A Case of Pulmonary Mucormycosis Mimicking Bilateral Pulmonary Edema on Chest X-ray

당뇨성 케톤산증에서 폐부종과 유사하게 나타난 폐모균증 (Pulmonary Mucormycosis) 1예

  • Yu, Seung-Chul (Department of Internal Medicine, Taejeon ST. Mary Hospital, Catholic University Medical School) ;
  • Suhr, Ji-Won (Department of Internal Medicine, Taejeon ST. Mary Hospital, Catholic University Medical School) ;
  • Bae, Hye-Kyung (Department of Internal Medicine, Taejeon ST. Mary Hospital, Catholic University Medical School) ;
  • Lee, Jong-Min (Department of Internal Medicine, Taejeon ST. Mary Hospital, Catholic University Medical School) ;
  • Moon, Hwa-Sik (Department of Internal Medicine, Taejeon ST. Mary Hospital, Catholic University Medical School) ;
  • Song, Jeong-Sup (Department of Internal Medicine, Taejeon ST. Mary Hospital, Catholic University Medical School) ;
  • Park, Seok-Yeong (Department of Internal Medicine, Taejeon ST. Mary Hospital, Catholic University Medical School) ;
  • Lee, Eun-Hee (Department of Clinical Pathology, Taejeon ST. Mary Hospital, Catholic University Medical School) ;
  • Park, Sung-Hak (Department of Internal Medicine, Taejeon ST. Mary Hospital, Catholic University Medical School)
  • 유승철 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 서지원 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 배혜경 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 이종민 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 박석영 (가톨릭대학교 의과대학 대전성모병원 내과학교실) ;
  • 이은희 (가톨릭대학교 의과대학 대전성모병원 병리학교실) ;
  • 박성학 (가톨릭대학교 의과대학 대전성모병원 내과학교실)
  • Published : 1998.02.28

Abstract

Pulmonary mucormycosis is an uncommon, but important opportunistic fungal infection associated with diabetes mellitus, leukemia, lymphoma and other immunocompromised states. Mucor species grow best in acidic-high glucose medium. which explaining the particular susceptibility of diabetic patient who are ketoacidic. Early consideration of this diagnosis, along with aggressive diagnostic evaluation, is critical to effective therapy and patient survival. We have experienced a case of pulmonary murcomycosis mimicking bilateral pulmonary edema on chest Xray that associated with diabetic ketoacidosis. A brief review of the literature was given.

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