• 제목/요약/키워드: Extrapulmonary

검색결과 106건 처리시간 0.037초

Mycolasma pneumoniae 감염에 의한 뇌경색증 1례 (A Case of Cerebral Infarction Associated with Mycoplasma pneumoniae Infection)

  • 안영준;최기철;양은석;박영봉;박상기;문경래;김영숙
    • Pediatric Infection and Vaccine
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    • 제5권2호
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    • pp.308-312
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    • 1998
  • Mycoplasma pneumoniae infection is usually confined to the respiratory tract but it can cause a variety of extrapulmonary manifestations such as rashes, myalgia, hemolytic anemia, cerebral infarction, transverse myelitis, cerebellar ataxia, Guillain-Barre syndrome and meningoencephalitis. Neurologic complications of Mycoplasma pneumonia have been rarely reported until now. Cerebral infarction as a complication of mycoplasma infection in children has been very rarely reported. In our case, in a young girl with M. pneumoniae infection, a cerebral infarct resulted in persistent and significant neurological dysfunction. We report a 11-year-old girl with cerebral infarction associated with clinical and serologic evidence of Mycoplasma infection.

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항문회음부 결핵성 농양의 자기공명 영상소견: 증례 보고 (MR Imaging of Anoperineal Tuberculous Abscess: A Case Report)

  • 강우영;성득제;한나연;박범진;김민주;조성범
    • Investigative Magnetic Resonance Imaging
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    • 제16권2호
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    • pp.184-188
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    • 2012
  • 항문회음부 결핵은 드문 폐외결핵의 형태로 때때로 농양을 형성할 수도 있다. 저자들은 회음부에서 촉지되는 종괴로 시행한 자기공명영상에서 T1강조 자기공명영상에서 저신호 강도, T2강조 자기공명영상에서 고신호 강도 그리고 확산강조영상에서 확산 제한을 보인 항문회음부 결핵성 농양 1예를 경험하였기에 이를 보고하고자 한다.

후두에 발생한 염증성 근섬유모세포종 1 례 (A Case of Laryngeal Inflammatory Myofibroblastic Tumor)

  • 박상규;김예슬;전현웅;송창면
    • 대한두경부종양학회지
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    • 제35권2호
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    • pp.71-75
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    • 2019
  • Inflammatory myofibrolastic tumor (IMT) is a rare borderline neoplasm. It frequently occurs in the lung but occasionally occurs in extrapulmonary sites such as the genitourinary tract, gastrointestinal tract, breast, salivary glands, sinonasal tract, orbit, and the central nervous system. Laryngeal involvement of IMT is very rare. A 61-year-old woman who complained of hoarseness persisting for 3 months visited our hospital. Laryngoscopy showed an elevated lesion in the right true vocal cord. Incisional biopsy was confirmed as larygeal inflammatory myofibrolastic tumor. We performed a transoral excision with CO2 LASER under suspension examination. Regional recurrence or distant metastasis was not observed after 9 months of follow-up. Herein we report a case of larygeal inflammatory myofibrolastic tumor that was treated with surgery alone, with a literature review.

폐쇄성 세기관지염.간질성 폐렴 양상을 보인 Pneumocystis Carinii 폐렴 1예 (A Case of Pneumocystis Carinii Pneumonia with Histopathologic Finding of Bronchiolitis Obliterans with Organizing Pneumonia in Patient with AIDS)

  • 안명수;고영민;신진;정홍배;이성은;정연태
    • Tuberculosis and Respiratory Diseases
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    • 제45권2호
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    • pp.444-450
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    • 1998
  • PCP remains the leading cause of deaths in patients with AIDS. As familiarity with PCP increases, atypical manifestations of the diseases are being recognized with greater frequency. There are following "atypical" manifestations of PCP ; 1) interstitial lung response that include diffuse alveolar damage, bronchiolitis obliterance, interstitial fibrosis, and lymphoplasmocytic infiltrate 2) striking localized process frequently exhibiting granulomatous features 3) extensive necrosis & cavitation 4) extrapulmonary dissemination of the disease. A wide variety of pathologic manifestations may occur in PCP in human immunodeficiency virus-infected patienst and that atypical features should be sought in lung biopsies from patients at risk for PCP. We had experienced a case of PCP, which presented with severe hypoxia, progressive dyspnea and fine crackles. It was diagnosed as PCP in AIDS with manifestation of BOOP by open lung biopsy and showed good response to Bactrim & corticosteroid therapy.

