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因反复肺炎和弥漫性细支气管炎行诊断而发现的髓内海绵状血管畸形出血。

Hemorrhaging from an Intramedullary Cavernous Malformation Diagnosed Due to Recurrent Pneumonia and Diffuse Aspiration Bronchiolitis.

机构信息

Department of Respiratory Medicine, Iizuka Hospital, Japan.

Department of Physiology, Hyogo College of Medicine, Japan.

出版信息

Intern Med. 2021 May 1;60(9):1451-1456. doi: 10.2169/internalmedicine.5752-20. Epub 2020 Dec 7.

DOI:10.2169/internalmedicine.5752-20
PMID:33281156
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8170235/
Abstract

While aspiration pneumonia constitutes the majority of pneumonia cases in the elderly, it remains highly underdiagnosed. We experienced a case of recurrent pneumonia and chronic cough that was later diagnosed as aspiration pneumonia and diffuse aspiration bronchiolitis (DAB) due to recurrent hemorrhaging from an intramedullary cavernous malformation. The patient was finally diagnosed when life-threatening respiratory depression caused emergency attention. This is the first report of hemorrhaging from an intramedullary cavernous malformation diagnosed due to aspiration pneumonia and DAB. These findings highlight the importance of considering aspiration in cases with recurrent pneumonia or chronic cough. The underlying cause may be a life-threatening condition.

摘要

虽然吸入性肺炎构成了老年人肺炎的大多数，但它仍然高度被漏诊。我们遇到了一例复发性肺炎和慢性咳嗽病例，后来由于脊髓海绵状血管畸形反复出血，被诊断为吸入性肺炎和弥漫性吸入性细支气管炎（DAB）。当危及生命的呼吸抑制导致紧急关注时，患者最终被诊断出来。这是首例因吸入性肺炎和 DAB 而诊断为脊髓海绵状血管畸形出血的报告。这些发现强调了在复发性肺炎或慢性咳嗽病例中考虑吸入的重要性。潜在原因可能是危及生命的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d679/8170235/7ed0292899a9/1349-7235-60-1451-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d679/8170235/bfe35355e44d/1349-7235-60-1451-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d679/8170235/8527830fa624/1349-7235-60-1451-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d679/8170235/16b17a4aea6d/1349-7235-60-1451-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d679/8170235/7ed0292899a9/1349-7235-60-1451-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d679/8170235/bfe35355e44d/1349-7235-60-1451-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d679/8170235/8527830fa624/1349-7235-60-1451-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d679/8170235/16b17a4aea6d/1349-7235-60-1451-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d679/8170235/7ed0292899a9/1349-7235-60-1451-g004.jpg

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