Bates Anthony Simon, Natarajan Manjula, Reddy Raja Vongala
Surgical Sciences MSc Student, University of Oxford.
Departmemt of Microbiology, Kettering Hospital, Kettering, UK.
BMJ Case Rep. 2018 Nov 28;11(1):e211610. doi: 10.1136/bcr-2015-211610.
This is the first case in the English language describing in a patient with idiopathic bronchiectasis. A 66-year-old man with bronchiectasis presented with shortness of breath to the emergency department of our institution, a district hospital in the UK. His medications included long-term supplemental oxygen therapy and prophylactic azithromycin. Following 2 days admission to the respiratory unit, his saturations significantly deteriorated, and the patient was admitted to intensive care with type II respiratory failure. Following a week of intubation and ventilation, multidrug resistant was isolated from the tracheal aspiration secretions. The patient recovered after receiving targeted intravenous antimicrobial therapy.
这是英文文献中首例描述特发性支气管扩张症患者的病例。一名66岁的支气管扩张症男性因呼吸急促到英国一家区级医院(即我们所在的机构)急诊科就诊。他的用药包括长期补充氧气治疗和预防性使用阿奇霉素。在呼吸科病房住院2天后,他的血氧饱和度显著恶化,该患者因II型呼吸衰竭被收入重症监护病房。经过一周的插管和通气治疗后,从气管吸出分泌物中分离出多重耐药菌。患者在接受针对性静脉抗菌治疗后康复。