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AIDS환자에서 발생한 결핵성 심경부감염 1례 (A Case of Deep Neck Infection by Tuberculosis in AIDS)

  • 문준환;최호영;이등호;전성환
    • 대한기관식도과학회지
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    • 제11권1호
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    • pp.37-41
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    • 2005
  • Deep neck infections mean infection in the potential spaces and facial planes of the neck, either abscess formation or cellulitis. Deep neck infections are caused by dental, salivary gland, pharyngeal and tonsillar infections. Sometimes, deep neck infection may be caused by tuberculosis in case of immunodefiecient patients. Acquired immunodeficiency syndrome(AIDS) is a disease associated with defective cell-mediated immunity after infected with human immunodeficiency virus(HIV). The chance of opportunistic infection in patients of AIDS increases as the level of immunodeficienty progresses. Human immunodeficiency virus infection is the most single significant risk factor for progression of pulmonary tuberculosis to extrapulmonary sites. In patients infected with HIV, the rate of extrapulomonary tuberculosis rises upto $60\%$. We report a case of a 47 year old male patient with AIDS associated with deep neck infection by tuberculosis.

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Primary orbital tuberculosis on the lower eyelid with cold abscess

  • Yoon, Hyun Sik;Na, Young Cheon;Lee, Hye Mi
    • 대한두개안면성형외과학회지
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    • 제20권4호
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    • pp.274-278
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    • 2019
  • Orbital tuberculosis is a rare form of extrapulmonary tuberculosis, even in endemic areas. It may involve the soft tissue, lacrimal gland, periosteum, or bones of the orbital wall. We present a case of orbital tuberculosis on the lower eyelid. An 18-year-old woman with no underlying disease visited our clinic for evaluation of an oval nodule ($1.5{\times}1.2cm$) on the right lower eyelid. Incision and drainage without biopsy was performed 2 months ago in ophthalmology department, but the periorbital mass had deteriorated, as the patient had erythematous swelling, tenderness, and cervical lymphadenopathy. Visual acuity was normal; there were no signs of proptosis, diplopia, or ophthalmoplegia. Computed tomography revealed a small abscess cavity without bony involvement. We performed an excision and biopsy through a percutaneous incision under local anesthesia. Histological examination revealed a granuloma and was diagnosed as orbital tuberculosis. The patient was additionally treated with anti-tuberculosis therapy for 6 months and recovered without complication or recurrence by 7 months. Orbital tuberculosis occurs in patients with or without associated pulmonary tuberculosis, and should be considered as a differential diagnosis in patients with inflammatory orbital disease and an orbital mass. If recurrence occurs despite adequate initial treatment, we recommend an additional examination and excisional biopsy.

Long-Term Outcome of Chronic Obstructive Pulmonary Disease: A Review

  • Jo, Yong Suk
    • Tuberculosis and Respiratory Diseases
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    • 제85권4호
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    • pp.289-301
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    • 2022
  • Chronic obstructive pulmonary disease (COPD) is a chronic airway inflammation characterized by fixed airflow limitation and chronic respiratory symptoms, such as cough, sputum, and dyspnea. COPD is a progressive disease characterized by a decline in lung function. During the natural course of the disease, acute deterioration of symptoms leading to hospital visits can occur and influence further disease progression and subsequent exacerbation. Moreover, COPD is not only restricted to pulmonary manifestations but can present with other systemic diseases as comorbidities or systemic manifestations, including lung cancer, cardiovascular disease, pulmonary hypertension, sarcopenia, and metabolic abnormalities. These pulmonary and extrapulmonary conditions lead to the aggravation of dyspnea, physical inactivity, decreased exercise capacity, functional decline, reduced quality of life, and increased mortality. In addition, pneumonia, which is attributed to both COPD itself and an adverse effect of treatment (especially the use of inhaled and/or systemic steroids), can occur and lead to further deterioration in the prognosis of COPD. This review summarizes the long-term outcomes of patients with COPD. In addition, recent studies on the prediction of adverse outcomes are summarized in the last part of the review.

