Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Extensive Bilateral Airspace Consolidation

광범위한 양측성 폐경변

  • Choi, Su-Mi (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Han, Chung-Min (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Kang, Ji-Ho (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Chang, Woo-Im (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Kim, Chi-Hong (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Kim, Kwan-Hyoung (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Moon, Hwa-Sik (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Song, Jeong-Sup (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Park, Sung-Hak (Department of Internal Medicine, College of Medicine, The Catholic University of Korea)
  • 최수미 (가톨릭대학교 의과대학 내과학교실) ;
  • 한충민 (가톨릭대학교 의과대학 내과학교실) ;
  • 강지호 (가톨릭대학교 의과대학 내과학교실) ;
  • 장우임 (가톨릭대학교 의과대학 내과학교실) ;
  • 김치홍 (가톨릭대학교 의과대학 내과학교실) ;
  • 김관형 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 내과학교실) ;
  • 박성학 (가톨릭대학교 의과대학 내과학교실)
  • Published : 1999.05.30
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Abstract

Pneumonia caused by Mycoplasma pneumoniae is usually a mild and self-limited infection. Chest films usually show patch consolidation or interstitial infiltration in the lung. We recently encountered a case of fulminant Mycoplasma pneumonia which showed rapidly progressing extensive bilateral airspace consolidation with pleural effusion. A previously healthy 19-year-old female college student was admitted to the hospital because of fever and dry cough. Chest X-ray showed large areas of airspace consolidation in both lung with pleural effusion and rapid progression of the lung lesion. The diagnosis of Mycoplasma pneumonia was made from the serologic test Here we report a case of Mycoplasma pneumonia showing unusual manifestation.

평소 건강하던 19세 여자 환자가 호흡곤란을 보이며 급속히 진행하는 양상의 폐렴으로 입원, 혈청학적 검사에서 마이코플라스마 폐렴으로 진단되었으며, 초기 스테로이드 투여와 항생제 치료로 증상 호전되어 퇴원하였다. 호흡부전을 동반하면서 광범위한 양측성 폐경변과 흉수 소견을 보이는 중증의 전격성 마이코플라스마 폐렴은 비교적 드물기에 문헌고찰과 함께 바이다.

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