보존적 치료로 완치된 다발성 폐동맥 가성동맥류: Streptococcus anginosus 패혈증 후 발생한 증례

보존적 치료로 완치된 다발성 폐동맥 가성동맥류: Streptococcus anginosus 패혈증 후 발생한 증례

Resolving with conservative management of multiple mycotic pulmonary artery pseudoaneurysms: an unusual complication of Streptococcus anginosus sepsis

(포스터):媛
Release Date : 2014. 10. 24(금)
Hyun Joo Jung1, June Dong Park1,2, Gi Beom Kim1, Eun Hwa Choi1,2 , Hoan Jong Lee1,2
Seoul National Univesity Children's Hospital Department of Pediatrics1
Seoul National University College of Medicine Department of Pediatrics2
정현주1, 박준동1,2, 김기범1, 최은화1,2 , 이환종1,2
서울대학교 어린이병원 소아청소년과1
서울대학교 의과대학 소아청소년과2

Abstract

Mycotic pulmonary artery pseudoaneurysms ( PAPs) are rare but potentially fatal complications of infective disease in childhood. A 14-year-old boy with no specific past history presented with toxic shock syndrome and septic lung due to Streptococcus anginosus and subsequent pseudoaneurysms formation of the pulmonary artery while convalescing from sepsis. Contrasted computed tomography (CT) of the pulmonary and bronchial vasculature undertaken for investigation for complication of septic lung revealed multiple large PAPs in both lungs. He did not have hemoptysis or chest pain during a prolonged hospital stay and follow-up. The patient was managed conservatively with prolonged oral as well as intravenous antibiotics. Several multi-slice examinations were performed to follow these aneurysms over a period of 4 months. The PAPs were shown to start regression from the 3 weeks post-development and have been regressed almost completely at 4 months after the diagnosis.

Keywords: pulmonary artery , pseudoaneurysms, Streptococcus anginosus