급성 충수염으로 오인하여 충수 절제술을 시행한 쯔쯔가무시병 1예와 출혈성 신증후군 1예
Two Cases of Misdiagnosis of Acute Appendicitis in a Patient with Hemorrhagic Fever with Renal Syndrome and a Patient with Tsutsugamushi Disease
서정필, 김영옥, 최윤석, 김은일, 윤선애, 채현석, 송선화, 김남일, 유승진,
소속 상세정보
서정필 ( Suh Jung-Pil )
가톨릭대학교 의과대학 내과학교실
김영옥 ( Kim Young-Ok )
가톨릭대학교 의과대학 내과학교실
최윤석 ( Choi Yun-Seok )
가톨릭대학교 의과대학 내과학교실
김은일 ( Kim Eun-Il )
가톨릭대학교 의과대학 내과학교실
윤선애 ( Yoon Sun-Ae )
가톨릭대학교 의과대학 내과학교실
채현석 ( Chae Hiun-Suk )
가톨릭대학교 의과대학 내과학교실
송선화 ( Song Sun-Wha )
가톨릭대학교 의과대학 방사선과학교실
김남일 ( Kim Nam-Il )
가톨릭대학교 의과대학 외과학교실
유승진 ( Yoo Seung-Jin )
가톨릭대학교 의과대학 외과학교실
KMID : 0356720000160060474
Abstract
Both tsutsugamushi disease and hemorrhagic fever with renal syndrome frequently cause abdominal pain with tenderness; therefore they are occasionally misdiagnosed as surgical abdomen. Two patients presented with symptoms of acute abdomen, and under the suspicion of acute appendicitis they underwent appendectomies.
Nevertheless there were no operative findings of acute appendicitis in both patients, and the clinical conditions were deteriorated after the operation. Acute infectious disease was suspected by thrombocytopenia, elevated liver enzymes, and proteinuria. Indirect immunoflourescence test confirmed tsutsugamushi disease and hemorrhagic fever with renal syndrome, respectively. The patient with tsutsugamushi disease improved with administration of doxycycline and the patient with hemorrhagic fever with renal syndrome spontaneously improved.
키워드
쯔쯔가무시병;출혈성 신증후군;충수염;복통
Tsutsugamushi disease;Hemorrhagic fever with renal syndrome;Abdominal pain;Acute appendicitis
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