Shayani Kevin E, Birnbaum Brian, Machnicki Stephen, Hajiyeva Sabina, Lazzaro Richard, Mina Bushra
Department of Medicine, Zucker School of Medicine at Lenox Hill Hospital, New York, NY.
Department of Pulmonary and Critical Care, Zucker School of Medicine at Lenox Hill Hospital, New York, NY.
Chest. 2022 Jun;161(6):e349-e354. doi: 10.1016/j.chest.2022.01.030.
A 49-year-old woman sought treatment at the hospital for evaluation of an enlarging cavitary mass of the right lung associated with worsening ipsilateral pleuritic chest pain and cough. She had recent hospitalizations for complications relating to recurrent lung abscesses, including one in which she underwent wedge resection of the right lung. She had been treated with several courses of antibiotics, which only temporarily relieved her symptoms. She did not report any fevers, chills, skin changes, diarrhea, or changes to her bowel habits. Her long-term medications included albuterol, dapsone, and prednisone 15 mg or 20 mg doses alternating daily. Her only past medical history was asthma and primary cutaneous pyoderma gangrenosum. The patient never smoked and did not report any recent sick contacts.
一名49岁女性因右肺空洞性肿块增大，伴有同侧胸膜炎性胸痛和咳嗽加重，前往医院就诊。她近期因复发性肺脓肿相关并发症住院，其中一次接受了右肺楔形切除术。她接受了多个疗程的抗生素治疗，但症状只是暂时缓解。她未报告任何发热、寒战、皮肤变化、腹泻或排便习惯改变。她的长期用药包括沙丁胺醇、氨苯砜，以及每日交替服用15毫克或20毫克剂量的泼尼松。她既往仅有哮喘和原发性皮肤坏疽性脓皮病病史。该患者从不吸烟，也未报告近期有任何接触过病人的情况。
