류마티스관절염 환자에서 발생한 폐포자충 폐렴 1예A Case of Pneumocystis Jirovecii Pneumonia in a Patient with Rheumatoid Arthritis
- Other Titles
- A Case of Pneumocystis Jirovecii Pneumonia in a Patient with Rheumatoid Arthritis
- Authors
- 최은영; 김진옥; 김영삼; 윤호주; 전재범; 성윤경
- Issue Date
- Dec-2012
- Publisher
- 대한류마티스학회
- Keywords
- Pneumocystis jirovecii; Rheumatoid arthritis; Immunosuppressant
- Citation
- 대한류마티스학회지, v.19, no.6, pp.359 - 363
- Indexed
- KCI
- Journal Title
- 대한류마티스학회지
- Volume
- 19
- Number
- 6
- Start Page
- 359
- End Page
- 363
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/163942
- DOI
- 10.4078/jrd.2012.19.6.359
- ISSN
- 2093-940X
- Abstract
- We report a 67-year-old woman who developed Pneumocystis jirovecii pneumonia (PJP) as a complication of treatment with immunosuppressant, such as methotrexate and leflunomide, for rheumatoid arthritis. She had mild fever and non-productive cough, but there was neither symptoms of dyspnea nor typical X-ray findings at initial presentation. However, rapid progression on a chest X-ray, respiratory symptoms and findings of high-resolution chest computed tomography in a few days suggested a possibility of PJP infection. A polymerase chain reaction-based detection of Pneumocystis jirovecii in induced sputum allowed us an early diagnosis of PJP. Through a preemptive treatment with Trimethoprim-sulfamethoxazole, she fully recovered from PJP.
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