폐렴을 의심하여 Levofloxacin과 Amikacin을 사용 후 일시적 호전을 보여 진단이 늦어진 폐결핵 1예

Lee, H.S.; Kang, Y.A.; Oh, J.Y.; Lee, J.H.; Yoo, C.G.; Lee, C.-T.; Kim, Y.W.; Han, S.K.; Shim, Y.-S.; Yim, J.-J.

doi:10.4046/trd.2003.55.4.395

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폐렴을 의심하여 Levofloxacin과 Amikacin을 사용 후 일시적 호전을 보여 진단이 늦어진 폐결핵 1예 : vA Case of Pulmonary Tuberculosis with Delayed Diagnosis Due to the Temporary Clinical Improvement after Use of Levofloxacin and Amikacin under the Impression of Community Acquired Pneumonia

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Authors: Lee, H.S.; Kang, Y.A.; Oh, J.Y.; Lee, J.H.; Yoo, C.G.; Lee, C.-T.; Kim, Y.W.; Han, S.K.; Shim, Y.-S.; Yim, J.-J.

Issue Date: 2003-10

Publisher: 대한결핵및호흡기학회

Citation: Tuberculosis and Respiratory Diseases, Vol.55 No.4, pp.395-401

Abstract: Fluoroquinolone is one of the first-line antibiotics recommended for treating community-acquired pneumonia. However, using fluroquinolones for presumptive community-acquired pneumonia can delay the diagnosis and the treatment of pulmonary tuberculosis because of its strong activity against mycobacteria. Here, we report a case of a 54-year-old female taking immunosuppressants after a renal transplant whose diagnosis of pulmonary tuberculosis was delayed as a result of the use of levofloxacin and amikacin under the original impression of community-acquired pneumonia. This case suggests that clinicians should consider the possibility of pulmonary tuberculosis in the case of a partial response of the pneumonia to flouroquinolones and/or aminoglycosides.