면역저하 성인에서 발생한 호흡기 세포융합바이러스 하기도 감염 2예
Lower Respiratory Tract Infection Caused by Respiratory Syncytial Virus inImmunocompromised Adults:2 Case Reports
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초록
호흡기 융합 바이러스는 면역 저하자, 노인, 심혈관계 합병증이 있는 환자에서 폐렴 등의 중증 감염을 유발할 수 있다. 최근 바이러스 배양법을 대체할 수 있는 진단법들이 개발되어 보다 신속한 진단이 가능할 것으로 보이며, 유행 시기에 위와 같은 위험군의 환자에서 발생한 폐렴의 경우 반드시 인플루엔자와 함께 호흡기 융합 바이러스의 가능성을 고려함으로서, 정확한 진단 및 치료와 함께 불필요한 항생제 사용을 줄일 수 있을 것으로 생각된다.
Abstract
Respiratory syncytial virus (RSV) is a common etiological agent in children and infants causing pneumonia, bronchitis and bronchiolitis. RSV is rarely associated with lower respiratory tract infection in immunocompetent adults. But in immunocompromised host, the elderly and patients with cardiopulmonary cormobidities, RSV can cause life threatening infections. Nevertheless, this disease is unrecognized by most internists, in part because the possibility of RSV is not considered but also because diagnosis is difficult to make during the acute illness. Early suspicion of RSV infection is important in making accurate diagnosis and preventing unnecessary antibiotic use. The authors report two cases of RSV pneumonia: one in a 62 year old woman with multiple myeloma and the other in a 72 year old woman with malignant lymphoma.
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