find
Keyword
"肺奴卡菌病" 4 results
-
臨床資料 患者男性, 43 歲, 務工。因“咳嗽、咳痰、發熱1 個多月, 加重1 周”于2012 年11 月18日入院。患者主要表現為受涼后出現咳嗽、咳大量黃色膿痰、發熱( 初始38 ～39 ℃, 之后進展至39 ～41 ℃) 。因院外反復抗生素治療后癥狀無緩解入我院。病后精神睡眠差, 體溫升高后進食差, 大小便未見異常, 體重明顯減輕。既往史: 1 年前因水腫、血尿、蛋白尿于外院診斷“腎炎”, 2 個多月前開始“口服強的松60 mg”, 此次病后逐漸減量至入院前6 d停藥。吸煙指數10 包年, 30 年飲酒史( 250 g/ d) 。否認冶游史, 婚育、家族史無特殊。......
Release date：2016-09-13 03:50
Export
PDF
Favorites
Scan
-
ObjectiveTo investigate the clinical features of patients who went through Nocardia co-infection with Aspergillus in lung.MethodsClinical data of 3 pulmonary nocardiosis patients complicated with aspergillosis from China-Japan Hospital during June 2015 and May 2016 were retrospectively analyzed. Nine related literatures found at PubMed were reviewed and they all were case report. No Chinese literature was found at Wanfang data and Chinese Journal Fulltext Database.ResultsAll of the 3 patients were diagnosed as pulmonary nocardiosis by etiological detection, at the same time meeting the diagnostic criteria of invasive pulmonary aspergillosis. Two cases were infected with Aspergillus fumigatus. Aspergillus was not detected in the third case, but the galactomannan of serum and bronchoalveolar lavage fluid significantly increased.ConclusionPulmonary nocardiosis complicated with aspergillosis trends to occur in immunocompromised patients, and pathogen detection is important for diagnosis.
Release date：2018-07-23 03:28
Export
PDF
Favorites
Scan
-
臨床資料 患者女性, 40 歲, 無業。因“發熱、咳嗽、咳痰4 個月, 加重伴胸痛1 個月”于2008 年6月23 日入院。既往史: 確診為“皮肌炎”8 個月并先后應用環磷酰胺、甲氨蝶呤, 同時規律口服潑尼松并逐漸減量治療。入院前4 個月無明確誘因出現間斷性發熱, 體溫最高39. 6 ℃, 咳嗽、咳黃痰, 有時痰中帶血絲。1 個月前上訴癥狀加重, 伴有右胸痛, 到皮膚科就診, 其時每日頓服潑尼松20 mg。考慮為皮肌炎( 活動期) 、社區獲得性肺炎( 雙側) , 先后給予多種抗生素( 哌拉西林舒巴坦、替硝唑、左氧氟沙星、頭孢哌酮舒巴坦) 抗感染治療, 并加大糖皮質激素用量為潑尼松每日40 mg 頓服。仍持續高熱、咳嗽、咳痰, 遂就診于呼吸內科。......
Release date：2016-09-13 03:50
Export
PDF
Favorites
Scan
-
該文報道了一例患有痛風、糖尿病等多種疾病的高齡男性患者，院外診斷涂陽敏感肺結核并給予抗結核治療，但呼吸困難癥狀加重、肺部影像學未改善。多學科討論認為患者系免疫受損宿主，不排除合并細菌、真菌及特殊病原體感染，因此選擇敏感抗生素治療并合用奧司他韋和磺胺覆蓋病毒及卡氏孢子菌、奴卡菌等病原體。痰菌延長培養發現皮疽奴卡菌生長，證實患者系肺結核合并肺奴卡菌病，經上述治療患者呼吸衰竭好轉。
Release date：2018-08-20 02:24
Export
PDF
Favorites
Scan
