甲型H1N1流感病毒肺炎后囊性纤维化的偶然迟发诊断：一例报告
Incidental late diagnosis of cystic fibrosis following AH1N1 influenza virus pneumonia: a case report.
作者信息
Iadevaia Carlo, Iacotucci Paola, Carnovale Vincenzo, Calabrese Cecilia, Rea Gaetano, Ferrara Nicola, Perrotta Fabio, Mazzarella Gennaro, Bianco Andrea
机构信息
Department of Cardio-Thoracic and Respiratory Sciences, Second University of Naples - Monaldi Hospital, Via L Bianchi, 80131, Naples, Italy.
Regional Adult Cystic Fibrosis Centre Department of Translational Sciences, University of Naples "Federico II", Via Pansini, 80131, Naples, Italy.
出版信息
J Med Case Rep. 2017 Oct 1;11(1):278. doi: 10.1186/s13256-017-1430-0.
BACKGROUND
Cystic fibrosis is an autosomal recessive disorder characterized by chronic progressive multisystem involvement. AH1N1 virus infections caused classic influenza symptoms in the majority of cystic fibrosis patients while others experienced severe outcomes.
CASE PRESENTATION
We report a case of late incidental cystic fibrosis diagnosis in a young Caucasian man suffering from respiratory failure following infection due to AH1N1 influenza virus. The patient was admitted to our department with fever, cough, and dyspnea at rest unresponsive to antibiotics CONCLUSIONS: Late diagnosis of cystic fibrosis in uncommon. This report highlights the importance of early cystic fibrosis diagnosis to minimize risk of occurrence of potential life-threatening complications.
背景
囊性纤维化是一种常染色体隐性疾病，其特征为慢性进行性多系统受累。甲型H1N1流感病毒感染在大多数囊性纤维化患者中引发典型流感症状，而其他患者则出现严重后果。
病例报告
我们报告一例年轻白人男性患者，在感染甲型H1N1流感病毒后出现呼吸衰竭，最终偶然确诊为囊性纤维化。该患者因发热、咳嗽及静息时呼吸困难入院，使用抗生素治疗无效。
结论
囊性纤维化的晚期诊断并不常见。本报告强调了早期诊断囊性纤维化对于将潜在危及生命并发症的发生风险降至最低的重要性。
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