중증 재생불량성빈혈 환자에서 발생한 폐렴막대균 췌장농양

A 76-year-old woman with severe aplastic anemia was admitted because of a fever, chill and low blood pressure. She was diagnosed as aplastic anemia twelve years ago, and had been managed by supportive cares including transfusion. On admission, she complained of a mild fever up to 37.8℃ with a chill, generalized myalgia, and abdominal pain. A computed tomographic (CT) scan of the abdomen and pelvis showed abscesses in the head and tail of the pancreas. Cultures of the aspirated fluid from the tail abscess grew Klebsiella pneumoniae. Owing to the ultrasound-guided percutaneous drainage of the abscesses and aggressive antibiotic therapy, the abscesses were resolved. The present case demonstrated that pancreatic abscess which causes an abdominal pain may develop during sepsis in aplastic anemia, and that the abscess can be resolved by percutaneous drainage and treatment with antibiotics.