Johansen Nina Järvelä, Hilberg Ole, Løkke Anders
Department of Internal Medicine, Horsens Regional Hospital, Sundvej 30, 8700, Horsens, Denmark.
Department of Medicine, Vejle Sygehus, Hospital Little Belt, Beriderbakken 4, 7100, Vejle, Denmark.
Respir Med Case Rep. 2020 Feb 9;29:101025. doi: 10.1016/j.rmcr.2020.101025. eCollection 2020.
A 50-year-old former smoker presented with recurrent pneumonia, fever and atypical chest pain on and off for a year and was treated with antibiotics several times. Meanwhile, her lung function deteriorated with an obstructive pattern and therefore she was treated with inhalation medication without effect. Tests of the heart, bronchoscopy, gastroscopy and a CT-scan of the lungs did not reveal the cause. Finally, an FDG-PET scan showed inflammation of the tissue on the backside of a 21-year-old silicone chest implant, which was intact but encapsulated. The chest implants were removed after which the patient has remained free of infections. However, the lung function impairment did not improve, and a new HRCT-scan demonstrated widespread emphysema.
一名50岁的 former smoker 反复出现肺炎、发热和间歇性非典型胸痛达一年，曾多次接受抗生素治疗。与此同时，她的肺功能呈阻塞性模式恶化，因此接受吸入药物治疗但无效。心脏检查、支气管镜检查、胃镜检查以及肺部CT扫描均未发现病因。最后，一次FDG-PET扫描显示一个21岁硅胶隆胸植入物背面的组织有炎症，植入物完好但被包裹。隆胸植入物被取出，此后患者未再发生感染。然而，肺功能损害并未改善，新的HRCT扫描显示有广泛的肺气肿。
