Konishi M, Kanda H, Sawaki M, Mikasa K, Sakamoto M, Maeda K, Takeuchi S, Hamada K, Kunimatsu M, Narita N
Second Department of Internal Medicine, Nara Medical University.
Kansenshogaku Zasshi. 1993 May;67(5):482-6. doi: 10.11150/kansenshogakuzasshi1970.67.482.
A healthy-looking 44-year-old female was admitted to our hospital complaining of fever and hemosputum. The chest roentgenogram on admission showed patchy infiltrates of the segment 3 and 8 of the right lung. Laboratory studies showed a leukocyte count of 9700/microliters, erythrocytes sedimentation rate of 55 mm/hour and C reactive protein of 8.7 mg/dl. The arterial PO2 was 71.9 torr while the patient was breathing room air. Transtracheal aspiration was performed on admission, and strains and culture for bacteria, acid fast bacilli, fungi and mycoplasma were negative. Respiratory syncytial virus was isolated from transtracheal aspirates. The RSV complement fixing antibody titers rose from 1:40 to 1:16. She became afebrile on the fourth day after admission and her chest roentgenogram improved gradually. RSV infection should be considered in the differential diagnosis of atypical adult pneumonias.
一位看似健康的44岁女性因发热和咯血痰入住我院。入院时胸部X线片显示右肺3段和8段有片状浸润。实验室检查显示白细胞计数为9700/微升，红细胞沉降率为55毫米/小时，C反应蛋白为8.7毫克/分升。患者呼吸室内空气时动脉血氧分压为71.9托。入院时进行了经气管抽吸，细菌、抗酸杆菌、真菌和支原体的菌株及培养均为阴性。从经气管抽吸物中分离出呼吸道合胞病毒。呼吸道合胞病毒补体结合抗体滴度从1:40升至1:16。入院后第四天她体温恢复正常，胸部X线片逐渐好转。在非典型成人肺炎的鉴别诊断中应考虑呼吸道合胞病毒感染。
