다제내성 결핵환자에서 Prothionamide에 의한 급성 간염

The prevalence of multi-drug resistant tuberculosis (MDR-TB), which is resistant to isoniazid and rifampin, has been increasing in Korea. And the side effects of 2nd line anti-tuberculosis medications, including drug-induced hepatitis, are well known. Although prothionamide (PTH) is one of the most...

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Veröffentlicht in:Tuberculosis and respiratory diseases 2011-03, Vol.70 (3), p.251
Hauptverfasser: 박준범, Jun Beom Park, 박병훈, Byung Hoon Park, 손지영, Ji Young Son, 정지예, Ji Ye Jung, 김은영, Eun Young Kim, 임주은, Ju Eun Lim, 이상훈, Sang Hoon Lee, 이상국, Sang Kook Lee, 김송이, Song Yee Kim, 정원재, Won Jai Jung, 임승택, Seung Taek Lim
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container_end_page
container_issue 3
container_start_page 251
container_title Tuberculosis and respiratory diseases
container_volume 70
creator 박준범
Jun Beom Park
박병훈
Byung Hoon Park
손지영
Ji Young Son
정지예
Ji Ye Jung
김은영
Eun Young Kim
임주은
Ju Eun Lim
이상훈
Sang Hoon Lee
이상국
Sang Kook Lee
김송이
Song Yee Kim
정원재
Won Jai Jung
임승택
Seung Taek Lim
description The prevalence of multi-drug resistant tuberculosis (MDR-TB), which is resistant to isoniazid and rifampin, has been increasing in Korea. And the side effects of 2nd line anti-tuberculosis medications, including drug-induced hepatitis, are well known. Although prothionamide (PTH) is one of the most useful anti-TB medications and although TB medication-induced acute hepatitis is a severe complication, there are only a few published case reports about prothionamide induced hepatitis. In this case report, a 22 year old male was diagnosed with pulmonary MDR-TB and was administered 2nd line anti-TB mediations, including PTH. Afterwards, he had a spiking fever and his liver enzymes were more than 5 times greater than the upper limit of the normal range. He was then diagnosed with drug-induced hepatitis by liver biopsy. His symptoms and liver enzyme elevation were improved after stopping PTH. Accordingly, we report this case of an association between PTH and acute hepatitis.
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identifier ISSN: 1738-3536
ispartof Tuberculosis and respiratory diseases, 2011-03, Vol.70 (3), p.251
issn 1738-3536
2005-6184
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source KoreaMed Synapse; KoreaMed Open Access
subjects Hepatitis
Multidrug-Resistant
Prothionamide
Tuberculosis
title 다제내성 결핵환자에서 Prothionamide에 의한 급성 간염
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