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一例肺炎患者肺部计算机断层扫描出现树芽征的罕见病因——首例临床病例报告及印度文献综述

an unusual cause of tree-in-bud pattern in a case of pneumonia on lung computed tomographic scan-first clinical case report and review of the literature from India.

作者信息

Dawar R, Nagarjuna D, Gupta R, Ghonge N P, Sardana R

机构信息

Department of Microbiology, India.

Ambedkar Centre for Biomedical Research (ACBR), University of Delhi, Delhi, India.

出版信息

New Microbes New Infect. 2016 Sep 10;14:69-72. doi: 10.1016/j.nmni.2016.09.005. eCollection 2016 Nov.

Abstract

A 62-year-old man with asthma sought care for intermittent fever, cough with expectoration, breathlessness and orthopnoea with grunting. Computed tomography revealed clusters of centrilobular nodules on both sides with a tree-in-bud appearance and mild diffuse bronchial wall thickening. Sputum sample grew pure colonies of which was confirmed by MALDI-TOF and 16SrRNA gene sequencing. A. ureae may be an additional bacteriologic causative agent of the tree-in-bud pattern on computed tomographic scan.

摘要

一名62岁的哮喘男性因间歇性发热、咳痰咳嗽、呼吸急促和端坐呼吸伴呼噜声前来就诊。计算机断层扫描显示双侧有小叶中心结节簇,呈树芽征,伴有轻度弥漫性支气管壁增厚。痰标本培养出纯菌落,经基质辅助激光解吸电离飞行时间质谱(MALDI-TOF)和16SrRNA基因测序证实。脲原体可能是计算机断层扫描上树芽征模式的另一种细菌病原体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/217b/5061073/9f0866c01c56/gr1.jpg

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