Ma Juei-Yang, Chuang Cheng-Hao
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chest. 2022 Aug;162(2):e85-e88. doi: 10.1016/j.chest.2022.03.004.
A 54-year-old man with chronic hepatitis B was admitted to the hospital with progressive dyspnea on exertion. He reported experiencing intermittent fever, dyspnea on exertion, and relapsing pleuritic chest pain starting 6 months prior, after his first dose of the ChAdOx1 nCoV-19 vaccine. In the past 2 months, he had been admitted to the hospital twice and diagnosed with recurrent pneumonia. Under antibiotic treatment, his dyspnea and low-grade fever demonstrated waxing and waning behaviors. Migratory pulmonary consolidation, which moved from the left lower lobe to the right middle lobe, was identified and diagnosed as relapsing pneumonia. Chest CT scan was performed in a previous admission 2 months earlier that revealed multifocal peripheral consolidation in the left lower lobe and right middle lobe. His occupation required the maintenance of overall fitness, and he denied immunosuppressant use, illicit drug abuse, cigarette smoking, suspicious travel, suspicious contact, or family history. No recent history of trauma, surgery, or air travel was reported.
一名54岁的慢性乙型肝炎男性患者因进行性劳力性呼吸困难入院。他报告称，自首次接种ChAdOx1 nCoV-19疫苗6个月前开始，出现间歇性发热、劳力性呼吸困难和复发性胸膜炎性胸痛。在过去2个月里，他曾两次入院，被诊断为复发性肺炎。在抗生素治疗下，他的呼吸困难和低热呈反复出现的状态。发现肺部有从左下叶转移至右中叶的游走性实变，诊断为复发性肺炎。2个月前的前一次入院时进行了胸部CT扫描，显示左下叶和右中叶有多灶性外周实变。他的职业需要保持总体健康，他否认使用免疫抑制剂、滥用非法药物、吸烟、可疑旅行、可疑接触或家族病史。未报告近期有创伤、手术或航空旅行史。
