Pediatric Infection and Vaccine
- 제9권1호
- /
- Pages.104-109
- /
- 2002
- /
- 2384-1079(pISSN)
- /
- 2384-1087(eISSN)
간농양, 신농양이 동반된 괴저성 농창 1례
A Case of Ecthyma Gangrenosum Associated with Liver Abscess and Renal Abscess
- Seo, Ji Yeong (Department of Pediatrics, College of Medicine, Pochon CHA University) ;
- Kim, Shin Young (Department of Pediatrics, College of Medicine, Pochon CHA University) ;
- Han, Man Yong (Department of Pediatrics, College of Medicine, Pochon CHA University) ;
- Lee, Kyu Hyung (Department of Pediatrics, College of Medicine, Pochon CHA University)
- 발행 : 2002.05.31
초록
녹농균은 면역질환이 있거나, 기저의 악성질환이 있을 때 주로 감염되며, 건강한 환아에서 감염되는 경우는 흔하지 않다. 저자들은 특별한 면역질환이나 기저질환 없이 녹농균감염이 간, 신장, 피부 등에 다발적으로 발생하여 간농양과 신농양, 신우신염을 동반한 괴저성 농창으로 진단된 1례를 경험하였기에 보고하는 바이다. 괴저성 농창은 조기 진단과 조기 치료가 예후에 중요한데, 본 증례에서는 비교적 조기 진단과 치료가 이루어져 좋은 예후를 보인 것으로 사료된다.
Ecthyma gangrenosum is usually seen in immunocompromised patients, particularly in those with underlying malignant disease. Ecthyma gangrenosum is rapidly progressing skin infection characterized by edema, hemorrhage, bullae and necrosis. We experienced the case of a 13-month-old male who had Ecthyma gangrenosum associated with liver abscess and renal abscess. The patient initially presented with skin lesions of multiple well defined central necrotic black colored large erythematous bullae. The multiple liver abscess with hepatomegaly and multifocal pyelonephritis with focal renal abscess revealed by abdominal ultrasonogram and computed tomogram. In the bacterial cultures of skin, urine and liver aspiration fluid, Pseudomonas aeruginosa was grown. The patient had no immune deficiency disease. We report this case with a review of related literatures.