Agarwal A K, Bhagat R, Panchal N, Thukral S S, Shah A
Department of Clinical Research and Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, India.
Pediatr Pulmonol. 1998 Aug;26(2):135-7. doi: 10.1002/(sici)1099-0496(199808)26:2<135::aid-ppul11>3.0.co;2-2.
A 7-year-old girl was referred for evaluation of chronic pulmonary disease associated with nasal symptoms of 4 years duration for which she had received frequent courses of antibiotics. Serial chest roentgenograms over a period of 2 years revealed a nonhomogeneous opacity in the right lower lung zone for which she had received 18 months of antituberculous therapy without relief. Evaluation of the patient led to the diagnosis of chronic anaerobic pneumonitis, a rare clinical entity in children. In addition, the patient also had bronchial asthma and chronic rhinitis. Therapy with oral phenoxymethylpenicillin and metronidazole for 6 weeks along with appropriate antiasthma medications abolished her symptoms and resulted in roentgenologic clearance.
一名7岁女孩因慢性肺部疾病伴4年鼻部症状前来评估，她为此接受了多次抗生素治疗。在2年期间的系列胸部X线片显示右下肺野有不均匀的致密影，她接受了18个月的抗结核治疗但无缓解。对该患者的评估导致诊断为慢性厌氧性肺炎，这是儿童中一种罕见的临床病症。此外，该患者还患有支气管哮喘和慢性鼻炎。口服苯氧甲基青霉素和甲硝唑治疗6周并联合适当的抗哮喘药物消除了她的症状，并使X线片表现恢复正常。
