대한대장항문학회

논문 상세 보기

(PDF file / 4 pages)
View

| Down


Title		Two Cases of Misdiagnosis of Acute Appendicitis in a Patient with Hemorrhagic Fever with Renal Syndrome and a Patient with Tsutsugamushi Disease

Author		Jung Pil Seo1, Young Ok Kim1, Yun Seok Choi1, Eun Il Kim1, Sun Ae Yoon1, Hyun Seok Chae1, Sun Wha Song2, Nam Il Kim3, Seung Jin Yoo3

Place of duty

Publicationinfo		Journal of Korean Soc Coloproctol 2000 \| Vol.16 No.6 \| 474 ~ 477, 4 pages

Keyword		쯔쯔가무시병; 출혈성 신증후군; 충수염; 복통; Tsutsugamushi disease; Hemorrhagic fever with renal syndrome; Abdominal pain; Acute appendicitis;

Abstract		Both tsutsugamushi disease and hemorrhagic fever with renal syndrome frequently cause abdominal pain with tenderness; therefore they are occasionally misdiagnosed as surgical abdomen. Two patients presented with symptoms of acute abdomen, and<br>under<br>the<br>suspicion of acute appendicitis they underwent appendectomies.<br>Nevertheless there were no operative findings of acute appendicitis in both patients, and the clinical conditions were deteriorated after the operation. Acute infectious disease was suspected by thrombocytopenia, elevated liver enzymes, and<br>proteinuria.<br>Indirect immunoflourescence test confirmed tsutsugamushi disease and hemorrhagic fever with renal syndrome, respectively. The patient with tsutsugamushi disease improved with administration of doxycycline and the patient with hemorrhagic fever<br>with<br>renal syndrome spontaneously improved.<br>

제 목		급성 충수염으로 오인하여 충수 절제술을 시행한 쯔쯔가무시병 1예와 출혈성 신증후군 1예

저 자		서정필1, 김영옥1, 최윤석1, 김은일1, 윤선애1, 채현석1, 송선화2, 김남일3, 유승진3

소 속		서정필1/가톨릭대학교 의과대학 내과학교실1 , 김영옥1/가톨릭대학교 의과대학 내과학교실1 , 최윤석1/가톨릭대학교 의과대학 내과학교실1 , 김은일1/가톨릭대학교 의과대학 내과학교실1 , 윤선애1/가톨릭대학교 의과대학 내과학교실1 , 채현석1/가톨릭대학교 의과대학 내과

출판정보		대한대장항문학회지 2000 \| 16권 6호 474 ~ 477, 4 pages

키워드		쯔쯔가무시병; 출혈성 신증후군; 충수염; 복통; Tsutsugamushi disease; Hemorrhagic fever with renal syndrome; Abdominal pain; Acute appendicitis;