Gottschling Malin, Lerzer Christoph, Geismann Florian, Schmalenberger Daniel, Blaas Stefan, Simsek Meral, Malfertheiner Maximilian, Salzberger Bernd, Hitzenbichler Florian, Hamer Okka W, Utpatel Kirsten, Neu Reiner, Ried Michael, Mohr Arno
Zentrum für Pneumologie, Klinik Donaustauf, Ludwigstr. 68, 93093, Donaustauf, Deutschland.
Abteilung für Krankenhaushygiene und Infektiologie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
Inn Med (Heidelb). 2023 Nov;64(11):1119-1122. doi: 10.1007/s00108-023-01540-y. Epub 2023 Jun 9.
A 29-year-old Indian patient was admitted to the authors' pulmonary clinic with cough and fever. Community-acquired pneumonia was initially suspected. Various antibiotic therapies were administered, which did not lead to any clinical improvement. Despite detailed diagnostics, no pathogen was found. Computed tomography showed rapidly progressive pneumonia in the left upper lobe. Since the infection could not be managed conservatively, upper lobe resection was performed. Histologically, an amoebic abscess was found to be the cause of the infection. Since cerebral and hepatic abscesses were also found, hematogenous dissemination may be assumed.
一名29岁的印度患者因咳嗽和发热入住作者所在的肺部诊所。最初怀疑是社区获得性肺炎。给予了各种抗生素治疗，但未取得任何临床改善。尽管进行了详细的诊断，仍未发现病原体。计算机断层扫描显示左上叶有快速进展的肺炎。由于感染无法保守治疗，遂进行了上叶切除术。组织学检查发现感染的原因是阿米巴脓肿。由于还发现了脑脓肿和肝脓肿，推测可能是血行播散所致。
