Yu Hong-Xia, Zhao Mao-Mao, Pu Zeng-Hui, Wang Yun-Qiang, Liu Yan
Department of Infectious Diseases, Yantai Yuhuangding Hospital Yantai 264000, Chin.
Int J Clin Exp Med. 2015 Oct 15;8(10):19051-7. eCollection 2015.
The aim of this study was to investigate the characteristics of clinical manifestations, laboratory tests and imaging changes of community-acquired adenovirus pneumonia in immunocompetent adults. A retrospective study was performed on 19 adult community-acquired adenovirus pneumonia cases in Yantai, whereby the clinical data were collected and analyzed. Of 19 cases, 14 (73.68%) had fever and 17 (89.47%) had cough symptoms. Moreover, 14 cases (73.68%) had normal white blood cell counts, while 11 cases (57.89%) exhibited a reduction in lymphocyte proportion. Among the 19 cases, 17 cases exhibited lesions in a single lung, while 2 cases involved bilateral lungs. The lesions predominantly exhibited ground glass-like changes. The clinical manifestations of adult community-acquired adenovirus pneumonia patients with normal immune functions were mild, with such presenting symptoms as fever, cough, and sputum; most patients did not exhibit high levels of white blood cells or low lymphocyte counts, and the imaging features (ground glass-like effusion) were indicative of single-lung involvement.
本研究旨在探讨免疫功能正常的成人社区获得性腺病毒肺炎的临床表现、实验室检查及影像学变化特点。对烟台19例成人社区获得性腺病毒肺炎病例进行回顾性研究，收集并分析临床资料。19例中，14例（73.68%）有发热，17例（89.47%）有咳嗽症状。此外，14例（73.68%）白细胞计数正常，11例（57.89%）淋巴细胞比例降低。19例中，17例表现为单肺病变，2例累及双侧肺。病变主要表现为磨玻璃样改变。免疫功能正常的成人社区获得性腺病毒肺炎患者临床表现较轻，主要症状为发热、咳嗽、咳痰；多数患者白细胞计数不高或淋巴细胞计数不低，影像学特征（磨玻璃样渗出）提示单肺受累。
