화농성 간농양과 대량 용혈성 빈혈로 나타난 Clostridium perfringens에 의한 중증 패혈쇼크 1예
A Fulminant Case of Clostridium perfringens Septic Shock caused by a Liver Abscess with Massive Hemolytic Anemia
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초록
임상적으로 간농양의 원인균은 폐렴간균과 같은 그람음성간균에 의한 것이 대부분으로 건강한 사람에서 클로스트리듐퍼프린젠스에 의한 간농양 및 패혈증은 매우 드물다. 하임상적으로 간농양의 원인균은 폐렴간균과 같은 그람음성간균에 의한 것이 대부분으로 건강한 사람에서 클로스트리듐퍼프린젠스에 의한 간농양 및 패혈증은 매우 드물다. 하
Abstract
A 65-year-old female visited the emergency room for severe back pain radiating to the neck. Aortic dissection computed tomography revealed a ruptured liver abscess and large pneumoperitoneum. Although emergent percutaneous drainage of the liver abscess and aggressive resuscitation were performed, massive hemolytic anemia and disseminated intravascular hemolysis developed and she subsequently died, 11 hours after her visit to the emergency room. Clostridium perfringens was identified in a blood culture obtained at the emergency room. We report this case because refractory septic shock due to a liver abscess and massive intravascular hemolytic anemia caused by Clostridium perfringens in a healthy female is rare.
참고문헌 (10)
- Lee HL, "Clinical significance and mechanism of gas formation of pyogenic liver abscess due to Klebsiella pneumonia", J Clin Microbiol, 42, pp.2783~2785 (2004)
- 박주호, "화농성 간농양; 최근 10년간의 임상적 특징의 변화 양상", 대한내과학회지, 88(6), pp.663~671 (2015), 대한내과학회[DOI]
- Kurasawa M, "Gas-forming liver abscess associated with rapid hemolysis in a diabetic patient", World J Diabetes, 5, pp.224~229 (2014)
- Ngo JT, "Population-based assessment of the incidence, risk factors, and outcomes of anaerobic bloodstream infections", Infection, 41, pp.41~48 (2013)
- Rechner PM, "Clinical features of clostridial bacteremia : a review from a rural area", Clin Infect Dis, 33, pp.349~353 (2001)
- Bätge B, "Clostridial sepsis with massive intravascular hemolysis : rapid diagnosis and successful treatment", Intensive Care Med, 18, pp.488~490 (1992)
- 위진우, "한국의 고령 화농성 간농양 환자들의 임상적 특성과 예후", 대한소화기학회지, 66(1), pp.27~32 (2015), 대한소화기학회
- Simon TG, "Massive intravascular hemolysis from clostridium perfringens septicemia : a review", J Intensive Care Med, 29, pp.327~333 (2014)
- Pun KC, "Abdominal pain and Massive intravascular hemolysis in a 47-year-old man", Chest, 110, pp.1353~1355 (1996)
- Fukuhara J, "A case of invasive Clostridium perfringes infection complicated intravascular hemolysis", Kansenshogaku Zasshi, 76, pp.562~565 (2002)