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단일 지역사회병원에서 관찰된 혈청 아미노전이효소증가를 나타낸 소아 마이코플라스마 폐렴
DC Field | Value | Language |
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dc.contributor.author | 오승환 | - |
dc.date.accessioned | 2019-01-02T16:40:30Z | - |
dc.date.available | 2019-01-02T16:40:30Z | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 0529-3804 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/166268 | - |
dc.description.abstract | Purpose: Mycoplasma pneumoniae is an important cause of community acquired pneumonia and may cause extra-pulmonary manifestations but a few investigation for its liver involvement had been done. The object of this study is to know its recent hepatic manifestations and their effect on prognosis. Methods: I collected the clinical informations of 174 mycoplasma pneumonia patients who had been admitted at the Department of Pediatrics , Yongin Severance Hospital, Yongin, Korea from January 2008 to December 2010. Hepatic involvement cases were defined with serum transaminase level[ 40 IU/mL and over in serum asparate aminotransferase(AST) or 45 IU/ mL and over in alanine aminotransferase(ALT)]. Their clinical characteristics, demographics, laboratory findings, biochemical profiles, treatment outcomes were analysed and compared with no hepatic involvement cases. Results: There were fifty-five cases(31.6%) with serum transaminase elevation among mycoplasma pneumonia children. Thirty cases of them (54.5%) were observed at 2010 year. Their age was 3.3± 2.4 years old and twenty-seven cases(49.1%) were younger than 3 years old. Almost half of them(47.3%) were found in spring. Male to female ratio was 1:1.2. Their nonrespiratory symptoms and sign were loss of appetite(81.8%), nausea(58.2%), vomiting(40.0%), hepatomegaly(9.1%). Almost all of them(90.1%) showed AST elevation only. Their AST and ALT level were 63.7± 56.9 IU/L and 37.8± 68.9 IU/L, respectively. Forty-three cases(78.5%) were discharged within 5 days. The transaminase elevation of 48 cases(87.3%) was recovered within ten days. Patients with hepatic manifestation were significantly younger(P=0.004), more frequent in spring(P=0.039) and not longer admission duration than patients without it. They were comparable with each other in terms of fever, white blood cell counts, erythrocyte sedimentation rate, C-reactive protein elevation. Conclusion: It is frequently observed at very young age and in spring. Although it does not impact on prognosis, it should be kept in mind because its prevalence is not uncommon. | - |
dc.description.statementOfResponsibility | prohibition | - |
dc.language | Korean | - |
dc.publisher | 최신의학사 | - |
dc.relation.isPartOf | Newest Medical Journal (최신의학) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 단일 지역사회병원에서 관찰된 혈청 아미노전이효소증가를 나타낸 소아 마이코플라스마 폐렴 | - |
dc.title.alternative | Pediatric Mycoplasma Pneumonia with Serum Transaminase Elevation at a Single Community Hospital | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Pediatrics (소아청소년과학교실) | - |
dc.contributor.googleauthor | 오승환 | - |
dc.contributor.localId | A02391 | - |
dc.relation.journalcode | J02373 | - |
dc.subject.keyword | Transaminase | - |
dc.subject.keyword | Children | - |
dc.subject.keyword | Mycoplasma pneumonia | - |
dc.contributor.alternativeName | Oh, Seung Hwan | - |
dc.citation.volume | 55 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 11 | - |
dc.citation.endPage | 22 | - |
dc.identifier.bibliographicCitation | Newest Medical Journal (최신의학), Vol.55(2) : 11-22, 2012 | - |
dc.identifier.rimsid | 59338 | - |
dc.type.rims | ART | - |
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