폐방선균에 의해 발생한 폐동맥류 1예

A Case of Pulmonary Artery Aneurysm by Pulmonary Actinomycosis

  • 김연호 (고려대학교 의과대학 내과학교실) ;
  • 한우식 (고려대학교 의과대학 내과학교실) ;
  • 김청호 (고려대학교 의과대학 내과학교실) ;
  • 이승룡 (고려대학교 의과대학 내과학교실) ;
  • 이상엽 (고려대학교 의과대학 내과학교실) ;
  • 김제형 (고려대학교 의과대학 내과학교실) ;
  • 신철 (고려대학교 의과대학 내과학교실) ;
  • 심재정 (고려대학교 의과대학 내과학교실) ;
  • 인광호 (고려대학교 의과대학 내과학교실) ;
  • 강경호 (고려대학교 의과대학 내과학교실) ;
  • 유세화 (고려대학교 의과대학 내과학교실) ;
  • 김광일 (고려대학교 의과대학 병리학교실) ;
  • 김한겸 (고려대학교 의과대학 병리학교실) ;
  • 오유환 (고려대학교 의과대학 방사선과학교실)
  • Kim, Youn Ho (Department of Internal medicine, College of Medicine Korea University) ;
  • Han, Woo Sik (Department of Internal medicine, College of Medicine Korea University) ;
  • Kim, Chung Ho (Department of Internal medicine, College of Medicine Korea University) ;
  • Lee, Sung Yong (Department of Internal medicine, College of Medicine Korea University) ;
  • Lee, Sang Yeub (Department of Internal medicine, College of Medicine Korea University) ;
  • Kim, Je Hyeong (Department of Internal medicine, College of Medicine Korea University) ;
  • Shin, Chol (Department of Internal medicine, College of Medicine Korea University) ;
  • Shim, Jae Jeong (Department of Internal medicine, College of Medicine Korea University) ;
  • In, Kwang Ho (Department of Internal medicine, College of Medicine Korea University) ;
  • Kang, Kyung Ho (Department of Internal medicine, College of Medicine Korea University) ;
  • Yoo, Se Hwa (Department of Internal medicine, College of Medicine Korea University) ;
  • Kim, Gwang Il (Department of Pathology, College of Medicine Korea University) ;
  • Kim, Han Kyeom (Department of Pathology, College of Medicine Korea University) ;
  • Oh, Yu Whan (Department of Diagnostic radiology,College of Medicine Korea University)
  • 발행 : 2004.02.28

초록

저자들은 폐동맥류를 동반한 폐방선균증을 경피적 세침 흡입술을 통해 진단하였다. 출혈을 동반한 폐동맥류는 폐동맥조영술을 시행하여 색전하였고 적절한 항생제을 사용하여 임상적으로 호전된 폐방선균증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Pulmonary aneurysm is a rare vascular anomaly.Infection is one of major causes of pulmonary aneurysms. Pulmonary aneurysm by pulmonary actinomycosis is a rare case. Our case is maybe the first case in Korea,so far similar case has not been reported Worldwide written in English. We describe a 73-year-old man with aneurysm of pulmonary artery caused by actinomycosis infection on lung. We detected aneurysm by angiography of pulmonary artery, and actinomycosis infection was revealed by confirm sulfur granules on specimens taken by percutaneous needle aspiration(PCNA). Antibiotic therapy was applied to this patient and aneurym was embolized with coils.With this therapy,the patient was successfully managed and improved.

키워드

참고문헌

  1. Deterling RA, Clagett DT. Aneurysms of the pulmonary artery:Review of the literature and report a case. Am Heart J 1947;34:471-98
  2. Bhandari AK, Nanda NC. Pulmoary artery aneurysm:Echocardiographic features in 5 patients. Am J Cardiol 1984;53:1438-41
  3. Auerbach O. Pathology and pathogenesis of pulmonary artery aneurysm in tuberculous cavities. Am Rev Tuberc 1939;39:99-115
  4. Weigert C. Ueber venetuberkel und thre be ziehung zur tuberculosen blutinfection. Vir chows Arch Pathol Anat 1882;88:307-379
  5. Long R, Guzman R, Greenberg H, Safneck J, Hershfield E. Tuberculous mycotic aneurysm of the aorta. Chest 1999;115:522-30
  6. 백수흠, 서해숙, 조영수, 임연식, 조동일, 유남수. 각혈을 동반한 폐방선균증 1예. 결핵 및 호흡 기질환 1992;39:255-60
  7. Murray, Nadel. Textbook of Respiratory Me dicine. 3rd ed. Philadelphia: W.B saunders;2000
  8. Cope Z. Pulmonary actinomycosis. Ann Surg 1946;124:535
  9. 김혜영, 송관식, 구진모, 이진성, 이경수, 임태환. Thoracic Sequelae and complications of Tu berculosis. RadioGraphics 2001;21:839-860
  10. Flynn HW, Felson B. The roentgen mani festation of thoracic actinomycosis. Am J Roentgenol 1970;110:707-16
  11. Sanyika C, Corr P, Royston D,Blyth DF. Pulmonary Angiography and Embolization for severe hemoptysis due to cavitary pulmonary tuberculosis. Cardiovasc intervent Radiol 1999; 22:457-460