중증 열성혈소판감소증후군 환자에서 혈장교환술 치료 중 발생한 치명적 폐손상
A Fatal Pulmonary Event during Plasma Exchange in a Patient with Severe Fever with Thrombocytopenia Syndrome
오현주, 유정래, 성길명, 김선형, 허상택,
소속 상세정보
오현주 ( Oh Hyun-Joo )
Jeju National University School of Medicine Department of Internal Medicine
유정래 ( Yoo Jeong-Rae )
Jeju National University School of Medicine Department of Internal Medicine
성길명 ( Seong Gil-Myeong )
Jeju National University School of Medicine Department of Internal Medicine
김선형 ( Kim Sun-Hyung )
Jeju National University School of Medicine Department of Laboratory Medicine
허상택 ( Heo Sang-Taek )
Jeju National University School of Medicine Department of Internal Medicine
Abstract
Severe fever with thrombocytopenia syndrome (SFTS) caused by the SFTS virus (SFTSV), a novel Phlebovirus, is endemic to South Korea, central and northeastern China, and western Japan. SFTS poses a threat to public health because of its high mortality and secondary transmission. Ticks and domestic animals are hosts for SFTSV in endemic areas. There is no specific treatment for SFTS, and avoiding tick bites is the best way to prevent infection. Early therapeutic plasma exchange (TPE) is a rescue therapy in patients with rapidly progressive SFTS. Here, we present a patient with SFTS who was improving on TPE but died suddenly due to acute lung injury after TPE.
키워드
Severe fever with thrombocytopenia syndrome; Plasma exchange; Pulmonary edema
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