Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pneumocystis Carinii Pneumonia with Diffuse Pulmonary Hemorrhage

미만성 폐출혈을 보인 주폐포자충 폐렴 1예

  • Heo, Woo Young (Department of internal medicine, Kyunghee University) ;
  • Jeon, Jung Won (Department of internal medicine, Kyunghee University) ;
  • Lee, Young Jae (Department of internal medicine, Kyunghee University) ;
  • Park, Sang Do (Department of internal medicine, Kyunghee University) ;
  • Lee, Sang Wook (Department of internal medicine, Kyunghee University) ;
  • Park, Myung Jae (Department of internal medicine, Kyunghee University) ;
  • Yoo, Jee Hong (Department of internal medicine, Kyunghee University) ;
  • Kang, Hong Mo (Department of internal medicine, Kyunghee University)
  • 허우영 (경희대학교 의과대학 호흡기내과) ;
  • 전정원 (경희대학교 의과대학 호흡기내과) ;
  • 이영재 (경희대학교 의과대학 호흡기내과) ;
  • 박상도 (경희대학교 의과대학 호흡기내과) ;
  • 이상욱 (경희대학교 의과대학 호흡기내과) ;
  • 박명재 (경희대학교 의과대학 호흡기내과) ;
  • 유지홍 (경희대학교 의과대학 호흡기내과) ;
  • 강홍모 (경희대학교 의과대학 호흡기내과)
  • Received : 2004.06.30
  • Accepted : 2004.08.17
  • Published : 2004.10.30
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Abstract

Pneumocystis carinii pneumonia (PCP) is an infectious disease of immune-compromised host. Sometimes it is difficult to differentiate PCP with diffuse pulmonary hemorrhage. Association between PCP and diffuse pulmonary hemorrhage has been reported in 30% of PCP with HIV positive patients. But association between PCP and diffuse pulmonary hemorrhage has not been reported in non-HIV positive patients without any known underlying causes of diffuse pulmonary hemorrhage. We report a case of PCP with diffuse pulmonary hemorrhage in 66 years old male patient. We confirmed PCP and diffuse pulmonary hemorrhage with bronchoalveolar lavage. We can exclude the possible other causes of diffuse pulmonary hemorrhage except PCP. PCP may be one of possible cause of diffuse pulmonary hemorrhage in non-HIV immune compromised patient.

저자들은 면역 억제제인 스테로이드를 사용하던 환자에게서 주폐포자충에 의한 폐렴과 함께 미만성 폐출혈이 발생한 환자 1예를 경험하였기에 보고하는 바이다.

Keywords

References

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