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급성 A형 간염에 동반된 양측 흉수 1례

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Author(s)
정장한이태희나운태양정경구훈섭김광일강영우
Journal Title
Keimyung Medical Journal
Issued Date
2010
Volume
29
Issue
2
Keyword
BilateralHepatitis APleural effusion
Abstract
Acute hepatitis A has many complications, but bilateral pleural effusion is a very rare
complication. Twenty seven year-old woman was admitted with complaints of general weakness and dyspnea. On admission, both decubitus view of chest radiograph showed pleural fluid accumulation and laboratory findings were as follows: AST/ALT 6,285/5,092 IU/L, total/direct bilirubin 5.29/3.25 mg/dL, anti-HAV IgM (+). We performed diagnostic thoracentesis, but she complained of more aggravated dyspnea on the seventh day of hospitalization. Chest radiograph also showed more aggravated pleural fluid accumulation. We did therapeutic thoracentesis and
prescribed diuretics for seven days. On the fifteenth day of hospitalization, her general condition was much improved and chest radiograph revealed no pleural effusion. Laboratory findings were also improved: AST/ALT 94/22 IU/L, total bilirubin 14.92 mg/dL. This is a rare case of bilateral pleural effusion associated with acute hepatitis A treated by thoracentesis and diuretics.
Alternative Title
A Case of Bilateral Pleural Effusion Associated with Acute Hepatitis A
Publisher
Keimyung University School of Medicine
Citation
정장한 et al. (2010). 급성 A형 간염에 동반된 양측 흉수 1례. Keimyung Medical Journal, 29(2), 152–157.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15509
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2010
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