Kalai Umasankar, Hadda Vijay, Madan Karan, Arava Sudheer, Ali Firdaus, Jain Neetu, Mohan Anant
Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India.
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Lung India. 2015 Nov-Dec;32(6):651-4. doi: 10.4103/0970-2113.168106.
A 35-year-old lady was seen in the outpatient clinic owing to fever, cough with mucopurulent expectoration, and breathlessness for the duration of 1 month. She had history of similar episodes treated with antibiotics four times during last 2 years. There was no history of recurrent sinusitis, diarrhea, and skin or soft tissue infection. She had no history of diabetes mellitus or steroid intake. She denied any history of facial trauma or dental infection in the past. There was no history of tuberculosis in her or in the family. Radiograph and CT scan of the chest revealed right upper lobe consolidation. Flexible fibreoptic bronchoscopy revealed multiple nodules at opening of right upper lobe bronchus. This clinicopathological conference describes the details of differential diagnoses, difficulties in achieving the final diagnosis and management of such patient.
一名35岁女性因发热、咳嗽伴黏液脓性痰及气促1个月就诊于门诊。在过去2年中，她有过4次类似发作，均接受抗生素治疗。她没有复发性鼻窦炎、腹泻、皮肤或软组织感染史。她没有糖尿病史或使用类固醇药物史。她否认过去有面部外伤或牙科感染史。她本人及家族均无结核病病史。胸部X线片和CT扫描显示右上叶实变。可弯曲纤维支气管镜检查发现右上叶支气管开口处有多个结节。本次临床病理讨论会描述了鉴别诊断的细节、确诊的困难以及对此类患者的治疗。
