The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Candida glabrata Pneumonia in a Patient with Diabetes Mellitus

당뇨환자에서 발생한 Candida glabrata 폐렴 1예

  • Lee, Du-Hyeon (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Kim, Woo-Jin (Department of Internal Medicine, Chonnam National University Medical School) ;
  • An, Joon-Hwan (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Ju, Sun-Mi (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Oh, In-Jae (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Kim, Kyu-Sik (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Kim, Young-Chul (Department of Internal Medicine, Chonnam National University Medical School)
  • 이두현 (전남대학교 의과대학 내과학교실) ;
  • 김우진 (전남대학교 의과대학 내과학교실) ;
  • 안준환 (전남대학교 의과대학 내과학교실) ;
  • 주선미 (전남대학교 의과대학 내과학교실) ;
  • 오인재 (전남대학교 의과대학 내과학교실) ;
  • 김규식 (전남대학교 의과대학 내과학교실) ;
  • 김영철 (전남대학교 의과대학 내과학교실)
  • Received : 2012.10.09
  • Accepted : 2012.11.15
  • Published : 2013.04.01
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Abstract

Despite the increasing frequency of non-albicans candidemia, reported pneumonia cases due to Candida glabrata are rare. A 50-year-old diabetic woman developed cough and pleuritic chest pain, which were refractory to empirical antibiotics and anti-tuberculosis treatment for several months. The causative organism of the pneumonia was C. glabrata, which was cultured in bronchoalveolar lavage and blood culture specimens. Amphotericin therapy resulted in successful resolution of the pneumonia and candidemia. This is the first proven case of C. glabrata pneumonia in Korea.

입원 환자의 경기관지 분비물 배양 검사에서 효모형 진균 배양이 종종 보고되는데, 대부분의 경우 오염균이나 상재균으로 생각하는 경향이 있으나 본 예와 같이 기저질환으로 진균 감염에 취약한 상황에 있는 환자라면 Candida 감염 가능성을 생각하고 혈액 배양뿐 아니라 기관지내시경 등 보다 적극적인 검사 및 항진균제 사용으로 사망률 및 이환률을 낮춰야 하겠다[6].

Keywords

References

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