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1 2 W.T T.S.

2

3

4 WBC7400/µl, RBC /µl, Hb 11.6 g/dl, Ht 36.2%, PLT /µl AST 19 IU/l, ALT 11 IU/l, LDH 182 IU/l, BUN 15 mg/dl, Cr 0.54 mg/dl, CRP6.83 mg/dl, RF 353.9IU/ml, CCP 28.0IU/ml PR3-ANCA 1.0EU, MPO-ANCA 1.0EU β-d

5 CT

6 CT 2

7 2~5cm S1S6 2

8

9 l l l l

10 GPA

11 PCR + GPC1+ normal flora 1+ GPC/GPR 1+ normal flora 1+ +

12 RA 1 RA 10mg BAL L-AMB 2 BAL

13 CT PSL 1

14

15

16 RA A Rare Cause of Multiple Cavitary Nodules, Rubal Patel MD et al. CHEST 2009; 136:

17 RACT 98% GGO 91% % 37% 13% Rheumatoid Arthritis-related Lung Diseases: CT findings, Nobuyuki Tanaka, MD et al. Radiology 2004; 232: 81-91

18 RA UIP(41%) NSIP(30%) OP(8%) (17%) DAD(1.5%) LIP(1.5%) Radiology 2004; 232: 81-91

19 RA

20 RA 1 RF ormm 7cm A Rare Cause of Multiple Cavitary Nodules, Rubal Patel MD et al. CHEST 2009; 136:

21 RA and/or A Rare Cause of Multiple Cavitary Nodules, Rubal Patel MD et al. CHEST 2009; 136:

22 Wegener RA

23 or feeding vessel sign 5%

24 0.5 8cm Air bronchogram CT angiogram sign Unusual Primary Lung Tumors: A Radiologic-Pathologic Overview1, Ana Giménez, MD et al, May 2002 RadioGraphics, 22,

25 S1 Tuberculosis from Head to Toe1:Mukesh G. Harisinghani, MD et al, March 2000 RadioGraphics, 20,

26 GGA CT halo sign air-crescent sign Best Cases from the AFIP: Hai H. Kenney, DO et al, November 2002 RadioGraphics, 22,

27 6mm~2cm Pulmonary Cryptococcosis: CT Findings in Immunocompetent Patients1: Rebecca M. Lindell, MD et al, July 2005 Radiology, 236,

28 or mass like shadow (10 ) air space consolidation low attenuation area LAA

29 or 1cm Pulmonary Sarcoidosis: Typical and Atypical Manifestations at High-Resolution CT with Pathologic Correlation1: Eva Criado, MD et al, October 2010 RadioGraphics, 30,

30 Granulomatosis with polyangitis GPA or 5mm 10cm CT halo sign feeding vessel sign Common and Uncommon Manifestations of Wegener Granulomatosis at Chest CT: Radiologic-Pathologic Correlation: Felipe Martinez, MD et al, January 2012 RadioGraphics, 32,

31 or0.5 3cm Feeding vessel sign(67 100%) 18% or 58% 15% 5% Pulmonary Infections in Immunocompromised Hosts: The Importance of Correlating the Conventional Radiologic Appearance with the Clinical Setting1 Yu Whan Oh, MD et al, December 2000 Radiology, 217,

32 RA RA

33 Rheumatoid Arthritis-related Lung Diseases: CT findings, Nobuyuki Tanaka, MD et al. Radiology 2004; 232: A Rare Cause of Multiple Cavitary Nodules, Rubal Patel MD et al. CHEST 2009; 136: Cystic and Cavitary Lung Diseases: Focal and Diffuse, Jay H. Ryu, MD et al. Mayo Clinic Proceedings, 2003; 78: Pulmonary Angiitis and Granulomatosis: Radiologic-Pathologic Correlation: Aletta Ann Frazier, MD et al. Radiographics, 1998; 18-3: The Radiologic Differential Diagnosis of Diffuse Lung Diseases Characterized by Multiple Cysts or Cavities, Kyung-Hee Lee et al.journal of Computer Assisted Tomography, 2002; 26(1):5-12 Pulmonary cryptococcus: CT findings in immunoconpetent patients, Rebecca M. Lindell, MDat al. Radioly 2005, 236: ,, 2006 HRCT, /W. Richard Webb et.al, 2010

37, 9-14, 2017 : cefcapene piperacillin 3 CT Clostridium difficile CD vancomycin CD 7 Clostridium difficile CD CD associate

37, 9-14, 2017 : cefcapene piperacillin 3 CT Clostridium difficile CD vancomycin CD 7 Clostridium difficile CD CD associate 37, 9-14, 2017 : 36 2015 8 6 cefcapene piperacillin 3 CT Clostridium difficile CD vancomycin 20 1983 2016 3 CD 7 Clostridium difficile CD CD associated diarrhea : CDAD CD 1,2 PPI 3 1 36 33 2015 8 6 5 5

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