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一位 52 岁男性,11 个月来发热、咳嗽、胸痛、胸腔积液和左肺不张。

A 52-Year-Old Man With an 11-Month History of Fever, Cough, Chest Pain, Pleural Effusion, and Left Lung Atelectasis.

机构信息

First Affiliated Hospital of Jinan University, Guangzhou, China.

First Affiliated Hospital of Jinan University, Guangzhou, China.

出版信息

Chest. 2020 Oct;158(4):e153-e157. doi: 10.1016/j.chest.2020.05.546.

DOI:10.1016/j.chest.2020.05.546
PMID:33036111
Abstract

A 52-year-old man was referred to our hospital for cough, fever, chest pain, and progressive dyspnea. He has worked as a full-time security staff at a community center and was in a normal state of health until 11 months prior to referral when he began experiencing cough, expectoration, a high-grade fever (up to 39.7°C), chills, and left chest pain. He visited the local hospital several times with suspected lung cancer. Bronchoscopy showed chronic inflammatory changes in his bronchi. He was given a course of antibiotics, but his fever had not subsided. The patient had visited a bamboo rat farm and consumed bamboo rat meat one year previously. He had never smoked.

摘要

一位 52 岁男性因咳嗽、发热、胸痛和进行性呼吸困难到我院就诊。他一直在社区中心担任全职保安,健康状况良好,直至 11 个月前开始出现咳嗽、咳痰、高热(高达 39.7°C)、寒战和左侧胸痛。他曾多次因疑似肺癌到当地医院就诊。支气管镜检查显示其支气管存在慢性炎症改变。他接受了抗生素治疗,但发热仍未消退。患者一年前曾参观过竹鼠养殖场并食用过竹鼠肉,他从不吸烟。

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