Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Japan.
Department of Pathology, Saitama Cardiovascular and Respiratory Center, Japan.
Intern Med. 2021 Feb 1;60(3):435-439. doi: 10.2169/internalmedicine.4586-20. Epub 2020 Aug 29.
Two patients, a 60-year-old man and 43-year-old woman, presented to our hospital with symptoms of respiratory tract infection. These patients showed imaging findings of multiple small nodules, ground-glass opacities, and consolidations. In case 1, although antibiotics were started, bilateral shadows spread widely, which made us suspect interstitial pneumonia. The condition improved after steroid administration, and there has been no recurrence since completing this treatment. In case 2, the patient recovered rapidly with antibiotics only. In both cases, we performed bronchoalveolar lavage, in which only human rhinovirus infection was detected by multiplex polymerase chain reaction testing, and primary rhinovirus pneumonia was diagnosed.
两位患者,一位 60 岁男性和一位 43 岁女性,因呼吸道感染症状就诊于我院。这些患者的影像学表现为多发小结节、磨玻璃影和实变影。在病例 1 中,尽管使用了抗生素,但双肺阴影广泛扩散,这使我们怀疑间质性肺炎。给予类固醇治疗后病情改善,且此后未再复发。在病例 2 中,患者仅使用抗生素治疗后快速康复。在这两例患者中,我们均进行了支气管肺泡灌洗,多重聚合酶链反应检测仅发现人类鼻病毒感染,诊断为原发性鼻病毒肺炎。