Ishiguro Takashi, Hirota Shuko, Kobayashi Yasuhito, Takano Kenji, Kobayashi Yoichi, Shimizu Yoshihiko, Takayanagi Noboru
Departments of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Japan.
Departments of Pathology, Saitama Cardiovascular and Respiratory Center, Japan.
Intern Med. 2020 Feb 1;59(3):421-424. doi: 10.2169/internalmedicine.3583-19. Epub 2019 Oct 7.
A 70-year-old woman was admitted to our hospital for dyspnea and a fever of 2 weeks duration. Chest imaging showed bilateral infiltration, and a rapid diagnostic test for influenza virus, Mycoplasma pneumoniae, Streptococcus pneumoniae, and Legionella spp. was negative. She was intubated and mechanically ventilated and underwent bronchoalveolar lavage. Bronchoalveolar lavage fluid yielded no significant pathogens, and the multiplex polymerase chain reaction test was positive only for human bocavirus. Specific antibodies against significant pathogens were not increased in paired sera, so we diagnosed her with primary human bocavirus pneumonia.
一名70岁女性因呼吸困难和持续2周的发热入住我院。胸部影像学显示双侧浸润，对流感病毒、肺炎支原体、肺炎链球菌和嗜肺军团菌进行的快速诊断检测均为阴性。她接受了气管插管和机械通气，并接受了支气管肺泡灌洗。支气管肺泡灌洗液未检出重要病原体，多重聚合酶链反应检测仅对人博卡病毒呈阳性。配对血清中针对重要病原体的特异性抗体未升高，因此我们诊断她为原发性人博卡病毒肺炎。
