Pediatric Infection and Vaccine

  • 제22권1호
  • /
  • Pages.36-39
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  • 2015
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  • 2384-1079(pISSN)
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  • 2384-1087(eISSN)
대한소아감염학회 (The Korean Society of Pediatric Infectious Diseases)
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소아 장티푸스에서 병발된 사구체 신염

A Case of Childhood Typhoid Fever Complicated with Acute Nephritis

  • 오은민 (고려대학교 의과대학 소아과학교실) ;
  • 심지현 (고려대학교 의과대학 소아과학교실) ;
  • 황지현 (고려대학교 의과대학 소아과학교실) ;
  • 임형은 (고려대학교 의과대학 소아과학교실) ;
  • 김윤경 (고려대학교 의과대학 소아과학교실)
  • Oh, Eun Min (Department of Pediatrics, Korea University College of Medicine) ;
  • Sim, Ji Hyun (Department of Pediatrics, Korea University College of Medicine) ;
  • Hwang, Ji Hyen (Department of Pediatrics, Korea University College of Medicine) ;
  • Yim, Hyung Eun (Department of Pediatrics, Korea University College of Medicine) ;
  • Kim, Yun-Kyung (Department of Pediatrics, Korea University College of Medicine)
  • 투고 : 2014.08.27
  • 심사 : 2014.10.26
  • 발행 : 2015.04.25
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초록

장티푸스는 10-15%에서 수막염, 폐렴, 심근염, 간염, 골수염, 파종성 혈관내 응고병증등의 심각한 합병증을 유발할수 있다. 소아에서 장티푸스 병발 후 신장에 발생되는 합병증은 국내외 모두 매우 드물다. 우리는 장티푸스 병발후 단백뇨, 고혈압, 신기능 저하가 동반된 급성 사구체 신염 케이스를 경험후 보고하는 바이다. 이 케이스는 대변 배양검사에서 병원체를 확인할 수는 없었지만 상승하는 Widal 수치로 장티푸스를 진단할 수 있었다. 장티푸스는 유병률은 감소하였지만 고열이 있는 경우 여전히 고려해보아야 하는 중요한 질환이다.

Typhoid fever can cause serious complications, such as enterobrosia, meningitis, pneumonia, myocarditis, hepatitis, osteomyelitis, and disseminated intravascular coagulation in 10-15% of the patients. Kidney complications are very rare, and a few cases have been reported in children. We are reporting a case of childhood typhoid fever complicated with acute nephritis present with albuminuria, hypertension, and renal failure.

키워드

참고문헌

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