The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Development of a Tuberculous Liver Abscess as a Paradoxical Response

역설적 반응에 의하여 발생한 결핵성 간농양 1예

  • Jung, Sung-Woong (Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine) ;
  • Kim, Jin-Bae (Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine) ;
  • Choi, Jong-Soo (Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine) ;
  • Lee, Kyung-Min (Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine) ;
  • Shin, Su-Rin (Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine) ;
  • Park, Sang-Hoon (Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine) ;
  • Lee, Myung-Seok (Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine)
  • 정성웅 (한림대학교 의과대학 내과학교실) ;
  • 김진배 (한림대학교 의과대학 내과학교실) ;
  • 최종수 (한림대학교 의과대학 내과학교실) ;
  • 이경민 (한림대학교 의과대학 내과학교실) ;
  • 신수린 (한림대학교 의과대학 내과학교실) ;
  • 박상훈 (한림대학교 의과대학 내과학교실) ;
  • 이명석 (한림대학교 의과대학 내과학교실)
  • Published : 2012.07.01
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Abstract

Tuberculous liver abscesses are rare. We report here a case of tuberculous liver abscess that developed in a paradoxical response during appropriate anti-tuberculosis chemotherapy in a 50-year-old male. In this case, a paradoxical response to the treatment of intestinal tuberculosis may have been involved in the pathogenesis of the liver abscess.

역설적 반응은 적절한 항결핵제로 치료하여 임상적 호전을 보이는 결핵 환자에서 치료 당시의 결핵병변이 악화되거나 또는 새로운 병변이 발생하는 경우를 말한다. 이는 약제 내성이나 치료 실패와의 감별이 필요하다. 저자들은 장 및 복강 결핵에 대한 항결핵제 치료로 임상적 호전을 보이며 원발부위의 영상검사 소견도 호전되는 상황에서 치료 2개월째 역설적 반응으로 간농양이 발생하여 지속적인 약물치료에도 호전되지 않아 수술을 시행한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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