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논문KCI 등재

조혈모세포이식 환자의 비부비동염에 대한 임상적 고찰

Clinical Evaluations of Sinonasal Infection in the Patients with Hematopoietic Stem Cell Transplantation

김주환|이창훈|유영화|조진희|김희제|김성원|윤희로|김춘추
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2004.12|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제47권 제12호|pp. 1236-1240

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참고문헌

키워드

부비동염·조혈모세포이식.Sinusitis· Hematopoietic stem cell transplantation.
주제분류이비인후과학

초록

Abstract

Background and Objectives：As a result of increasing the use of hematopoietic stem cell transplantation (HSCT) for hematologic malignancies and certain solid tumors, more patients have become susceptible to infection. Sinonasal infections in patients with HSCT frequently cause problems which are sometimes fatal. The purpose of this study is to determine the clinical features of sinonasal infections in the immunocompromised patients who received HSCT and to suggest a proper evaluation of these patients. Materals and Method：We reviewed retrospectively 1814 patients who had received HSCT in St. Mary’s hospital from August 1995 to May 2003 to determine the clinical features of sinonasal infections in these patients and to analyze the correlation between sinonasal infection of pre- and post-HSCT. Results：403 patients (22.2%) had sinonasal infections. The infection occurred before HSCT in 206 patients (11.3%), whereas it occurred after HSCT in 197 patients (10.8%). Of 197 patients (27.4%) 54 had previously sinonasal infections. Conclusion：Sinonasal infection in the patients of pre-HSCT increased incidence of post-HSCT sinonasal infection. Early detection using endoscopic examination and sinus computed tomography scan as well as employing an aggressive combined treatment of medical and surgical modalities are essential for the treatment of sinonasal infections in the HSCT patients.

참고문헌 (18)

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  12. "Riskfactor in the development of acute sinusitis immunocompromisedpatients", 5, pp.103~108 (1991)
  13. "Screening sinus CTscans in pediatric bone marrow transplant patients", 52, pp.253~260 (2001)
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진균성 부비동염의 임상적 고찰강민곤, 김성원, 김수환, 박용진, 조진희, 주영훈대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2005 · 제48권 제3호침습성 진균성 부비동염의 예후인자민양기, 송재진, 이명철, 이승신, 이재서, 이철희, 정한신대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2003 · 제46권 제10호조혈모세포이식 환자에서 흔히 보는 감염이동건대한내과학회 · 대한내과학회지2013 · 제84권 제2호알레르기성 진균성 부비동염의 임상적 특징김동현, 김아영, 김용민, 나기상대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2006 · 제49권 제4호침습성 아스페르길루스증으로 치료받았던 급성 백혈병 환자에서 조혈모세포이식 후 발생한 파급성 아스페르길루스증 1례문영철, 박지영, 배기선, 성주명, 신수연, 조민선, 최희정대한감염학회 · Infection and Chemotherapy2003 · 제35권 제4호조혈모 세포 이식후 neutropenic fever 환자에서의 amimoglycoside dosage에 관한 검토김귀숙, 김민정, 김호순, 손인자, 신완균, 최미영한국임상약학회 · 한국임상약학회지2002 · 제12권 제1호

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