Pediatric Infection and Vaccine

  • 제21권1호
  • /
  • Pages.65-70
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  • 2014
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  • 2384-1079(pISSN)
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  • 2384-1087(eISSN)
대한소아감염학회 (The Korean Society of Pediatric Infectious Diseases)
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신생아에서 혈뇨와 폐렴이 동반된 선천 매독 1례

Congenital Syphilis: An Uncommon Cause of Gross Hematuria, Skin Rash, and Pneumonia

  • 심선희 (가톨릭대학교 의과대학 소아과학교실) ;
  • 김주영 (가톨릭대학교 의과대학 소아과학교실) ;
  • 이의경 (가톨릭대학교 의과대학 소아과학교실) ;
  • 방경원 (가톨릭대학교 의과대학 소아과학교실) ;
  • 조경순 (가톨릭대학교 의과대학 소아과학교실) ;
  • 이주영 (가톨릭대학교 의과대학 소아과학교실) ;
  • 서진순 (가톨릭대학교 의과대학 소아과학교실) ;
  • 빈중현 (가톨릭대학교 의과대학 소아과학교실) ;
  • 김현희 (가톨릭대학교 의과대학 소아과학교실) ;
  • 이원배 (가톨릭대학교 의과대학 소아과학교실)
  • Shim, Sun Hee (Department of Pediatrics, Medical College, The Catholic University of Korea) ;
  • Kim, Ju Young (Department of Pediatrics, Medical College, The Catholic University of Korea) ;
  • Lee, Eu Kyoung (Department of Pediatrics, Medical College, The Catholic University of Korea) ;
  • Bang, Kyongwon (Department of Pediatrics, Medical College, The Catholic University of Korea) ;
  • Cho, Kyoung Soon (Department of Pediatrics, Medical College, The Catholic University of Korea) ;
  • Lee, Juyoung (Department of Pediatrics, Medical College, The Catholic University of Korea) ;
  • Suh, Jin-Soon (Department of Pediatrics, Medical College, The Catholic University of Korea) ;
  • Bin, Joong Hyun (Department of Pediatrics, Medical College, The Catholic University of Korea) ;
  • Kim, Hyun Hee (Department of Pediatrics, Medical College, The Catholic University of Korea) ;
  • Lee, Won Bae (Department of Pediatrics, Medical College, The Catholic University of Korea)
  • 투고 : 2013.09.03
  • 심사 : 2013.10.15
  • 발행 : 2014.04.25
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초록

선천성 매독은 산전진찰로 예방할 수 있음에도 불구하고, 여전히 문제가 되고 있다. 최근에는 선천성 매독과 관련된 혈뇨나 폐렴이 보고된 증례가 없었으나 저자들은 적절한 산전치료를 받지 못한 산모에게서 태어난 22일된 남아에게서 발생한 선천성 매독에 동반된 신증후군과 폐렴의 증례를 보고한다. 선천 매독의 진단은 혈청학적 검사로 확진하였고, 환아는 페니실린 G 치료를 받고 회복되었다. 신생아에게서 임상증상은 매우 불확실할 수 있어, 질환에 대한 인식이 지연 될 수 있다. 따라서 선천성 매독의 예방에는 철저한 산전관리가 필수적이다. 만약 산모가 적절한 산전진찰을 받지 않았을 경우에는 신속한 혈청학적 진단이 반드시 시행되어야 할 것이다.

Although congenital syphilis can be prevented with prenatal screening, the disease remains problematic. Currently, there are no cases that describe hematuria and pneumonia related to congenital syphilis. We report a case of congenital syphilis that involved nephrotic syndrome and pneumonia alba in a 22-day-old male infant whose mother did not receive adequate prenatal care. The congenital syphilis diagnosis was confirmed with a serologic test and the patient recovered with penicillin treatment. Clinical findings may be subtle in neonates and delayed recognition occurs frequently, thus complete prenatal screening is critical for congenital syphilis prevention. Immediate serologic testing should be performed to obtain a differential diagnosis if an infant is delivered by a mother that has not received appropriate prenatal examinations.

키워드

참고문헌

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피인용 문헌

  1. Congenital Syphilis Presenting with Only Nephrotic Syndrome: Reemergence of a Forgotten Disease vol.32, pp.8, 2017, https://doi.org/10.3346/jkms.2017.32.8.1374