건강한 소아에서 발생한 괴사성 폐렴 2례
Two Cases of Community Acquired Necrotizing Pneumonia in Healthy Children
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참고문헌
초록
괴사성 폐렴은 폐실질의 광범위한 괴사를 가져오며 흉부 단순 방사선에서 다수의 작은 과투영성, 기류를 보이며 CT에서 조영 증강되지 않는 공동을 보이는 폐렴의 합병증 중 하나이다. 저자들은 발열과 기침을 주소로 내원한 평소 건강했던 지역사회 환아에서 임상 양상과 흉부 CT로 괴사성 폐렴을 진단하고, 치료 후 후유증 없이 회복된 증례가 있기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Necrotizing pneumonia is a complication of severe, sometimes fatal, lobar pneumonia that leads to extensive necrosis of lung parenchyme. The plain chest X-ray shows many small lucencies and pneumatoceles while the chest CT demonstrates cavities, that do not show contrast enhancement. Major bacteriae that cause necrotizing pneumonia are anaerobes in immune deficient patients and nosocomial infections, and Streptococcus pneumoniae and Mycoplasma pneumoniae in children of healthy environments. Cases of necrotizing pneumonia in children, unlike those observed in adults, show less need for invasive surgery and lead to a favorable outcome once an early diagnosis is made and a course of appropriate antibiotics is initiated. Empirical antibiotic treatment is important because the specific causative agent may not be found. We report two cases of successful treatment of healthy children who had lung abscesses combined with extensive necrotizing pneumonia.
참고문헌 (17)
- "Pyogenic bacterial pneumonia, Lung abscess, and empyema", pp.985~1041 (2000), WB Saunders Co
- "Clinical characteristics of children with complicated pneumonia caused by Streptococcus pneumoniae", 110, pp.1~6 (2002)
- "Clinical manifestations and molecular epidemiology of necrotizing pneumonia and empyema caused by Streptococcus pneumoniae in children in Taiwan", 38, pp.830~835 (2004)
- "Bacteremic necrotizing pneumococcal pneumonia in children", 149, pp.242~4 (1994)
- "Necrotizing pneumonia in children", 93, pp.1172~1176 (2004)
- "Necrotizing pneumococcal pneumonia in childhood", 28, pp.217~221 (1999)
- "Necrotizing pneumonia:CT findings & its clinical significance", 33, pp.875~888 (1995)
- "Etiologies of bacterial pneumonia with implications for therapy", 40, pp.69~71 (2004)
- "Clinical analysis of necrotizing pneumonia in children:three-year experience in a single medical center", 44, pp.343~348 (2003)
- "Gangrene of the lung:treatment in two stages", 64, pp.970~974 (1997)
- "Imaging of cavitary necrosis in complicated childhood pneumonia", 12, pp.391~396 (2002)
- "Aspiration pneumonia,necrotizing pneumonia,and lung abscess", 7, pp.279~307 (1989)
- "Lung abscess versus necrotizing pneumonia:implications for interventional therapy", 59, pp.449~57 (1980)
- "Necrotizing or cavitating pneumonia due to Streptococcus pneumoniae report of four cases and review of the literature", 29, pp.87~91 (1999)
- "Hot tub- associated necrotizing pneumonia due to Pseudomonas aeruginosa", 36, pp.55~57 (2003)
- "Cavitary necrosis complicating pneumonia in children:sequential findings on chest radiography", 171, pp.253~256 (1998)
- "Cavitary necrosis complicating pneumonia in children:sequential findings on chest radiography", 171, pp.253~256 (1998)