기관폐쇄를 일으킨 모균병(Tracheal Mucormycosis) 1례

A Case of Mucormycosis Obstructing the Trachea

  • 이성원 (가톨릭대학교 의과대학 내과학교실) ;
  • 안중현 (가톨릭대학교 의과대학 내과학교실) ;
  • 손성현 (가톨릭대학교 의과대학 내과학교실) ;
  • 김민정 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실) ;
  • 박성학 (가톨릭대학교 의과대학 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 내과학교실)
  • Lee, Seong-Won (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Ahn, Joong-Hyun (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Son, Seong-Hyun (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Min-Jeong (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Moon, Hwa-Sik (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Park, Sung-Hak (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Song, Jeong-Sup (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
  • 발행 : 1998.10.30

초록

Mucormycosis is the common name given to several different diseases caused by fungi of the order Mucorales. The mucoraceae are ubiquitous fungi and are common inhabitants of decaying matter. In contrast to the widespread distribution of these fungi, disease in humans is limited, in most cases, to people with severe immunocompromised, diabetes mellitus, or trauma. 1be fungus gains entry to the body through the respiratory tract. The spores are presumably deposited in the nasal turbinates and may be inhaled into the pulmonary alveoli. The manifestations of mucormycosis are rhinocerebral, pulmonary, cutaneous, gastrointestinal, central nervous system, and miscellaneous. Sporadic reports can be found of mucormycosis involving other areas : heart, bones, kidney, bladder, mediastinum, and trachea. However, isolated tracheal mucormycosis is very rare. Therefore, we report a 57-year old, noninsulin dependent diabetic woman who presented with acute, severe degree of upper airway obstruction due to isolated mucormycosis of the trachea.

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