당뇨병 만성 콩팥병 환자에서 요로감염 패혈증과 연관된 무통성 급성 심근경색

• 영문명: Painless Acute Myocardial Infarction Associated with Urosepsis in Diabetic Chronic Kidney Disease
• 발행기관: 조선대학교 의학연구원
• 저자명: 김기준(Gi Jun Kim) 장경윤(Kyung Yoon Chang) 박훈석(Hoon Suk Park) 진동찬(Dong Chan Jin) 김형욱(Hyung Wook Kim)
• 간행물 정보: 『The Medical Journal of Chosun University』제39권 제3호, 179~183쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.09.30

영문 초록

A 72-year-old woman with diabetic chronic kidney disease visited the authors’ hospital with fever, dysuria, and left flank pain. She did not complain of typical angina upon her admission, however, given the presence of a new-onset left-bundle branch block, elevated cardiac enzymes, and documented E. coli septicemia, coronary angiography and percutaneous coronary interventions were performed for the mid-left anterior descending artery and the mid-to distal-right coronary artery. We should keep in mind that urosepsis in patients with diabetic chronic kidney disease, who are at high risk of cardiovascular disease, can be associated with painless acute myocardial Infarction.

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키워드

Urinary tract infection Sepsis Left-bundle branch block Myocardial infarction Percutaneous coronary intervention