Katsura H, Hashimoto I, Taira M, Kadoriku C, Yamawaki I
Division of Internal Medicine, Seirei Hamamatsu General Hospital, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1996 Nov;34(11):1239-43.
A 72-year-old man was being treated with Saiboku-to for throat discomfort. Forty-two days after the start of Saiboku-to therapy, dyspnea and fever developed and he was admitted to the hospital. Arterial blood gas analysis showed arterial hypoxemia, and a chest X-ray film and chest CT scan showed diffuse linear-nodular shadows in both lung fields. The results of a lymphocyte-stimulation test were positive for Saiboku-to and Saiboko-to-induced pneumonia was diagnosed. Saiboku-to was stopped and prednisolone was given. The symptoms, respiratory status and chest X-ray findings markedly improved. To our knowledge, this is the fifth case of Saiboku-to-induced pneumonia reported in Japan.
一名72岁男性因咽喉不适接受柴朴汤治疗。柴朴汤治疗开始42天后，出现呼吸困难和发热，随后入院。动脉血气分析显示动脉血氧不足，胸部X光片和胸部CT扫描显示双肺野有弥漫性线状结节阴影。淋巴细胞刺激试验结果显示对柴朴汤呈阳性，诊断为柴朴汤诱发的肺炎。停用柴朴汤并给予泼尼松龙。症状、呼吸状况和胸部X光检查结果明显改善。据我们所知，这是日本报告的第五例柴朴汤诱发的肺炎病例。
