Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Superior Vena Caval Syndrome Due to Tuberculous Lymphadenitis

결핵성 림프절염에 의한 상대정맥증후군 1예

  • Kim, Sung Eun (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Chang Hwan (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Park, Yong Bum (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Lee, Jae Young (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Cho, Sung Jin (Department of Diagnostic Pathology, Hallym University College of Medicine) ;
  • Shin, Hyung Sik (Department of Diagnostic Pathology, Hallym University College of Medicine) ;
  • Yoon, Young Chul (Departments of Radiology Sungkyunkwan University School of Medicine)
  • 김성은 (한림대학교 의과대학 내과학교실) ;
  • 김창환 (한림대학교 의과대학 내과학교실) ;
  • 박용범 (한림대학교 의과대학 내과학교실) ;
  • 이재영 (한림대학교 의과대학 내과학교실) ;
  • 조성진 (한림대학교 의과대학 병리학교실) ;
  • 신형식 (한림대학교 의과대학 병리학교실) ;
  • 윤영철 (성균관대학교 의과대학 영상의학교실)
  • Received : 2004.06.15
  • Accepted : 2004.08.15
  • Published : 2004.10.30
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Abstract

Superior vena cava syndrome(SVCS) is most often encountered in patients with malignancies. Tuberculosis is nowadays an uncommon cause of SVCS. We report the case of a patient who presented with respiratory symptoms accompanied by SVCS due to tuberculous lymphadenitis. Treatment was instituted with isoniazid, rifampicin, pyrazinamide and ethambutol, and all symptoms disappeared. To our knowledge, no case of SVCS provoked by tuberculous lymphadenitis has been described previously in Korea.

저자들은 기침을 주소로 내원하여 우측 종격동 종괴로 인한 상대정맥증후군을 보였으며 비디오 흉강경을 이용한 종괴의 조직검사와 조직에서의 항산균 도말검사 양성으로 결핵성 림프절염으로 진단하고 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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