Klebsiella pneumoniae에 의한 요근 농양 환자에서 합병된 정맥 혈전증
Venous thrombosis associated with psoas abscess: successful treatment with percutaneous drainage of abscess and antibiotics
소속 상세정보
김기범/Gi Beom Kim
김영옥/장정원/고경근/백지연/윤선애/채현석/박종범/천경아/방병기/Young Ok Kim/Jeong Won Jang/Kyung Keun Ko/Ji Yeon Baek/Sun Ae Yoon/Hyun Suk Chae/Jong Beom Park/Kyung Ah Chun/Byung Kee Bang
KMID : 0882420010610060664
Abstract
과거 Klebsiellae pneumoniae에 의한 간농양과 담석을 동반한 반복적인 담도염의 기왕력이 있는 환자에서 고열과 측복통 및 요통이 발생하여 정밀 검사를 시행한 결과 동일균에 의한 요근 농양과 농양에 인접한 하대정맥과 장골정맥 혈전증을 진단하였다. 환자는
하지
부종등의 심부정맥 혈전증의 증거가 없었고 경피적 배액술과 항생제 치료 등의 감염 치료 만으로 요근 농양과 정맥 혈전증이 모두 소실되어 본 환자에서 발생한 정맥 혈전증은 요근 농양과 관련이 있을 것으로 사료된다.
We report an unusual case of venous thrombosis complicated by pyogenic psoas muscle abscess in a patient with chronic biliary tract disease. A 64-year-old woman presented with high fever and progressive back and left flank pain. She had been
admitted
because of recurrent cholangitis and liver abscess 7 months ago. Both abscess and blood cultures had revealed Klebsiella pneumoniae and she had improved with treatment of antibiotics and percutaneous drainage of abscess. Computed tomography
demonstrated
psoas abscess and thrombosis of inferior vena cava and left iliac vein adjacent to abscess. Several days later, abscess culture showed Klebsiella pneumoniae. Because there was no evidence of deep vein thrombosis and the thrombosis was confined
only
to
the vein adjacent to the abscess, we considered that the thrombosis would be associated with the abscess. She was immediately treated with percutaneous drainage of abscess and antibiotics. Follow-up computed tomography demonstrated complete
disappearance of both psoas abscess and venous thrombosis.
키워드
Psoas abscess; Klebsiella pneumoniae; Venous thrombosis; Biliary tract disease;
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