Harry Pasca Rullian, Irvan Medison, Dessy Mizarti, Dewi Wahyu F
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引用次数: 0
摘要
社区获得性肺炎(CAP)在全球范围内导致很高的发病率和死亡率,尤其是在老年患者中。由于老年患者的症状并不总是典型和特异的,因此确诊老年患者的 CAP 对临床医生来说是一项挑战。以下是一例 72 岁女性患者的病例报告,她被诊断为 CAP,但之前没有任何气短的主诉。胸部 X 光片显示有浸润,咳嗽、咳痰、发热和白细胞增多等症状证实了该患者的 CAP 诊断。在痰培养结果中发现肺炎克雷伯菌之前,患者一直服用抗生素左氧氟沙星 1 x 750 毫克。
Community Acquired Pneumonia (CAP) causes high morbidity and mortality worldwide, especially in elderly patients. Establishing a diagnosis of CAP in elderly patients is a challenge for clinicians considering that the symptoms are not always typical and specific. The following is a case report of a 72-year-old woman with a diagnosis of CAP without any previous complaints of shortness of breath. There is an infiltrate on chest X-ray and symptoms of cough, productive sputum, fever, and leukocytosis confirm the diagnosis of CAP in this patient. The patient was given antibiotic levofloxacin 1 x 750 mg until Klebsiella pneumoniae was found in the sputum culture results.