Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Measles Pneumonia Complicated by Subcutaneous Emphysema and Pneumomediastinum in an 18-year-old Patient

피하기종과 종격기종을 동반한 홍역성 폐렴 1예

  • Park, Jae-Hyeong (University of Ulsan College of Medicine, Division of Respiratory and Critical Care Medicine, Asan medical center) ;
  • Lee, Yun-Jung (University of Ulsan College of Medicine, Division of Respiratory and Critical Care Medicine, Asan medical center) ;
  • Kang, Ho-Hyung (University of Ulsan College of Medicine, Division of Respiratory and Critical Care Medicine, Asan medical center) ;
  • Kim, Sun-Jong (University of Ulsan College of Medicine, Division of Respiratory and Critical Care Medicine, Asan medical center) ;
  • Koh, Y.S. (University of Ulsan College of Medicine, Division of Respiratory and Critical Care Medicine, Asan medical center) ;
  • Lim, C.M. (University of Ulsan College of Medicine, Division of Respiratory and Critical Care Medicine, Asan medical center)
  • 박재형 (울산대학교 의과대학 서울중앙병원 내과학교실) ;
  • 이윤정 (울산대학교 의과대학 서울중앙병원 내과학교실) ;
  • 강호형 (울산대학교 의과대학 서울중앙병원 내과학교실) ;
  • 김순종 (울산대학교 의과대학 서울중앙병원 내과학교실) ;
  • 고윤석 (울산대학교 의과대학 서울중앙병원 내과학교실) ;
  • 임채만 (울산대학교 의과대학 서울중앙병원 내과학교실)
  • Published : 2001.09.30
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Abstract

Background : A 18 year-old man presented with dyspnea and a swelling of the neck. On physical examination, maculopapular rashes were noted on the face and the whole body and crepitus was noted at the thorax and upper arms. His chest X -ray showed bilateral interstitial infiltrates of the lung, pneumomediastinum and subcutaneous emphysema. On serologic examination, measles IgM was positive. Under the diagnosis of measles pneumonia, the patient was treated with oral ribavirin, which resulted in a complete resolution of the pneumomediastinum, subcutaneous emphysema, pneumonic infiltrate, and subjective symptoms of dyspnea and swelling of the neck in 7 days. Here we report this case with a brief review of the relevant literature.

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