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一位 54 岁男性,高热、咳嗽、呼吸困难,伴有水疱大疱样皮肤损害。

A 54-Year-Old Man With High-Grade Fever, Cough, Dyspnea, and Vesiculobullous Skin Eruptions.

机构信息

Department of Internal Medicine, Stadtspital Zürich Triemli, Zurich, Switzerland.

Division of Infectious Diseases and Hospital Epidemiology, University Children's Hospital Zurich, Zurich, Switzerland.

出版信息

Chest. 2024 Nov;166(5):e141-e145. doi: 10.1016/j.chest.2024.05.034.

DOI:10.1016/j.chest.2024.05.034
PMID:39521548
Abstract

A 54-year-old Egyptian man with a 5-day history of worsening cough, high-grade fever, and progressive dyspnea was referred to our hospital. A 3-day course of ceftriaxone provided in an outpatient setting showed no clinical improvement. Medical history was unremarkable, except for bilateral pulmonary embolism diagnosed 3 years earlier. The patient actively smoked and denied the use of alcohol and illicit drugs. The patient worked as cook and had lived in Switzerland for the past 10 years. Five weeks before the actual presentation, he had traveled to Egypt. One of his children showed symptoms of a respiratory infection approximately 2 weeks before that. His only regular medication was rivaroxaban.

摘要

一位 54 岁的埃及男性,有 5 天咳嗽加重、高热和进行性呼吸困难病史,被转至我院。在门诊接受了 3 天头孢曲松治疗,但未见临床改善。除了 3 年前诊断的双侧肺栓塞外,既往病史无特殊。患者有主动吸烟史,否认饮酒和使用非法药物。患者是厨师,过去 10 年在瑞士生活。在实际发病前 5 周,他曾前往埃及。大约在那之前 2 周,他的一个孩子出现了呼吸道感染症状。他唯一的常规用药是利伐沙班。

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