지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
We report the case of a 42-year-old woman who died in hospital from severe respiratory failure, 10 days after the onset of symptoms. Autopsy and microscopic examination identified features of diffuse alveolar damage in both lungs including hyaline membranes and intra-alveolar exudate. Gomori's methenamine silver stain of pink frothy materials in these exudates revealed thin-walled and cup-shaped microorganisms and a diagnosis of Pneumocystis jirovecii pneumonia was made. There were small granulomas in the pulmonary interstitium and hepatic lobules representing an unusual inflammatory reaction against Pneumocystis jirovecii. Extrapulmonary involvement with pneumocystis infection is a rare event occurring in 1% to 2% of all pneumocystis cases.
Screening and confirmatory tests for human immunodeficiency virus (HIV) detection were positive. There was no information available regarding the patient’s medical history or the possibility of HIV infection prior to the autopsy, because the patient was a foreign worker who arrived in Korea 2 months before her death. Medical examiners often perform autopsies with limited information regarding the deceased person, even when person is a Korean national.
Therefore, an awareness of protection protocols during autopsy, as well as of the atypical patterns of critical diseases, is crucial.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
김윤정 / 2016 / Opportunistic diseases among HIV-infected patients: a multicenter-nationwide Korean HIV/ AIDS cohort study, 2006 to 2013 / The Korean Journal of Internal Medicine 31(5):953~960
Centers for Disease Control and Prevention / 2014 Annual Report on the Notified HIV/AIDS in Korea
UNAIDS / AIDSinfo
Hartel PH / 2010 / Granulomatous reaction to Pneumocystis jirovecii : clinicopathologic review of 20cases / Am J Surg Pathol 34:730~734
Travis WD / 1990 / Atypical pathologic manifestations of Pneumocystis carinii pneumonia in the acquired immune deficiency syndrome: review of 123 lung biopsies from 76 patients with emphasis on cysts, vascular invasion, vasculitis, and granulomas / Am J Surg Pathol 14:615~625
Centers for Disease Control and Prevention / 2014 Annual Report on the Notified HIV/AIDS in Korea
UNAIDS / AIDSinfo
Hartel PH / 2010 / Granulomatous reaction to Pneumocystis jirovecii : clinicopathologic review of 20cases / Am J Surg Pathol 34:730~734
Travis WD / 1990 / Atypical pathologic manifestations of Pneumocystis carinii pneumonia in the acquired immune deficiency syndrome: review of 123 lung biopsies from 76 patients with emphasis on cysts, vascular invasion, vasculitis, and granulomas / Am J Surg Pathol 14:615~625
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