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KMID : 0378119760030020248
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Chungnam Medical Journal
1976 Volume.3 No. 2 p.248 ~ p.254
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Clinical Observation on Pneumonia Like Disease
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李柱泰/Lee, Joo Tae
朴環和/金永健/徐正燉/李復熙/Park, Kyung Hwa/Kim, Young Kun/Sue, Jong Don/Lee, Bok Hee
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Abstract
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During about 3 months of duration from October to December 1975, we have seem fifteen cases of pneumonia like diesase with unknown etiology. The patients had suffered from abruptly started high fever with chill and generalized myalgia, then succeeded by cough with bloody sputum, dyspnea and rapidly fell into shock state. They had peculiar diffuse infiltrative lesion on the chest x-ray film. The clinical course was very fast and terminated within 10´ days of hospitalization.
A clinical observation of the patients was performed and results were summarizeds as follows:
1) The patients came from several part of Chungnam, Chungbuk, Kyongbuk and-Chonbuk province where located near to Daejeon city.
2) Majority of patient were middle aged and male patients were predominant as 12:3.
3) Major clinical symptoms were high fever with chill, generalized myalgia, cough,. hemoptysis, dyspnea, shock, hypotension and hepatomegaly in order of frequency.
4) A noticeable laboratory data were anemia, neutrophilic leucocytosis and protei-nuria in the begining and elevation of S-GOT and S-GPT value. The sputum examination revealed no significant result.
5) The x-ray chest study was most important diagnostic procedure of the disease. The findings include diffuse bilateral infiltrations which consist of fine granular, nodular, reticular appearance and partly intermixed. Few cases showed rosette shadow-
and air bronchogram.
6) Clinical course was very fast. Two cases were succumbed to a acute respiratory failure. Remaining 13 cases were recovered comeletely within 10 days of hospitaliz-ation. In recovered cases there were no residual symptoms and relapse.
7) Few cases were confused with Korean hemorrhagic fever associated with pulmo-nary edema or hemorrhage because of epidemiological coincidene and some resemblance in symptoms.
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KEYWORD
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