급성 후두개염을 동반한 쯔쯔가무시병 3예
Three Cases of Scrub Typhus with Acute Epiglottitis
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초록
쯔쯔가무시병은 발열, 두통, 권태감, 근육통, 호흡 곤란, 발진, 인후통 등의 증상을 나타내는 급성 발열 질환으로 대부분 항생제 치료로 신속하게 호전 된다. 그러나 최근에는 쯔쯔가무시병 환자에서 중증 합병증이 동반되는 경우가 많이 보고 되고 있으며, 급성 후두개염도 잠재적인 중증 합병증이다. 저자들은 쯔쯔가무시병에 동반치료에 된 급성 후두개염 환자에서 심한 인후통, 연하곤란 및 호흡곤란의 증상이 단기간 스테로이드 의해서 신속히 반응하는 것을 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Scrub typhus is an endemic rickettsial disease with annual seasonal outbreak in Korea and its incidence is increasing. Recently, cases of scrub typhus with severe complications, such as septic shock, acute respiratory distress syndrome, acute renal failure, myocarditis, disseminated intravascular coagulation and meningitis have been increasingly reported. Acute epiglottitis is the one of potentially life- threatening scrub typhus related complications. Its initial clinical manifestations are sore throat, dysphagia or dyspnea. Although 22-62% of scrub typhus patients complain of sore throat, the etiology and optimal therapy are not yet known. We experienced 3 cases of scrub typhus-associated acute epiglottitis which rapidly responded to short-term corticosteroid administration.
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