Wang Michael S, Chang Jeremiah, Whelan Tiffany, Liu Bo, Fitton Katie, Grondin Jeffrey J
Department of Medicine, Corewell Health South - St. Joseph, MI, USA.
Osteopathic Medical Specialties, Michigan State University College of Osteopathic Medicine, East Lansing, MI, USA.
J Community Hosp Intern Med Perspect. 2025 Jul 3;15(4):37-42. doi: 10.55729/2000-9666.1503. eCollection 2025.
We report a 69-year-old with a past medical history of prostate cancer, and arsenic poisoning, who was incidentally found to have multiple pulmonary nodules and hepatosplenic lesions on CT imaging. He denied respiratory symptoms, but was noted to have significant weight loss. A bronchoscopy revealed on culture. He was treated presumptively for pulmonary and disseminated infection with azithromycin and ethambutol for 16 months, and 12 months of rifabutin after four months of rifampin which was discontinued due to resistance. Patient's weight loss resolved and CT imaging appeared significantly improved.
我们报告了一名69岁男性，有前列腺癌和砷中毒病史，CT成像偶然发现其有多个肺结节和肝脾病变。他否认有呼吸道症状，但体重明显减轻。支气管镜检查培养结果显示……。他接受了阿奇霉素和乙胺丁醇的经验性治疗，用于肺部和播散性感染，为期16个月，在利福平因耐药停用四个月后，接受了12个月的利福布汀治疗。患者体重减轻的情况得到缓解，CT成像显示明显改善。
