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感染性의 多發性 肺氣泡

Tuberculous Emyema with Multiple Bullous Change in Diabetic Male

결핵및호흡기질환 1982년 29권 3호 p.167 ~ 171
심영수, 김근열, 한용철,
소속 상세정보
심영수 ( Shim Young-Soo ) - 서울대학교 의과대학 내과학교실
김근열 ( Kim Keun-Youl ) - 서울대학교 의과대학 내과학교실
한용철 ( Han Yong-Chul ) - 서울대학교 의과대학 내과학교실

Abstract


A case of tuberculous empyema which was thought as bullous destruction of lung due to bacterial pneumonia, was observed. This 46 year old male, newly found diabetic was admitted with the complaints of fever and productive cough of 20 days duration. Serial chest film showed rapid change from parenchymal infiltration of right upper lobe to multiple bullous change of entire right lung with air-fluid levels. Extensive bacteriologic examination including transtracheal aspiration failed to reveal any causative organism. After conservative management with antibiotics and physical therapy, right pneumonectomy was performed for totally destroyed right lung. Pathologic specimen revealed extensive parenchymal tuberculosis and tuberculous empyema.

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