정상면역인에서 Balantidium coli 에 의한 폐렴 1예
A Case of Pneumonia Caused by Balantidium coli in an Immunocompetent Patient
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초록
Balantidium coli는 사람 및 포유류를 감염시키는 가장 크고 섬모를 가진 유일한 원충류이다. 발란티듐증은 인수공통감염질환으로 돼지나 사람으로부터 변-구강 통로를 통하여 감염되어 주로 설사나 복통 등의 소화기증상을 보이나, 소화기이외 장기인 폐에 침투하는 경우는 드물다. 국내에서 B. coli는 질, 피부, 위액, 장간막에서 검출되었으나 호흡기에서 발견된 경우는 없었다. 저자들은 흉통과 기침을 동반한 정상면역을 가진 40세 여자에서 B. coli에 의한 폐렴을 진단하고 metronidazole로완치된 증례를 국내에서 처음으로 경험하였기에 보고하는 바이다. [대한임상미생물학회지 2010;13:178-181]
Abstract
Balantidium coli is the only largest ciliated protozoon known to infect human and nonhuman primates. Balantidiasis is a zoonotic disease and is acquired by humans via fecal-oral contact between pigs and humans. The clinical manifestation includes mainly gastrointestinal symptoms; diarrhea and abdominal pain,but in rare cases extraintestinal spread to lungs has been reported. A few reports of B. coli were found in vaginal secretion, skin, gastric juice, and omentum,but there have been no previous isolated cases in the respiratory tract in Korea. We reported that the first case of pneumonia caused by B. coli in Korea in an immunocompetent 40-year-old woman who displayed symptoms of chest discomfort and cough, and was cured with metronidazole. (Korean J Clin Microbiol 2010;13:178-181)
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