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免疫功能正常的女性因甲型流感感染和肺炎链球菌肺炎并发化脓性心包炎。

purulent pericarditis secondary to influenza A infection and pneumococcal pneumonia in an immunocompetent woman.

机构信息

Department of Microbiology, University Hospital Galway, Galway, Ireland

Radiology, University Hospital Galway, Galway, Ireland.

出版信息

BMJ Case Rep. 2021 Mar 10;14(3):e240763. doi: 10.1136/bcr-2020-240763.

Abstract

A 44-year-old previously well woman presented with features of respiratory sepsis including a productive cough and fevers, with a recent preceding influenza-like illness. She was diagnosed with community-acquired pneumonia on chest radiograph, influenza infection via nasopharyngeal swab and bloodstream infection with associated purulent pericarditis. She was managed with pericardial drainage and concurrent treatment with antibiotics and made an excellent recovery. This case highlights the complications of both influenza and infections, and the importance of prevention via vaccination.

摘要

一位 44 岁既往健康的女性出现呼吸性败血症的症状,包括有痰咳嗽和发热,此前有类似流感的疾病。胸部 X 光片诊断为社区获得性肺炎,鼻咽拭子检测到流感感染,血流感染合并化脓性心包炎。她接受了心包引流,并同时使用抗生素进行治疗,恢复良好。本病例强调了流感和感染的并发症,以及通过疫苗接种进行预防的重要性。

相似文献

2
A case of purulent pneumococcal pericarditis.一例化脓性肺炎球菌性心包炎。
Am J Emerg Med. 2019 May;37(5):1006.e5-1006.e7. doi: 10.1016/j.ajem.2019.02.013. Epub 2019 Feb 11.

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