Nasa Prashant, Yadav Rohit, Nagrani S K, Raina Sanjay, Gupta Ankur, Jain Shakti
Consultant and Coordinator, Department of Critical Care Medicine, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India.
Attending Consultant, Department of Critical Care Medicine, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India.
Indian J Crit Care Med. 2014 May;18(5):323-5. doi: 10.4103/0972-5229.132505.
We report a case of a 65-year-old female diagnosed with sever dengue fever. She started showing recovery from dengue fever with medical management. On day 6 of admission, she had leukocytosis, altered mental sensorium, and hemoptysis. Chest tomography showed air space consolidation with multiple nodules in the left upper and middle lobe sputum and bronchoalveolar lavage cultures were positive for Aspergillus flavus. The patient showed improvement with voriconazole and therapy was continued for 6 weeks.
我们报告一例65岁女性被诊断为重症登革热的病例。经过药物治疗，她开始从登革热中康复。入院第6天，她出现白细胞增多、意识改变和咯血。胸部断层扫描显示左上叶和中叶有气腔实变并伴有多个结节，痰液和支气管肺泡灌洗培养曲霉菌呈阳性。患者使用伏立康唑后病情好转，治疗持续了6周。
