56岁养鸽人肺,真菌-细菌感染过程中出现纤维化和败血症相关性心源性休克1例报告。

IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES
Przemysław Kwiatka, Katarzyna Kwapisz, Rafał Sokołowski, Michał Rząd
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引用次数: 0

摘要

过敏性肺炎(HP)是一种肉芽肿性间质性疾病,在遗传易感个体中发展为对吸入抗原的免疫反应的结果。该病例为56岁男性HP伴纤维化,伴有严重呼吸衰竭(需要HFNOT),下肢明显水肿,右胸膜腔大量积液。患者最初出现循环和呼吸衰竭,需要输注儿茶酚胺。住院期间行胸腔穿刺术,并发气胸/肺扩张失败。血管ct显示肺栓塞。经伏立康唑、美罗培南、粘菌素等靶向抗生素治疗及床边康复治疗,患者病情稳定,一般情况改善。患者出院时病情稳定,建议进行家庭吸氧治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A 56-year-old patient with pigeon breeder's lung, with fibrosis and sepsis-related cardiogenic shock in the course of fungal-bacterial infection - case report.

Hypersensitivity pneumonitis (HP) is a granulomatous interstitial disease that develops in genetically predisposed individuals as a result of an immune response to inhaled antigens. The case is presented of a 56-year-old male with HP with fibrosis, accompanied by severe respiratory failure (requiring HFNOT), significant oedema of the lower extremities, and a large amount of fluid in the right pleural cavity. The patient was initially in circulatory and respiratory failure, requiring infusion of catecholamines. During hospitalization thoracocentesis was performed, complicated by pneumothorax/lung expansion failure. Angio-CT revealed a pulmonary embolism. Targeted antibiotic therapy with voriconazole, meropenem and colistin, as well as bedside rehabilitation, resulted in the stabilization of the patient and improvement of his general condition. The patient was discharged home in a stable condition with the recommendation of home oxygen therapy.

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来源期刊
Annals of Agricultural and Environmental Medicine
Annals of Agricultural and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.00
自引率
5.90%
发文量
58
审稿时长
4-8 weeks
期刊介绍: All papers within the scope indicated by the following sections of the journal may be submitted: Biological agents posing occupational risk in agriculture, forestry, food industry and wood industry and diseases caused by these agents (zoonoses, allergic and immunotoxic diseases). Health effects of chemical pollutants in agricultural areas , including occupational and non-occupational effects of agricultural chemicals (pesticides, fertilizers) and effects of industrial disposal (heavy metals, sulphur, etc.) contaminating the atmosphere, soil and water. Exposure to physical hazards associated with the use of machinery in agriculture and forestry: noise, vibration, dust. Prevention of occupational diseases in agriculture, forestry, food industry and wood industry. Work-related accidents and injuries in agriculture, forestry, food industry and wood industry: incidence, causes, social aspects and prevention. State of the health of rural communities depending on various factors: social factors, accessibility of medical care, etc.
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