치성감염에서 유래한 칸디다성 폐색전증으로 인한 호흡곤란
Dyspnea Due to Candidal Septic Pulmonary Embolism Originated from Odontogenic Infection
정기현, 조현재, 장건수, 전재윤, 심광섭, 황경균, 박창주,
소속 상세정보
정기현 ( Jeong Kee-Hyun ) - 한양대학교 의과대학 치과학교실 구강악안면외과
조현재 ( Cho Hyun-Jae ) - 한양대학교 의과대학 치과학교실 구강악안면외과
장건수 ( Chang Kun-Soo ) - 한양대학교 의과대학 치과학교실 구강악안면외과
전재윤 ( Jeon Jae-Yun ) - 한양대학교 의과대학 치과학교실 구강악안면외과
심광섭 ( Shim Kwang-Sub ) - 한양대학교 의과대학 치과학교실 구강악안면외과
황경균 ( Hwang Kyung-Gyun ) - 한양대학교 의과대학 치과학교실 구강악안면외과
박창주 ( Park Chang-Joo ) - 한양대학교 의과대학 치과학교실 구강악안면외과
KMID : 0980220140140020115
Abstract
Septic pulmonary embolism is a rare disease entity that consists of pulmonary infection and embolism predominantly arising from endocarditis and thrombophlebitis. We report a rare case of candidal septic pulmonary embolism secondary to odontogenic infection in a previously healthy and immunocompetent man, who had a submandibular abscess with dyspnea and fever. The patient was not responsive to prolonged broad spectrum antibiotics and surgical drainage, however, antifungal therapy was successful after Candida albicans was confirmed by his blood culture. Since proper identification and the resolution of the septic origin is as important as the diagnosis of septic pulmonary embolism, in a patient with odontogenic infection, who shows definite respiratory complications despite antimicrobial therapy with surgical drainage, various culture examinations should be adopted.
키워드
Candida; Focal infection; Dental; Pulmonary embolism
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