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[异基因造血干细胞移植后出现咳嗽和低热的慢性阻塞性肺疾病患者]

[Patient with COPD after allogeneic hematopoietic stem cell transplantation with cough and subfebrile temperature].

作者信息

Rau M, Heinz W, Ullmann A J

机构信息

Universitätsklinikum Würzburg, Medizinische Klinik II, Würzburg, Deutschland.

出版信息

Dtsch Med Wochenschr. 2014 Oct;139(44):2239-41. doi: 10.1055/s-0034-1387312. Epub 2014 Oct 21.

Abstract

HISTORY AND ADMISSION FINDINGS

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.

EXAMINATIONS

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.

TREATMENT AND COURSE

After recovery of the peanut the patient's symptoms immediately improved.

CONCLUSIONS

Even in adults, with high risk of infectious pneumonia a foreign body aspiration should be considered if pulmonary symptoms worsen.

摘要

病史及入院检查结果

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。

检查

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。

治疗及病程

取出花生米后,患者症状立即改善。

结论

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。

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