The Korean Journal of Medicine

  • 제79권4호
  • /
  • Pages.453-456
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  • 2010
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지

Chryseobacterium meningosepticum에 의한 지역사회 획득 폐렴 및 패혈증 1예

A case of community-acquired pneumonia and sepsis caused by Chryseobacterium meningosepticum

  • 김성준 (한림대학교 강동성심병원 감염내과) ;
  • 이승민 (한림대학교 강동성심병원 감염내과) ;
  • 박소연 (한림대학교 강동성심병원 감염내과) ;
  • 류성호 (한림대학교 강동성심병원 감염내과) ;
  • 박용범 (한림대학교 강동성심병원 호흡기내과) ;
  • 엄중식 (한림대학교 강동성심병원 감염내과) ;
  • 이진서 (한림대학교 강동성심병원 감염내과)
  • Kim, Sung-Jun (Division of Infectious Disease, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Seung-Min (Division of Infectious Disease, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, So-Yeon (Division of Infectious Disease, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Ryu, Sung-Ho (Division of Infectious Disease, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Yong-Bum (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Eom, Joong-Sik (Division of Infectious Disease, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Jin-Seo (Division of Infectious Disease, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
  • 투고 : 2009.08.26
  • 심사 : 2009.10.28
  • 발행 : 2010.10.01
⟨ 이전 논문 다음 논문 ⟩

초록

Chryseobacterium meningosepticum는 호기성 그람음성 간균으로서 주로 신생아나 면역저하자에서의 기회감염을 일으키는 것으로 알려져 있다. 그러나 국내에서 C. meningosepticum 감염이 평소 특별한 의학적 문제가 없던 성인의 지역사회획득 폐렴 형태로 보고된 사례가 없고, C. meningosepticum이 그람음성균에 사용하는 대부분의 항생제에 내성을 가지고 있으며 아직까지 명확한 치료 지침이 없어 환자의 초기 치료가 늦어지고, 나쁜 예후를 초래할 수 있다. 본 저자들은 과거 폐결핵에 의한 폐기종 및 기관지확장증을 가진 성인에서 나타난 C. meningosepticum에 의한 중증의 지역사회 획득폐렴을 경험하고 성공적으로 치료하여 이를 보고한다.

Chryseobacterium meningosepticum is a ubiquitous Gram-negative rod widely distributed in natural and hospital environments. It mostly causes meningitis in premature and newborn infants. Few such cases have been reported in Korea, and no case of community-acquired pneumonia caused by Chryseobacterium meningosepticum. A 53-year-old man was brought to the emergency department because of severe pneumonia. We report a case of community-acquired pneumonia and sepsis caused by Chryseobacterium meningosepticum.

키워드

참고문헌

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