The Korean Journal of Medicine

  • 제84권3호
  • /
  • Pages.418-422
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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비장티푸스성 살모넬라균에 의한 심율동전환제세동기 삽입부 감염 1예

Cardiac Resynchronization Therapy-Defibrillator Pocket Infection Due to Non-Typhoidal Salmonella Infection

  • 이동준 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 이승현 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 한재현 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 이승준 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 박희남 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 이문형 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 정보영 (연세대학교 의과대학 내과학교실 순환기내과)
  • Lee, Dong-Jun (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Seung-Hyun (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Han, Jae-Hyun (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Seung-Jun (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Pak, Hui-Nam (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Moon-Hyoung (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Joung, Boyoung (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine)
  • 투고 : 2012.04.17
  • 심사 : 2012.06.26
  • 발행 : 2013.03.01
⟨ 이전 논문 다음 논문 ⟩

초록

비장티푸스성 살모넬라 감염증에서 국소 병변으로 심장내 장치의 포켓 감염은 드물게 발생한다. 저자들은 국내에서 보고된 바 없는 CRT-D 삽입부위의 비장티푸스성 살모넬라 감염으로 CRT-D 제거술 및 항생제 치료 후 완치된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 또한 이러한 의원성 감염을 줄이기 위해 우리는 시술 전후의 환자 상태를 철저히 관리하고, 시술 중 무균적 상태를 유지하고, 감염이 발생한 경우엔 조기에 적절한 치료가 이루어져야 하겠다.

Non-typhoidal salmonella is rarely the cause of pacemaker infection. A 68-year-old man was referred to our hospital with tenderness and swelling at his cardiac resynchronization therapy defibrillator (CRT-D) implantation site. He had undergone CRT-D implantation because of sustained ventricular tachycardia and heart failure 7 years earlier, and the generator had been changed 2 months earlier. Twenty-four years earlier, he had undergone aortic valve replacement and mitral valve repair. We removed the generator and all of the CRT-D leads. After lead extraction, non-typhoidal salmonella serogroup B was cultured at the pocket and lead tip. The patient was managed successfully with lead extraction and antibiotic therapy.

키워드

참고문헌

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