Solitary fibrous tumor in the temporalis muscle: a case report and literature review

  • Jun Ho Choi;Soo Hyuk Lee;Jae Ha Hwang;Kwang Seog Kim;Sam Yong Lee
    • 대한두개안면성형외과학회지
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    • 제24권5호
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    • pp.230-235
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    • 2023
  • Solitary fibrous tumor (SFT) is an infrequently occurring neoplasm most commonly observed in the pleura, but it can develop in the head and neck region in occasional cases. However, no reports have described SFT in the temporalis muscle. Herein, we present the first known case of SFT in the temporalis muscle. A 47-year-old man complained of a painless palpable mass on his right temple. Facial enhanced computed tomography identified a 4.0×2.9×1.4 cm mass presenting as a vascular tumor in the right temporalis muscle under the zygomatic arch. The mass was excised from the right temporalis muscle under general anesthesia. A histopathologic examination revealed that the mass was an SFT. No complications occurred after surgery, including functional disability or sensory loss. The patient was followed up for 3 months without complications. Although SFT in extrapulmonary regions is rare, it should be considered in the differential diagnosis of masses that occur in the temporal area.

청소년의 폐 및 폐외 결핵 3례 (Three cases of pulmonary and/or intestinal tuberculosis in adolescents)

  • 변정혜;이윤;이진철;유영;이기형;이광철;정지태;함수연;김철환
    • Clinical and Experimental Pediatrics
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    • 제50권11호
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    • pp.1134-1138
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    • 2007
  • 최근 결핵 유병률이 청소년기에 다시 증가하고 있으며, 이 시기의 결핵은 성인이나 어린 소아와는 다른 임상적 특징을 가지고 있다. 결핵 감염에서 질병으로 쉽게 발전되거나, 폐외 결핵의 발생 빈도가 높고, 폐결핵에서 공동이 잘 생기며, 항결핵제에 내성이 있는 경우가 많아 치료실패율이 높기 때문에 조기 진단과 치료를 위해 의료진의 보다 적극적인 관심과 노력이 필요하다. 저자들은 최근 청소년에서 조직검사로 확진된 폐 및 폐외 결핵 3례를 경험하였기에 보고하는 바이다.

폐주사(肺走査) - 심장질환(心臟疾患)의 폐관류주사(肺灌流走査) 소견(所見) - (Evaluation of Pulmonary Perfusion Scan in Heart Disease)

  • 이종태;김정규;박창윤;최병숙
    • 대한핵의학회지
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    • 제7권2호
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    • pp.27-34
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    • 1973
  • Pulmonary perfusion scan with radioactive $^{113m}In$-iron hydroxide particle was performed in the 25 cases of heart disease which had been diagnosed by cardiac catheterization prior to surgery from July, 1972 to July, 1973 at the Department of Radiology and Nuclear Medicine, Yonsei Medical College. It consists of 7 mitral stenosis, 2 mitral insufficiency, 1 aortic insufficiency, 3 atrial septal defect, 5 ventricular septal defect, 2 patent ductus arteriosus, 1 transposition of great vessel and 4 Tetralogy of Fallot. Findings of pulmonary perfusion scan in relation to hemodynamic data of cardiac catheterization were examined. 1) Out of 10 cases of acquired valvular heart disease, In 6 cases of mitral stenosis and 1 case of aortic insufficiency, radioactivity was increased at both upper lung. This finding is noted when pulmonary wedge or venous pressure was elevated above 22 mmHg and arterial systolic pressure above 33 mmHg. 2) Out of 15 cases of congenital heart disease. In almost all cases of atrial septal defect and ventricular septal defect except 2 cases, radioactivity was even at both entire lung. In 2 cases of patent ductus arteriosus, radioactivity was decreased especially at the left lung. It is observed that in acyanotic congenital heart disease, radioactivity of lung is not related with pulmonary arterial pressure. In 3 cases of Tetralogy of Fallot, radioactivity was even at both entire lung and in 2 of them, extrapulmonary radioactivity of liver or kidney which depends on size of defect and volume of right to left shunt reversible, was noted.

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