한냉응집소병이 동반된 원발성 중추신경계 림프종에서 급성호흡곤란증후군 양상을 보인 원내 마이코플라즈마 폐렴 1예
A Case of Acute Respiratory Distress Syndrome by Nosocomial Mycoplasma Pneumonia Associated with Cold Agglutinin Disease in Primary CNS Lymphoma
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초록
원발성 중추신경계 림프종 환자에서 한냉응집소병이 동반된 마이코플라즈마 폐렴이 악화되어 급성호흡곤란증후군이 발생한 1예를 치험하였기에 이에 문헌고찰과 함께 보고하는 바이다.
Abstract
Although Mycoplasma pneumonia is frequently observed in immunocompromized patient if, rarely results in acute respiratory distress syndrome (ARDS). The cold agglutinin is positive in 33-76% of patients with M. pneumonia infection. We experienced a case of ARDS due to mycoplasma pneumonia associated with cold agglutinin disease in primary CNS lymphoma. He was a 60-year old primary CNS lymphoma patient with mycoplasma pneumonia and cold agglutinin disease who rapidly progressed to ARDS after 1 cycle of chemotherapy. He completely recovered with roxithromycin, levofloxacin, and ventilator supports. After recovery 2nd cycle of combination chemotherapy and brain radiation therapy was given and, CNS lymphoma is in complete remission until now.
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