Mera A, Sugimoto M, Fukuda K, Tanaka F, Imamura F, Matsuda M, Ando M, Shima K
Department of Medicine, Kumamoto City Hospital.
Intern Med. 1996 Dec;35(12):957-60. doi: 10.2169/internalmedicine.35.957.
An 18-year-old female patient with Crohn's disease presented with left lower lobe pneumonia and pleural effusion which were resistant to treatment with antibiotics. Colo-bronchial fistula had not been recognized until she coughed up yellow sputa with feculent odor and developed acute respiratory distress syndrome. This type of fistula is a rare complication of Crohn's disease, but the present case certainly alerts physicians to search for a fistula between the bronchus and gastrointestinal tract when encountering patients with Crohn's disease accompanied by antibiotic-resistant chronic pneumonia.
一名患有克罗恩病的18岁女性患者出现左下叶肺炎和胸腔积液，对抗生素治疗无效。直到她咳出有恶臭的黄色痰液并发展为急性呼吸窘迫综合征，才发现结肠支气管瘘。这种瘘管是克罗恩病的一种罕见并发症，但本病例无疑提醒医生，在遇到患有克罗恩病并伴有抗生素耐药性慢性肺炎的患者时，要寻找支气管与胃肠道之间的瘘管。
