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류마티스관절염 환자에서 발생한 폐포자충 폐렴 1예

Title
류마티스관절염 환자에서 발생한 폐포자충 폐렴 1예
Other Titles
A Case of Pneumocystis Jirovecii Pneumonia in a Patient with Rheumatoid Arthritis
Author
전재범
Keywords
류마티스관절염; 폐포자충폐렴; Pneumocystis jirovecii; Rheumatoid arthritis; Immunosuppressan
Issue Date
2012-12
Publisher
대한류마티스학회
Citation
대한류마티스학회지(The Journal of the Korean Rheumatism Association), 2012, 19(6), P.359-363, 5P.
Abstract
We report a 67-year-old woman who developed Pneumocystis jirovecii pneumonia (PJP) as a complication of treatment with immunosuppressant, such as methotrexate and leflunomide, for rheumatoid arthritis. She had mild fever and non-productive cough, but there was neither symptoms of dyspnea nor typical X-ray findings at initial presentation. However, rapid progression on a chest X-ray, respiratory symptoms and findings of high-resolution chest computed tomography in a few days suggested a possibility of PJP infection. A polymerase chain reaction-based detection of Pneumocystis jirovecii in induced sputum allowed us an early diagnosis of PJP. Through a preemptive treatment with Trimethoprim-sulfamethoxazole, she fully recovered from PJP.
URI
https://synapse.koreamed.org/DOIx.php?id=10.4078/jrd.2012.19.6.359http://hdl.handle.net/20.500.11754/47973
ISSN
2093-940X
DOI
10.4078/jrd.2012.19.6.359
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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