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白色念珠菌性肺炎多数为继发性,所表现的各种临床征象与原发病相似,无特异性,且其发病隐袭渐进,常被认为原发病迁移或恶化,被误诊误治。 例1 男性,57岁,发热,咳嗽,咳少量脓性痰,右侧胸痛,1周后检查白细胞升高,胸片示右上中肺炎,门诊抗菌治疗1周无效来我院。无结核,慢支史。查体:T37.5～39.8℃,右上肺少量湿罗音,白细胞15×10~9/L,NO.89,嗜酸细胞0.34×10~9/L,血沉115mm/h,痰涂抗酸杆菌12次(—),脱落细胞5次
The majority of Candida albicans pneumonia secondary to the performance of various clinical signs similar to the original disease, non-specific, and its incidence of progressive, often considered the primary disease migration or deterioration, misdiagnosis and mistreatment. Example 1 male, 57 years old, fever, cough, cough, a small amount of purulent sputum, right chest pain, check leukocytosis after 1 week, chest X-ray showed the right upper respiratory tract, outpatient antibacterial treatment 1 week invalid to our hospital. No tuberculosis, chronic bronchitis history. Examination: T37.5 ~ 39.8 ℃, a small amount of wet rales right upper lung, leukocytes 15 × 10 ~ 9 / L, NO.89, eosinophils 0.34 × 10 ~ 9 / L, erythrocyte sedimentation rate 115mm / h, Bacillus 12 times (-), exfoliated cells 5 times