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成功治疗一名患有肺部感染并伴有机化性肺炎的急性呼吸衰竭患者。

Successful treatment of acute respiratory failure in a patient with pulmonary infection accompanied by organizing pneumonia.

作者信息

Hong Goohyeon, Kim Doh Hyung, Kim Youn Seup

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.

出版信息

J Thorac Dis. 2017 Jun;9(6):E560-E564. doi: 10.21037/jtd.2017.05.51.

DOI:10.21037/jtd.2017.05.51
PMID:28740697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5506154/
Abstract

Organizing pneumonia (OP) is an inflammatory lung disease characterized pathologically by the presence of buds of granulation tissue in the distal air spaces. There are numerous causes of OP including acute respiratory infections such as viral and bacterial infections. However, () has rarely been reported as a causative pathogen of OP. Here, we report a 67-year-old woman with rapidly progressive pulmonary infection who developed OP and acute respiratory failure (ARF). She was treated successfully with a corticosteroid and anti-mycobacterial therapy. Our observations suggest that pulmonary infection should be added to the list of infectious conditions associated with OP.

摘要

机化性肺炎(OP)是一种炎症性肺部疾病,其病理特征为远端气腔内存在肉芽组织芽。OP有多种病因,包括病毒和细菌感染等急性呼吸道感染。然而,()作为OP的致病病原体鲜有报道。在此,我们报告一名67岁女性,她患有快速进展性肺部感染,并发OP和急性呼吸衰竭(ARF)。她接受了皮质类固醇和抗分枝杆菌治疗,治疗成功。我们的观察结果表明,肺部感染应被列入与OP相关的感染性疾病清单。

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本文引用的文献

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Respirol Case Rep. 2015 Nov 12;3(4):128-31. doi: 10.1002/rcr2.135. eCollection 2015 Dec.
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Nontuberculous mycobacterial lung disease accompanied by organizing pneumonia.非结核分枝杆菌肺病伴机化性肺炎
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Organizing pneumonia and non-necrotizing granulomata on transbronchial biopsy: coexistence or bronchiolitis obliterans organizing pneumonia secondary to Mycobacterium kansasii disease.经支气管活检的机化性肺炎和非坏死性肉芽肿:共存或分枝杆菌病继发闭塞性细支气管炎机化性肺炎。
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Clin Infect Dis. 2011 Mar 1;52(5):565-71. doi: 10.1093/cid/ciq237.
5
Outcomes in patients with Mycobacterium abscessus pulmonary disease treated with long-term injectable drugs.分枝杆菌脓肿肺部疾病患者采用长期注射药物治疗的结果。
Respir Med. 2011 May;105(5):781-7. doi: 10.1016/j.rmed.2010.12.012. Epub 2011 Jan 5.
6
Clinical significance of differentiation of Mycobacterium massiliense from Mycobacterium abscessus.从脓肿分枝杆菌中区分马赛分枝杆菌的临床意义。
Am J Respir Crit Care Med. 2011 Feb 1;183(3):405-10. doi: 10.1164/rccm.201003-0395OC. Epub 2010 Sep 10.
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Monaldi Arch Chest Dis. 2009 Jun;71(2):76-80. doi: 10.4081/monaldi.2009.366.
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Bronchiolitis obliterans organizing pneumonia: pathogenesis, clinical features, imaging and therapy review.闭塞性细支气管炎伴机化性肺炎:发病机制、临床特征、影像学表现和治疗综述。
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