Ullah Saif, Saadaat Ramin, Hamidi Hidayatullah, Haidary Ahmed Maseh
Department of Internal Medicine French Medical Institute for Mothers and Children (FMIC) Kabul Afghanistan.
Department of Pathology and Clinical Laboratory French Medical Institute for Mothers and Children (FMIC) Kabul Afghanistan.
Clin Case Rep. 2023 Sep 19;11(9):e7937. doi: 10.1002/ccr3.7937. eCollection 2023 Sep.
Lesions that are suspected for malignancy need be managed by a multidisciplinary team. Utilization of radiological as well as pathological diagnostic modalities ensures correct diagnosis and thus timely intervention.
is a Gram-negative rod. It is a highly motile bacterium that belongs to the Enterobacteriaceae. Lung infection and pneumonia caused by is extremely rare and occurs in patients with chronic debilitation or chronic lung disease.
A 65-year-Old Woman presented with dry cough, dyspnoea on exertion, and chest pain of 4 months' duration. She received multiple medications including antibiotics but without any resolution of her symptoms. Computed Tomography scan of the chest was performed reported a tumor in the upper lobe of the left lung with multiple associated pulmonary nodules. The impression was that of metastatic lung disease with superimposed acute infection. Accordingly, the patient was reevaluated and a diagnostic bronchoscopy with multiple endobronchial biopsies and broncho-alveolar lavage was done. The gram stain showed Gram-Negative Bacilli and the bacteria identified .
Mass lesions suspected for malignancy should be managed with involvement of multiple medical disciplines, to ensure correct and timely diagnosis. This is to avoid miss-management.
疑似恶性病变需由多学科团队进行管理。采用放射学及病理学诊断方法可确保正确诊断，从而实现及时干预。
[细菌名称]是一种革兰氏阴性杆菌。它是一种高度能动的细菌，属于肠杆菌科。由[细菌名称]引起的肺部感染和肺炎极为罕见，发生于慢性衰弱或慢性肺病患者。
一名65岁女性出现干咳、劳力性呼吸困难及持续4个月的胸痛。她接受了包括抗生素在内的多种药物治疗，但症状未得到任何缓解。进行了胸部计算机断层扫描，报告左肺上叶有一个肿瘤，并伴有多个相关肺结节。诊断结果为转移性肺病合并急性感染。因此，对患者进行了重新评估，并进行了诊断性支气管镜检查，取了多处支气管内活检组织并进行了支气管肺泡灌洗。革兰氏染色显示革兰氏阴性杆菌，鉴定为[细菌名称]。
疑似恶性的肿块病变应在多个医学学科参与下进行管理，以确保正确及时的诊断。这是为了避免管理不当。
