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기관지 단단 국균증 1예

A Case of Tuberculous Pneumonitis With Continuous High Spiking Fever

결핵및호흡기질환 1994년 41권 3호 p.299 ~ 302
소속 상세정보
이희승/Hee Seung Lee 류종철/박태군/박태준/양은수/최수전/곽영태/Jung Cheol Ryu/Tae Koon Park/Tae Joon Park/Eun Soo Yang/Soo Jeon Choi/Young Tace Kwak/Bong Su Cha/Se Kyu Kim

Abstract

요약
저자들은 폐결핵으로 우중엽절제술 후 발생한 기관지 단단 국균증을 기관지 내시경으로
진단, 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
#초록#
A 33-year old male was admitted due to continuous high spiking fever for 2 months
via local clinic. He had been diagnosed pulmonary tuberculosis at local clinic. However,
spiking fever had not been controlled by anti-tuberculous medications. Chest PA showed
confluent consolidation on right upper & mid-lung field. 5 anti-tuberculous regimens
(Streptomycin, Isoniazid, Rifampin, Ethambutol, Pyrazinamaide) were administered
initially and steroid therapy was followed for relieving toxic symptoms Very slowly
resolved chest X-ray lesion and continuous fever suggested the possibility of
misdiagnosis. After 60th hospital day, the chest X-ray lesion was resolved gradually and
fever subsided almost completely. He was discharged on 76th hospital day with
anti-tuberculous drugs and steroid(prednisolon), without any other problems except
sustained mild fever.

키워드

Tuberculous pneumonitis; Spiking fever; Steroid;

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