/10.1016/S0163-4453(96)93043-1
  8. 유철웅, 정희진, 강민승, 우흥정, 김우주, 김민자, 박승철. 마이코플라즈마 폐렴에 합병된 급성 호흡부전증후군 1예. 대한내과학회지 58:324-329, 2000.
  9. Cassel GH, Cole BC. Mycoplasma as agent of human disease. N Engl J Med 304:80-89, 1981 https://doi.org/10.1056/NEJM198101083040204
  10. Mufson MA. Mycoplasma hominis: a review of its role as a respiratory tract pathogen of humans. Sex Transm Dis 10:335-340, 1983
  11. Murray HW, Masur H, Senterfit LB, Roberts RB. The protean manifestations of Mycoplasma pneumoniae infection in adults. Am J Med 58:229-242, 1975 https://doi.org/10.1016/0002-9343(75)90574-4
  12. Rifkind D, Chanock R, Kravetz H, Johnson K, Knight V. Ear involvement (myringitis) and primary atypical pneumonia following inoculation of volunteers with Eaton agent. Am Rev Respir Dis 85:479-489, 1962
  13. Majhail NS, Parks K, Defor TE, Weisdorf DJ. Diffuse alveolar hemorrhage and infection-associated alveolar hemorrhage following hematopoietic stem cell transplantation: related and high-risk clinical syndromes. Biol Blood Marrow Transplant 12:1038-1046, 2006 https://doi.org/10.1016/j.bbmt.2006.06.002