Rau M, Heinz W, Ullmann A J
Universitätsklinikum Würzburg, Medizinische Klinik II, Würzburg, Deutschland.
Dtsch Med Wochenschr. 2014 Oct;139(44):2239-41. doi: 10.1055/s-0034-1387312. Epub 2014 Oct 21.
A 53-year-old male presents with progressive cough and subfebrile temperatures with a history of COPD and post one-year allogeneic hematopoietic stem cell transplantation.
No pathogenic agent was identified in virological and microbiological diagnostic testings of sputum. At bronchoscopy a half peanut was retrieved from the right main bronchus.
After recovery of the peanut the patient's symptoms immediately improved.
Even in adults, with high risk of infectious pneumonia a foreign body aspiration should be considered if pulmonary symptoms worsen.
一名53岁男性,有慢性阻塞性肺疾病(COPD)病史且在接受异基因造血干细胞移植一年后,出现进行性咳嗽和低热。
痰液的病毒学和微生物学诊断检测未发现病原体。在支气管镜检查时,从右主支气管取出了半颗花生米。
取出花生米后,患者症状立即改善。
即使是成年人,在有感染性肺炎高风险的情况下,如果肺部症状恶化,也应考虑异物吸入。