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Original Article
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Korean J Med. 2015;88(5):612-616. Published online May 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.5.612
- 식도-종격동 누공이 동반된 비결핵성마이코박테리움 감염 1예
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안은영, 김은정, 류대곤, 최유희, 김태현, 이수진
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부산대학교 의학전문대학원 양산부산대학교병원 내과
- A Case of Nontuberculous Mycobacterium Infection Complicated by an Esophagomediastinal Fistula in a Human Immunodeficiency Virus Patient
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EunYoung Ahn, EunJung Kim, DaeGon Ryu, YuHee Choi, TaeHyun Kim, SuJin Lee
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Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea
- Corresponding author: SuJin Lee ,Tel: +82-51-360-2120, Fax: +82-51-360-2122, Email: beauty192@hanmail.net
- Received: May 20, 2014; Revised: June 23, 2014 Accepted: August 4, 2014.
- HIV 감염 환자는 여러 기회감염에 노출될 수 있다. NTM은 AIDS 환자에게 기회감염을 일으킬 수 있지만 NTM 감염에 동반된 식도-종격동 누공은 흔하지 않아 치료 방침이 뚜렷하지 않다. 본 저자들은 AIDS 환자에서 NTM 감염에 동반된 식도-종격동 누공을 약물 치료와 내시경적 시술을 통해 성공적으로 치료하였기에 보고하는 바이다.
߽ɾ :인간면역결핍바이러스; 비결핵성마이코박테리움; 식도누공
- Abstract
- An esophagomediastinal fistula is rare complication of nontuberculous mycobacterium infection. Here, we report the case of a patient with advanced acquired immunodeficiency syndrome who presented with a fever, cough, and dyspnea, and was eventually diagnosed with nontuberculous mycobacterium infection. Computed tomography revealed multiple lymphadenopathy with an esophagomediastinal fistula. The patient was treated with anti-mycobacterial medications and endoscopic fistula closure.
Keywords :Human immunodeficiency virus, Mycobacterium infections, Nontuberculous, Esophageal fistula
