한타 바이러스 폐 증후군을 동반한 신증후군 출혈열 1예
A case of hantavirus pulmonary syndrome with hemorrhagic fever with renal syndrome
김민선, 이승현, 박종원, 도준영, 윤경우,
소속 상세정보
김민선 ( Kim Min-Seon )
영남대학교 의과대학 내과학교실
이승현 ( Lee Seung-Hyun )
영남대학교 의과대학 내과학교실
박종원 ( Park Jong-Won )
영남대학교 의과대학 내과학교실
도준영 ( Do Jun-Young )
영남대학교 의과대학 내과학교실
윤경우 ( Yoon Kyung-Woo )
영남대학교 의과대학 내과학교실
KMID : 0882420070730060651
Abstract
저자들은 고열, 설사, 신부전과 혈청 검사에서 한타 바이러스 항원에 대한 항체 반응을 보인 환자에서 신증후군 출혈열의 임상양상과 함께 폐부종 및 호흡부전을 보인 한타 바이러스 폐 증후군의 1예를 경험하였기에 보고하는 바이다.
Hemorrhagic fever with renal syndrome (HFRS) caused by Hantann virus or Seoul virus frequently occurs in Korea. The prodromal clinical symptoms are flu-like symptoms. Rapidly progressive renal failure and hemorrhage follow. Hantavirus pulmonary syndrome (HPS) is usually found in the U.S.A., caused by the Sin-nombre virus. The prodromal symptoms resemble HFRS. However, during the third to fith hospital day after admission, pulmonary edema or pulmonary hemorrhage acutely develops, which results in acute respiratory failure. We here report a case of HFRS with HPS that developed in a 47 year-old man. The patient had flu-like symptoms and diarrhea on admission. Acute renal failure developed and acute hemodialysis was performed. On the fourth hospital day, an asymmetric bilateral haziness as seen on a chest X-ray rapidly developed with reduced O2 saturation, and mechanical ventilation was applied. On the eighth hospital day, the patient was weaned from the ventilator. When acute respiratory failure develops in patients with HFRS, HPS might be considered
키워드
한타 바이러스 폐 증후군;신증후군 출혈열
Hantavirus pulmonary syndrome;Hemorrhagic fever with renal syndrome
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