Journal of Sasang Constitutional Medicine (사상체질의학회지)

The Society Of Sasang Constitutional Medicine (사상체질의학회)
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A Case Study of Metastatic Cholangiocarcinoma with Sepsis who Showed Symptomatic Improvement after Treated with Handayeolso-tang, Fel Tauri, and Antibiotics

전이된 담도암 환자의 패혈증을 한다열소탕 및 우담과 항생제를 병행하여 치료한 환자 1례

  • Lee, Soo-Min (Graduate school of Clinical Korean Medicine, Kyung Hee University) ;
  • Choi, Seong-Heon (Graduate school of Clinical Korean Medicine, Kyung Hee University) ;
  • Song, An-Na (Graduate school of Clinical Korean Medicine, Kyung Hee University) ;
  • Lee, Ji-Young (Cancer Center, Kyung-Hee University hospital at Gangdong, College of Korean medicine, Kyung Hee University) ;
  • Chae, Jin (Cancer Center, Kyung-Hee University hospital at Gangdong, College of Korean medicine, Kyung Hee University) ;
  • Jung, Eu-Hong (Cancer Center, Kyung-Hee University hospital at Gangdong, College of Korean medicine, Kyung Hee University) ;
  • Lee, Soo-Kyung (Cancer Center, Kyung-Hee University hospital at Gangdong, College of Korean medicine, Kyung Hee University)
  • 이수민 (경희대학교 대학원 임상한의학과) ;
  • 최성헌 (경희대학교 대학원 임상한의학과) ;
  • 송안나 (경희대학교 대학원 임상한의학과) ;
  • 이지영 (경희대학교 한의과대학 강동경희대학교병원 한방암센터) ;
  • 채진 (경희대학교 한의과대학 강동경희대학교병원 한방암센터) ;
  • 정의홍 (경희대학교 한의과대학 강동경희대학교병원 한방암센터) ;
  • 이수경 (경희대학교 한의과대학 강동경희대학교병원 한방암센터)
  • Received : 2013.10.25
  • Accepted : 2013.11.21
  • Published : 2013.12.31
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Abstract

Objectives Despite the treatment with antibiotics, patients with sepsis has a high mortality (80%) in the underlying disease group. The aim of this study was to report the improvement of septic condition of the cholangiocarcinoma patient after the treatment with Handayeolso-tang, Fel Tauri, and antibiotics. Methods We retrospectively reviewed the medical records. The patient's subjective symptoms such as chilling and abdominal pain were evaluated by NRS and the performance status was evaluated by ECOG. This case was literally compared with relevant published studies on prognosis of sepsis. Results Despite poor prognostic factor(MEDS score 18), the patient's symptoms such as fever, chilling, abdominal pain, and diarrhea and ECOG(Eastern Cooperative Oncology Group) improved. The patient was hemodynamically stabilized on 3rd day from the treatment, and her laboratory test results were normalized on 7th day. Conclusions A female patient of metastatic cholangiocarcinoma came to the hospital for cholangitis, later causing septic shock. Both her symptoms and laboratory tests showed significant improvement after the treatment of antibiotics, Handayeolso-tang and Fel Tauri. To our knowledge, this is the first case reporting the synergistic combination of Korean oriental medicine and Western medicine approaching to sepsis.

Keywords

References

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