Àç¹ßÇÑ Churg-Strauss ÁõÈıº Ä¡·á Áß ¹ß»ýÇÑ Æó³ó¾ç 1¿¹
Lung Abscess During the Treatment of Relapsed Churg-Strauss Syndrome
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À̼¼¿Á(Lee Se-Ok) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
ÃÖ±Ô(Choi Kyu) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
±èÁ¤Èñ(Kim Jung-Hee) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
±èÈ¿Áø(Kim Hyo-Jin) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
ÀåÀº¿µ(Jang Eun-Young) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
À̺´Àç(Lee Byung-Jae) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
ÃÖµ¿Ã¶(Choi Dong-Chull) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
Abstract
Churg-Strauss syndrome (CSS) is a rare disease characterized by asthma, peripheral eosinophilia and vasculitis. A quarter of CSS patients with clinical remission have experienced a relapse. We report here a case of lung abscess in a patient with relapsed CSS. A 46-year-old man who achieved clinical remission of CSS was confirmed for relapse by the presence of peripheral eosinophillia, pulmonary lesions and perivascular infiltrate of eosinophils in colon pathology. After administration of systemic glucocorticoid and one cycle of cyclophosphamide pulse therapy, he complained of dyspnea, sputum and chest pain. There were necrotic masses containing internal air-fluid levels in the right upper and the left lower lobes of the lung on chest radiography. Percutaneous needle aspiration culture specimens revealed the presence of K. pneumoniae. The patient was successfully treated with a 5-week course of antibiotics.
Å°¿öµå
Churg-Strauss syndrome, Lung abscess
KMID :
0882420140860010106
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