Division of Pulmonary Medicine, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.
School of Medicine, Tzu Chi University, Hualien, Taiwan.
J Clin Sleep Med. 2022 Jun 1;18(6):1717-1721. doi: 10.5664/jcsm.9942.
Continuous positive airway pressure (CPAP) therapy can spread infections if the equipment is not cleaned properly. We report a case of pneumonia likely spread by unclean CPAP equipment and accessories. A 48-year-old man with severe obstructive sleep apnea was using CPAP equipment that had never been cleaned for 5 years. He experienced intermittent mild fever for 6 weeks. His chest images showed a solitary pulmonary granuloma. was identified from the bronchoalveolar fluid, the CPAP mask, and the air tubing. The fever subsided immediately after changing to a clean CPAP device. We prescribed sulfamethoxazole 400 mg and trimethoprim 80 mg twice daily for 1 month. Three months later, the pulmonary granuloma disappeared, and was absent in the bronchoalveolar fluid. Poorly cleaned CPAP devices could harbor and spread pulmonary infection in immunocompetent persons. Appropriate cleaning of CPAP equipment is essential to minimize infection risk.
Jao L-Y, Su W-L, Chang H-C, Lan C-C, Wu Y-K, Yang M-C. pneumonia presenting as a solitary pulmonary granuloma due to unclean continuous positive airway pressure equipment: a case report. . 2022;18(6):1717-1721.
如果设备未正确清洁，持续气道正压通气（CPAP）治疗可能会传播感染。我们报告了一起可能由不洁 CPAP 设备和附件传播的肺炎病例。
一名 48 岁严重阻塞性睡眠呼吸暂停患者使用了从未清洁过的 CPAP 设备 5 年。他间歇性轻度发热 6 周。其胸部图像显示单个肺肉芽肿。从支气管肺泡液、CPAP 面罩和空气管中鉴定出。更换清洁 CPAP 设备后，发热立即消退。我们开了磺胺甲恶唑 400mg 和甲氧苄啶 80mg，每日 2 次，持续 1 个月。3 个月后，肺部肉芽肿消失，支气管肺泡液中未检出。未清洁的 CPAP 设备可能藏匿，并在免疫功能正常的人群中传播肺部感染。适当清洁 CPAP 设备对于降低感染风险至关重要。
我们报告了一起可能由不洁 CPAP 设备和附件传播的肺炎病例。一名 48 岁严重阻塞性睡眠呼吸暂停患者使用了从未清洁过的 CPAP 设备 5 年。他间歇性轻度发热 6 周。其胸部图像显示单个肺肉芽肿。从支气管肺泡液、CPAP 面罩和空气管中鉴定出。更换清洁 CPAP 设备后，发热立即消退。我们开了磺胺甲恶唑 400mg 和甲氧苄啶 80mg，每日 2 次，持续 1 个月。3 个月后，肺部肉芽肿消失，支气管肺泡液中未检出。未清洁的 CPAP 设备可能藏匿，并在免疫功能正常的人群中传播肺部感染。适当清洁 CPAP 设备对于降低感染风险至关重要。
未经适当清洁的 CPAP 设备可能藏匿并传播肺炎，尤其是在免疫功能正常的人群中。
