| A Case of Cryptococcal Hepatitis. |
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Jeong Sik Park, Jae Song Kim, Dong Gwan Han, Duk Jin Yun |
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Department of Pediatrics, Yonsei University College of Medicine |
| Fulminant Hepatitis 를 誘發한 Cryptococcosis 治驗例 |
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朴正植, 金在松, 韓東觀, 尹德鎭 |
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延世大學校 醫科大學 小兒科學敎室 |
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| Abstract |
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A case of cryptococal hepatitis in a 4-year-old girl was presented with a brief review of the literature. She was admitted with the chief complaints of jaundice, abdominal pain, and semicomatose mental state. Treatment was started including dexamethasone under impression of fulminant hepatitis. During treatment massive G-I bleeding appeared which required eleven pints of blood and 20 days for control. Upper G-I series revealed duodenal ucer. And explolparotomy was performed because of free air in the peritoneum. Operative liver biopsy done at that time revealed many cryptococci in the biopsy tissue. Therefore we treated her with-5-fluorocytosine and the result was good. Follow-up of her for a year and half revealed that she was in here good general condition. Therefore we consider that secondary change in liver such as cirrhosis has not yet occurred in her. |
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