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간이식 환자에서 발생한 Nocardia farcinia 폐렴 및 패혈성 쇼크 1예

Other Titles
 A Case of Pneumonia with Septic Shock Due to Nocardia farcinia in Liver Transplant Patient 
Authors
 이수환  ;  박병훈  ;  손지영  ;  정지예  ;  김은영  ;  임주은  ;  이지훈  ;  현신영  ;  이상훈  ;  이상국  ;  김송이  ;  이경종  ;  강영애  ;  김영삼  ;  김세규  ;  장 준  ;  서유경  ;  이경원  ;  박무석 
Citation
 TUBERCULOSIS AND RESPIRATORY DISEASES, Vol.69(6) : 469-473, 2010 
Journal Title
 TUBERCULOSIS AND RESPIRATORY DISEASES 
ISSN
 1738-3536 
Issue Date
2010
Keywords
Nocardia ; Pneumonia ; Shock ; Sepsis, Liver Transplantation
Abstract
Nocardia farcinia, an aerobic, gram-positive bacilli actinomycetes of the genus Nocardia, is an uncommon pathogen found in humans. The most common Nocardia infection sites are the lung, central nervous system, and skin. Even though hematogenous dissemination can occur, isolation of the organism from blood cultures is very rare. We report a case of Nocardia infection that was isolated on blood cultures. A 59-year-old male with a medical history that includes a liver transplantation 6-years prior due to hepatocellular carcinoma secondary to chronic hepatitis B, developed pneumonia and was transferred to Severance Hospital. At the time of admission, the patient's initial exam showed hypothermia, tachypnea, and hypotension. His chest radiograph showed severe pneumonia and a large abscess on left upper lobe. Under the presumptive diagnosis of bacterial pneumonia or other opportunistic infection, we started broad spectrum antibiotics. However, he developed Nocardia sepsis, rapidly deteriorated, and subsequently died.
Files in This Item:
T201005440.pdf Download
DOI
10.4046/trd.2010.69.6.469
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Young Ae(강영애) ORCID logo https://orcid.org/0000-0002-7783-5271
Kim, Se Kyu(김세규)
Kim, Song Yee(김송이) ORCID logo https://orcid.org/0000-0001-8627-486X
Kim, Young Sam(김영삼) ORCID logo https://orcid.org/0000-0001-9656-8482
Kim, Eun Young(김은영) ORCID logo https://orcid.org/0000-0002-3281-5744
Park, Moo Suk(박무석) ORCID logo https://orcid.org/0000-0003-0820-7615
Park, Byung Hoon(박병훈)
Son, Ji Young(손지영)
Lee, Kyungwon(이경원) ORCID logo https://orcid.org/0000-0003-3788-2134
Lee, Kyung Jong(이경종)
Lee, Sang Kook(이상국)
Lee, Sang Hoon(이상훈) ORCID logo https://orcid.org/0000-0002-7706-5318
Lee, Su Hwan(이수환) ORCID logo https://orcid.org/0000-0002-3487-2574
Lee, Ji Hoon(이지훈)
Lim, Ju Eun(임주은)
Chang, Joon(장준) ORCID logo https://orcid.org/0000-0003-4542-6841
Jung, Ji Ye(정지예) ORCID logo https://orcid.org/0000-0003-1589-4142
Hyun, Shin Yong(현신영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103089
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