一位 49 岁男性因不明原因发热和咳嗽就诊。

A 49-Year-Old Man Presents With Fever of Unknown Origin and Cough.

机构信息

Department of Otolaryngology Head and Neck Surgery, Shanxi Medical University Second Affiliated Hospital, Taiyuan, Shanxi, China.

Department of Clinical Laboratory Medicine, Shanxi Bethune Hospital & Shanxi Academy of Medical Sciences, Taiyuan, Shanxi, China.

出版信息

Chest. 2021 Jan;159(1):e25-e28. doi: 10.1016/j.chest.2020.08.2094.

DOI:10.1016/j.chest.2020.08.2094

PMID:33422236

Abstract

A 49-year-old man presented with 3 months of persistent fever, cough, shortness of breath, and chest tightness. He had no response to treatment with antibiotics. He had been treated with an empiric 2-week course of steroids approximately 2 months before presentation, with mild and transient improvement. He did not use tobacco and had not experienced any weight loss, hemoptysis, arthralgia, or myalgia, and was otherwise in good health. He denied contact with anyone with pulmonary TB or other respiratory illnesses.

摘要

一位 49 岁男性，因持续发热、咳嗽、呼吸急促和胸闷 3 个月就诊。他对抗生素治疗没有反应。大约 2 个月前就诊前，他曾接受过经验性的 2 周类固醇治疗，略有改善但不持久。他不吸烟，没有体重减轻、咯血、关节痛或肌痛，身体其他方面健康。他否认与任何患有肺结核或其他呼吸道疾病的人有过接触。