Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Probable Community Acquired Acinetobacter baumannii Pneumonia

Acinetobacter baumannii 원인균이 의심되는 지역 사회 획득성 폐렴

  • Han, Sang Hoon (Department of Internal Medicine, Sun General Hospital) ;
  • Na, Dong Jib (Division of Pulmonary Medicine, Department of Internal Medicine, Eulji University School of Medicine) ;
  • Yoo, Young Wook (Division of Pulmonary Medicine, Department of Internal Medicine, Eulji University School of Medicine) ;
  • Kim, Dong Gyu (Division of Pulmonary Medicine, Department of Internal Medicine, Eulji University School of Medicine) ;
  • Moon, You Ri (Division of Pulmonary Medicine, Department of Internal Medicine, Eulji University School of Medicine) ;
  • Moon, Kyoung Min (Division of Pulmonary Medicine, Department of Internal Medicine, Eulji University School of Medicine) ;
  • Lee, Yang Deok (Division of Pulmonary Medicine, Department of Internal Medicine, Eulji University School of Medicine) ;
  • Cho, Yong Seon (Division of Pulmonary Medicine, Department of Internal Medicine, Eulji University School of Medicine) ;
  • Han, Min Soo (Division of Pulmonary Medicine, Department of Internal Medicine, Eulji University School of Medicine) ;
  • Yoon, Hee Jung (Division of Infectious Medicine, Department of Internal Medicine, Eulji University School of Medicine)
  • 한상훈 (대전 선병원 내과) ;
  • 나동집 (을지의과대학교 호흡기 내과) ;
  • 유영욱 (을지의과대학교 호흡기 내과) ;
  • 김동규 (을지의과대학교 호흡기 내과) ;
  • 문유리 (을지의과대학교 호흡기 내과) ;
  • 문경민 (을지의과대학교 호흡기 내과) ;
  • 이양덕 (을지의과대학교 호흡기 내과) ;
  • 조용선 (을지의과대학교 호흡기 내과) ;
  • 한민수 (을지의과대학교 호흡기 내과) ;
  • 윤희정 (을지의과대학교 감염 내과)
  • Received : 2007.07.25
  • Accepted : 2007.08.23
  • Published : 2007.09.30
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Abstract

70세 남자가 내원 7일전 발생한 우측 흉부 통증, 고열 및 가래를 동반한 기침으로 입원하였다. 백혈구와 CRP(C reactive protein)의 상승, 흉부 방사선 소견상 우하엽에 폐렴을 시사하는 소견이 관찰되어 지역 사회 획득성 폐렴에 준한 경험적 항생제를 투여하였다. 처음 두 번의 연속적인 가래 배양 검사에서 항생제 감수성이 있는 Acinetobacter baumannii균이 동정 되었으며 항생제 치료 후 임상 증상 및 방사선 소견이 점차 호전되었다. Acinetobacter baumannii는 중환자실에서 주로 발생하는 병원 획득성 폐렴의 주요 균으로 알려져 있으며 지역 사회 획득성 폐렴의 흔한 원인균은 아니다.

Keywords

References

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