Rivera-Rivera R, Ramírez-Rivera J
Pulmonary Disease Section, San Juan Veterans Administration Medical Center.
Bol Asoc Med P R. 1992 Jan;84(1):9-10.
Infected bullae are seldom diagnosed. They are frequently confused with pulmonary abscess. We present a case with a characteristic evolution. Bullae were identified previous to the infection. The illness developed gradually with scanty sputum, pleuritic pain and finally a febrile illness. Fever abated 48 hours after initiating two weeks of therapy with intravenous Clindamycin and Amikacin. As it is commonly seen, radiographic resolution was slow but it was complete in 8 weeks. Recognition of infected bullae is important to avoid inappropriate diagnostic or therapeutic interventions.
感染性大疱很少被诊断出来。它们常与肺脓肿相混淆。我们报告一例具有典型病程演变的病例。在感染前已发现大疱。病情逐渐发展，伴有少量痰液、胸膜炎性疼痛，最终发展为发热性疾病。在开始静脉注射克林霉素和阿米卡星进行两周治疗后48小时，发热消退。正如常见的那样，影像学上的消退缓慢，但在8周内完全消退。认识到感染性大疱对于避免不恰当的诊断或治疗干预很重要。
