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다기관성 대결절성 결핵 1예

A Case of Multi-Organ Macronodular Tuberculosis

  • 임경리 (강원대학교 의학전문대학원 내과학교실) ;
  • 강명호 (강원대학교 의학전문대학원 내과학교실) ;
  • 김태석 (강원대학교 의학전문대학원 내과학교실) ;
  • 문기원 (강원대학교 의학전문대학원 내과학교실) ;
  • 류동열 (강원대학교 의학전문대학원 내과학교실) ;
  • 이희영 (강원대학교 의학전문대학원 내과학교실) ;
  • 한선숙 (강원대학교 의학전문대학원 내과학교실)
  • Lim, Kyoung-Ree (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Kang, Myung-Ho (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Kim, Tae-Suk (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Moon, Ki-Won (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Ryu, Dong-Ryeol (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Lee, Hui-Young (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Han, Seon-Sook (Department of Internal Medicine, Kangwon National University School of Medicine)
  • 투고 : 2011.08.26
  • 심사 : 2011.09.23
  • 발행 : 2012.01.30

초록

A 37 year old female presented with epigastric pain and weight loss over a period of 3 months. Her abdominal CT finding showed a 4.5 cm size hepatic mass and 4.3 cm size pancreatic head mass with multiple macronodules in the liver. At the same time, her chest CT revealed a 5 cm size necrotic mass in the left lower lobe of the lung with multiple bilateral pulmonary nodules. We diagnosed these lesions as tuberculosis through multiple biopsies. She was treated with anti-tuberculous medication. After taking the medications, her symptoms were improved. Twelve months later, imaging studies indicated an improvement in the patient's health. Here we report a case report of multi-organ macronodular tuberculosis in lung, liver and pancreas.

키워드

참고문헌

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