双下肺隐球菌肺炎1例

发布时间：2018-06-17 03:37

本文选题：双下肺 + 隐球菌　；参考：《实用医学杂志》2016年20期

【摘要】：正患者女,26岁,学生。因"咳嗽伴左侧胸痛10 d",于2016年4月8日来我院就诊。患者诉10d前无明显诱因出现咽部不适,咳嗽咳痰,痰中带血,左侧胸痛,未见发热、畏寒、寒战等不适。既往体健,有接触霉变粉尘史。查体:右下肺呼吸音偏低,两肺未闻及干、湿Up音。反复行痰细菌、真菌涂片及培养均为阴性,多次痰涂片找抗酸杆菌为阴性。血常规:白细胞计数6.22×10~9/L,嗜中性粒细胞百分比:54.50%。红细胞沉降率:35mm/h。根据检查结果及外院胸部CT结果:双下肺斑片状实变,诊断考虑:细菌性肺炎。给予阿奇霉素及哌拉西林钠舒巴坦钠治疗后,疗效不佳。4月14日查胸部CT提
[Abstract]:The patient is 26 years old, a student. The patient came to our hospital on April 8, 2016 because of "cough with left chest pain for 10 days". There were no obvious causes of pharyngeal discomfort, cough and sputum, blood in sputum, left chest pain, no fever, chills, shivers and so on. Previous health, exposure to mildew dust history. Body check: lower right lung respiratory tone is low, both lungs do not smell and dry, wet up sound. Repeated sputum bacteria, fungal smears and culture were negative, and repeated sputum smears were negative for acid-fast bacilli. Blood routine: leukocyte count 6.22 脳 10 ~ 9 / L, neutrophil percentage: 54.50%. The erythrocyte sedimentation rate was 1: 35 mm / h. According to the results of examination and chest CT of our hospital, the diagnosis of bacterial pneumonia was considered. Azithromycin and piperacillin sodium sulbactam sodium treatment, the efficacy is not good. 14 April check chest CT lifting
【作者单位】：暨南大学附属第一临床医学院;
【基金】：国家自然科学基金青年基金项目(编号:81302030)
【分类号】：R519.4

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