당뇨병성 족부궤양 환자에서 vancomycin에 의한 범혈구 감소증 1예 (A Case of Vancomycin-induced Pancytopenia in the Diabetic Patient with Infected Foot Ulcer)

서지정보

· 발행기관 : 대한당뇨병학회
· 수록지 정보 : Diabetes and Metabolism Journal / 30권 / 5호 / 403 ~ 407페이지
· 저자명 : 진흥용, 정수진, 박지현, 박태선, 백홍선

초록

저자들은 감염된 당뇨병성 족부 궤양 환자에서
vancomycin 사용 후 발생한 범혈구 감소증 환자를 경험하였
기에 이런 상황에 자주 접하는 내분비 의사들에게 주의와 함
께 항생제 사용의 신중함을 당부하기 위해 보고하는 바이다.

영어초록

Diabetic foot ulcer is a common complication in diabetic patients and the outcome of
foot ulcer depends on the severity of ulcer and combined infection such as osteomyelitis.
So antibiotics targeting Gram positive cocci including Staphylococcus aureus have been
used frequently. However, during the antibiotic therapy, diverse adverse reactions could
be happened including red man syndrome, chest pain, hypotension, thrombocytopenia,
neutropenia and drug eruption. Among these reactions, hematologic adverse events such
as pancytopenia are rare and it could be lethal if happened. This article reports a case
of pancytopenia associated with vancomycin in treating

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