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백혈구감소증을 동반한 패혈쇼크에서 폐 병리

Lung Pathology in Septic Shock with Leukopenia

대한법의학회지 2020년 44권 1호 p.37 ~ 40
허기영 ( Huh Gi-Yeong ) - 부산대학교 의학전문대학원 법의학교실

Abstract


Sepsis-related deaths are occasionally encountered in forensic practice. However, forensic pathologists are reluctant to use the terminology “sepsis” or “septic shock” as a cause of death because of the lack of definite morphological evidence. When sepsis is considered a cause of death, pathologic assessment is essential to identify the foci of infection or consequences of sepsis, such as diffuse alveolar damage (DAD). Pneumonia is known to be a common source of sepsis and can develop into DAD with progression of sepsis. The histology of DAD varies according to the immunologic status. An autopsy of a 55-year-old man who died of septic shock with leukopenia revealed only abundant gramnegative bacilli in the alveoli without typical DAD pathology.

키워드

Septic shock; Leukopenia; Lung; Pathology; Diffuse alveolar damage
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