홍역 감염 후 곤봉지를 동반한 폐쇄성 세기관지염
Bronchiolitis Obliterans with Finger Clubbing after Measles Infection
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저자들은 이전에 건강했던 5세 남아에서 홍역 폐렴 후 반복적인 천명음, 호흡곤란과 특징적인 곤봉지 소견을 보였고 고해상도 흉부 전산화 단층촬영상 폐쇄성 세기관지염의 전형적인 소견을 보인 폐쇄성 세기관지염 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
A 5-year-old Korean boy was admitted with dyspnea, intermittent cyanosis and finger clubbing. He was diagnosed to be suffering measles pneumonia 3 years ago. Plain radiograph showed collapse of the right lung, mediastinal shifting and infiltration on both lower lung fields. High resolution computerized tomography revealed a central bronchiectasis with mosaic hyperinflation. All of the clinical information indicated that the severity of illness score was 4 of bronchiolitis obliterans(BO). The bronchoalveolar lavage cellular profile showed predominant neutrophilia. BO with finger clubbing has been rarely reported previously in childhood. We report a case of BO with finger clubbing in children with regard to clinical presentation of measles complicated pneumonia.
참고문헌 (22)
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