Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
Department of Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville, FL.
Chest. 2021 Jun;159(6):e385-e388. doi: 10.1016/j.chest.2021.01.006.
A 57-year-old man with a history of polysubstance use presented with shortness of breath, wheezing, productive cough, subjective fever, and chills of 3-day duration. Additionally, he reported worsening shortness of breath for the last 3 months. Of note, the patient was reported to have had, in the previous 6 months, two episodes of pneumonia that was treated with antibiotics and steroids. He was also diagnosed several years prior with adult-onset asthma due to intermittent wheezing and was prescribed an albuterol inhaler. The albuterol did not help relieve his wheezing, and he stopped refilling it.
一位 57 岁的男性，有多种物质滥用史，表现为呼吸急促、喘息、咳嗽有痰、自觉发热和寒战，持续 3 天。此外，他还报告说过去 3 个月来呼吸困难加重。值得注意的是，患者在过去 6 个月内曾有两次肺炎发作，经抗生素和类固醇治疗。几年前，他还因间歇性喘息被诊断为成人哮喘，并被开具了沙丁胺醇吸入器。沙丁胺醇并没有缓解他的喘息，他也停止了续药。
