Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital and the National Clinical Research Center for Respiratory Diseases; Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
Department of Pathology, Center of Respiratory Medicine, China-Japan Friendship Hospital; National Clinical Research Center for Respiratory Diseases; Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
Chest. 2023 Jun;163(6):e255-e258. doi: 10.1016/j.chest.2022.12.025.
A 56-year-old Chinese man, who did not smoke, presented with a 2-month history of cough and bloody sputum. He also complained of fatigue, night sweats, chest pain, and shortness of breath, with no chills or loss of weight. He previously worked as a veterinarian and had been infected with Brucella 30 years ago. Additionally, he had been diagnosed with tuberculous pleurisy and completed a 1-year anti-TB treatment. Subsequently, he had been well until 2 months before the current admission. A chest CT scan showed a cruciform calcification in the mediastinum and some tree-in-bud changes. The results of the purified protein derivative skin test and interferon-gamma release assay for TB were negative. Brucella agglutination test was also negative. On the night of admission, the patient coughed up two silver-white-colored shiny stones and had a fever of up to 38.5 °C on the following days.
一位 56 岁的中国男性，不吸烟，因咳嗽和咯血 2 个月就诊。他还主诉乏力、盗汗、胸痛和呼吸困难，但无寒战或体重减轻。他曾从事兽医工作，30 年前感染过布鲁氏菌。此外，他还被诊断为结核性胸膜炎，并完成了 1 年的抗结核治疗。此后，他一直情况良好，直到本次入院前 2 个月。胸部 CT 扫描显示纵隔呈十字形钙化，并有一些树芽征改变。结核菌素纯蛋白衍生物皮肤试验和干扰素-γ释放试验结果均为阴性。布鲁氏菌凝集试验也为阴性。入院当晚，患者咳出两颗银白色闪亮的石头，随后几天体温高达 38.5°C。
