Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Acute Mediastinitis Associated with Fish Bone with Successful Conservative Treatment

보존적 치료로 호전된 자리돔 가시에 의한 급성 종격동염 1예

  • Kim, Kyung-Mook (Department of Internal Medicine, Seoul National University) ;
  • Jang, An-Soo (Department of Internal Medicine, College of Medicine, Cheju National University) ;
  • Kim, Sun-Wook (Department of Internal Medicine, College of Medicine, Cheju National University) ;
  • Song, Byung-Cheol (Department of Internal Medicine, College of Medicine, Cheju National University) ;
  • Yeum, Chung-Ho (Department of Internal Medicine, College of Medicine, Cheju National University) ;
  • Jung, Joo-Young (Department of Internal Medicine, College of Medicine, Cheju National University) ;
  • Hwang, Jin-Su (Department of Internal Medicine, College of Medicine, Cheju National University) ;
  • Choi, Guk-Myung (Department of Radiology, College of Medicine, Cheju National University) ;
  • Lee, Hong-Sup (Department of Thoracic surgery, College of Medicine, Cheju National University)
  • 김경묵 (서울대학교 의과대학 내과학교실) ;
  • 장안수 (제주대학교 의과대학 내과학교실) ;
  • 김선욱 (제주대학교 의과대학 내과학교실) ;
  • 송병철 (제주대학교 의과대학 내과학교실) ;
  • 염충호 (제주대학교 의과대학 내과학교실) ;
  • 정주영 (제주대학교 의과대학 내과학교실) ;
  • 황진수 (제주대학교 의과대학 내과학교실) ;
  • 최국명 (제주대학교 의과대학 방사선과학교실) ;
  • 이홍섭 (제주대학교 의과대학 흉부외과학교실)
  • Published : 2002.09.30
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Abstract

Acute mediastinitis is a life threatening disorder that causes severe morbidity in affected patient. We experienced a case of acute mediastinitis in a 56 year-old man as a result of swallowing a fish bone (order Perciformes, Family Pomacentridae). Conservative treatment, including starvation therapy and the injection of antibiotic drugs, were successful in treating this patient. Although the optimal treatment for acute mediastinitis remains controversial, it is important to choose the appropriate strategies when encountering cases of acute mediastinitis.

저자 등은 자리돔 가시를 먹고 흉부통증과 호흡곤란을 호소하여 내원한 환자에서 흉부전산화단층촬영에서 종격동염을 진단하고 보존적 치료에 의해 호전된 급성종격동염 1예를 경험 하였기에 문헌 고찰과 함께 보고하는 바이다.

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