摘要
诊治要点：
·发热、胸痛、肺部阴影，病情进展快速，血培养为金黄色葡萄球菌，结合胸液性状及化验支持金黄色葡萄球菌所致化脓性胸膜炎。
This report presented a male patient aged 69 years, who was admitted into our hospital for ＂fever, hemoptysis and chest pain＂. Chest X-Ray showed shadows on the right lung and pleural thickening. The effect of broad spectrum antibiotic therapy was poor. With the disease progressed, pleural effusion appeared on the right side. Blood culture showed methicillin-resistant staphylococcus aureus. Pleural effusion tests indicated pyothorax, but the effects of closed chest drainage and sensitive antibiotic therapy were poor. After disentangling with open thoracic exploration, the right middle lobe was resected and the right lung lobe pathology showed Wegener granulomatosis. His blood antineutrophil cytoplasmic autoantibodies was negative. The paranasal sinus CT scan and renal function showed no abnormalities. The definitive diagnosis was pulmonary- limited Wegener granulomatosis.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2014年第9期1025-1028,共4页
Chinese Journal of Geriatrics
关键词
韦格纳肉芽肿病
发热
胸痛
血管炎
葡萄球菌
金黄色
Wegener granulomatosis
Fever
Vasculitis, Chest pain
Staphyolcoccus, aureus
