Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pulmonary Mucormycosis Presenting as an Endobronchial Mass

기관지내 종괴로 발현된 폐모균증 1례

  • Hwang, Jung-Hye (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • An, Chang-Hyeok (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yun, Jong-Wook (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Roh, Gil-Hwan (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ham, Hyeong-Suk (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kang, Eun-Hae (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Suh, Gee-Young (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeong, Man-Pyo (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Ho-Goong (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kwon, O-Jung (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Rhee, Chong-H. (Division Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 황정혜 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 안창혁 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 윤종욱 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 노길환 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 함형석 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 강은해 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 서지영 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 정만표 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 김호중 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 권오정 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과) ;
  • 이종헌 (성균관대학교 의과대학 내과학교실, 삼성서울병원 호흡기내과)
  • Published : 2000.11.30
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Abstract

Pulmonary mucormycosis is an opportunistic infection in patients with severe underlying illness such as immunocompromised diseases or uncontrolled diabetes mellitus. While patients with leukemia and lymphoma usually present with diffuse parenchymal disease, diabetic patients usually have a localized endobronchial disease involving central airways. We report upon a case of pulmonary mucormycosis in diabetes mellitus patient presenting as an endobronchial mass, which was cured with antifungal therapy, rigid bronchoscopic mass removal and right pneumonectomy.

기관지 모균증은 드문 질환으로 돌출된 종괴로 발현된 경우는 특히 드물다. 저자들은 당뇨환자에서 종괴형태로 발현되어 우측 주기관지를 폐색시키는 기관지 모균증을 발견하였다. 경직성 기관지술로 모군 종괴를 제거하여 임상적으로 호전시킨 후 적극적으로 전신적 Amphotereicin B 투여와 폐절제술을 동반하여 완치한 1예를 경험하여 이를 보고하는 바이다.

Keywords