만성 폐쇄성 폐질환 환자에서 Streptococcus Pyogenes 에 의한 균혈증을 동반한 괴사성 폐렴 1예

Necrotizing Pneumonia Complicated by Streptococcus Pyogenes Bacteremia in Patient with COPD

  • Jung, In Sung (Department of Internal Medicine, Sun Hospital) ;
  • Bang, Do Seok (Department of Internal Medicine, Sun Hospital) ;
  • Park, Yol (Department of Internal Medicine, Sun Hospital) ;
  • Kim, Jae Su (Department of Internal Medicine, Sun Hospital) ;
  • Lee, Sung Hoon (Department of Internal Medicine, Sun Hospital) ;
  • Yoon, Young Gul (Department of Internal Medicine, Sun Hospital) ;
  • Bag, Beom Cheol (Department of Internal Medicine, Sun Hospital) ;
  • Kang, Ki Man (Department of Internal Medicine, Sun Hospital) ;
  • Na, Dong Jib (Department of Internal Medicine, Sun Hospital)
  • 발행 : 2004.05.30

초록

Streptococcus pyogenes 는 지역 사회 폐렴의 드문 원인균으로 독감, 홍역, 만성 폐쇄성 폐질환등의 합병증으로 대부분 발생하고 진행 경과가 빠르며, 고령 및 패혈증을 동반한 경우 특히 사망률이 높다고 알려져 있다. 저자들은 만성 폐쇄성 폐질환 환자에서 균혈증을 동반한 Streptococcus pyogenes 폐렴 1 예를 보고한다.

키워드

참고문헌

  1. Lim HY, Cho YJ, Song CW, Kim YR, Choi JH, Yoo JH et al. A Case of Pneumonia Complicated with Empyema Caused by Stre-ptococcus pyogenes. Journal of the Korean Society for Chemotherapy 1995;13;183-87
  2. Keefer CS, Rantz LA, Rammelkamp CH. Hemolytic streptococcal pneumonia and em-pyema: a study of 55 cases with special reference to treatment. Ann Intern Med 1941;14:1533-50
  3. Parker MT. Necropsy studies of the bacterial complications of influenza. J Infect 1(suppl 2) 1979: 9-16
  4. Active Bacterial Core Surveillance (ABCs) Report, Emerging Infections Program Net work. Group A Streptococcus, 1997-99. Avai lable at: http://www.cdc.gov/ncidod/dbmd/abcs. Accessed January 2001
  5. Basiliere JL, Bistrong HW, Spence WF. Streptococcal pneumonia: recent outbreaks in military recruit populations. American Journal of Medicine 1968;44:580–9
  6. Centers for Disease Control: Nursing home outbreaks of invasive group A streptococcal infections-Illinois, Kansas, North Carolina, and Texas. Morbidity & Mortality Weekly Report 1990;33:577–9
  7. Schwartz B, Elliott JA, Butler JC, Simon PA, Jameson BL, Welch GE, et al. Clusters of invasive group A streptococcal infections in family, hospital, and nursing home settings. Clin Infect Dis 1992;15:277–84
  8. A household cluster of fulminant group A streptococcal pneumonia associated with toxic shock syndrome-Quebec, Canada. Com-mun Dis Rep 1996;22:41-3
  9. Gamba M-A, Martinelli M, Schaad HJ, Strueli RA, DiPersio J, Matter L, et al. Familial transmission of a serious disease producing group A streptococcus clone: case reports and review. Clin Infect Dis 1997;24:1118–21
  10. Stephanie H. Factor, Orin S. Levine, Benja-min Schwartz, Lee H. Harrison, Monica M. Farley, Allison McGeer, et al. Invasive group A streptococcal disease: risk factors for adults Emerg Infect Dis 2003;9: 970-7
  11. M. Barnham, N. Weightman, A. Anderson, F. Pagan, S. Chapman Review of 17 cases of pneumonia caused by Streptococcus pyo-genes Eur J Clin Microbiol Infect Dis. 1999;18:506-9
  12. Holm SE. Invasive Group A Streptococcal infections. N Eng J Med 1996;8:590-1
  13. Matthew P. Muller, Donald E. Low, Karen A. Green, Andrew E. Simor, Mark Loeb, Daniel Gregson, Allison McGeer, and the Ontario Group A Streptococcal Study Clinical and Epidemiologic Features of Group A Streptococcal Pneumonia in Ontario, Canada Arch Intern Med 2003;163:467-72
  14. Kalima P, Riordan T. Necrotizing pneumonia associated with group A streptococcal bac-teremia. Eur J Clin Microbiol Infect Dis 1998;17:296-8
  15. Clementsen P, Milman N. Bilateral pulmonary abscesses caused by Streptococcus pyo-genes: diagnostic importance of fiberoptic bronchoscopy. Scand J Infect Dis 1994;26:755-7