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KMID : 0878220130250040432
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Journal of Sasang Constitutional Medicine
2013 Volume.25 No. 4 p.432 ~ p.441
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A Case Study of Metastatic Cholangiocarcinoma with Sepsis who Showed Symptomatic Improvement after Treated with Handayeolso-tang, Fel Tauri,and Antibiotics
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Lee Soo-Min
Choi Seong-Heon
Song An-Na
Lee Ji-Young
Chae Jin
Jung Eu-Hong
Lee Soo-Kyung
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Abstract
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Objectives: Despite the treatment with antibiotics, patients with sepsis has a high mortality (80%) in the underlying disease group. The aim of this study was to report the improvement of septic condition of the cholangiocarcinoma patient after the treatment with Handayeolso-tang, Fel Tauri, and antibiotics.
Methods: We retrospectively reviewed the medical records. The patient’s subjective symptoms such as chilling and abdominal pain were evaluated by NRS and the performance status was evaluated by ECOG. This case was literally compared with relevant published studies on prognosis of sepsis.
Results : Despite poor prognostic factor(MEDS score 18), the patient’s symptoms such as fever, chilling, abdominal pain, and diarrhea and ECOG(Eastern Cooperative Oncology Group) improved. The patient was hemodynamically stabilized on 3rd day from the treatment, and her laboratory test results were normalized on 7th day.
Conclusions: A female patient of metastatic cholangiocarcinoma came to the hospital for cholangitis, later causing septic shock. Both her symptoms and laboratory tests showed significant improvement after the treatment of antibiotics, Handayeolso-tang and Fel Tauri. To our knowledge, this is the first case reporting the synergistic combination of Korean oriental medicine and Western medicine approaching to sepsis.
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KEYWORD
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Cholangiocarcinoma, Sepsis, Septic shock, Fever, Chilling, Handayeolso-tang.
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