폐외 결핵농양 환자의 기관내 삽관 중 발견된 후두개결핵 의증

Epiglottic tuberculosis without pulmonary involvement is an uncommon disease that has rarely been described in Korea. We report here a case of a 36 year-old man with a recurrent tuberculosis abscess in his thigh. He had been treated with steroids for systemic lupus erythematosus, and he suffered fro...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2009, 56(4), , pp.457-461
Main Authors: 송재격, Jae Gyok Song, 권민아, Min A Kwon
Format: Article
Language:Korean
Subjects:
Epiglottic tuberculosis
Extrapulmonary involvement
Immune suppression
마취과학
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Summary:Epiglottic tuberculosis without pulmonary involvement is an uncommon disease that has rarely been described in Korea. We report here a case of a 36 year-old man with a recurrent tuberculosis abscess in his thigh. He had been treated with steroids for systemic lupus erythematosus, and he suffered from recurrent tuberculosis abscess in the thigh where he had received total hip replacement arthroplasty. When inducing general anesthesia for incision and drainage, we noticed a destroyed epiglottis. After consultation with an otolaryngologist, we concluded that the patient has had epiglottic tuberculosis and precautions against tuberculosis infection were taken. The surgery ended without event. The patient recovered safely and was transferred from the operating room directly to the general ward. In this paper, we also discussed the epiglottic tuberculosis and precautions that were taken to prevent tuberculosis infection of the healthcare workers in the operating theater. (Korean J Anesthesiol 2009;56:457~61)
ISSN:2005-6419
2005-7563