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題 名 | Hypersensitivity Pneumonitis Presenting as Fever of Unknown Origin--A Case Presentation and Review of the Literature=以不明熱表現的過敏性肺炎:病例報告 |
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作 者 | 張富康; 林芳綺; 張西川; | 書刊名 | 胸腔醫學 |
卷 期 | 27:6 2012.12[民101.12] |
頁 次 | 頁392-400 |
分類號 | 415.463 |
關鍵詞 | 過敏性肺炎; 不明熱; 支氣管肺泡沖洗術; Hypersensitivity pneumonitis; Fever of unknown origin; Bronchoalveolar lavage; |
語 文 | 英文(English) |
中文摘要 | 過敏性肺炎是一種因吸入過敏原後而引發一連串免疫反應導致的肺部疾病。臨床表現與感染性肺炎非常相似,都會出現發燒、咳嗽、呼吸困難等現象。臨床上的高度懷疑以及詳盡的病史詢問方能有效的獲得診斷,並且避免再次的接觸到過敏原而復發。我們提出一位過敏性肺炎以不明熱表現的患者。此病患起初的臨床表現為發燒、全身無力、體重減輕。經過在地區醫院和醫學中心的反覆住院,詳盡的進行感染性疾病、自體免疫疾病、惡性腫瘤方面的檢查仍無明確病因。甚至進行肺部外科病理檢查仍無診斷。我們進行了支氣管鏡肺泡沖洗術,在肺泡沖洗液的細胞學檢查中看到了明顯的淋巴球增多。並回溯了病患的接觸病史發現他工作時會接觸到鳥類排泄物。根據臨床症狀、接觸病史、肺泡沖洗液細胞學檢查、肺部外科病理標本等的結果,高度懷疑病患罹患過敏性肺炎。經由類固醇的治療過後,病患的發燒緩解了,影像學上肺部的病灶也消失了。 |
英文摘要 | Hypersensitivity pneumonitis (HP) is a pulmonary disorder with symptoms of fever, dyspnea and cough resulting from exposure to an antigen to which the subject has been previously sensitized. The clinical symptoms are very similar to pyogenic infection. Detailed history-taking and a high index of suspicion are mandatory in aiding the diagnosis of HP. Herein, we reported a patient with HP with the initial presentation of intermittent fever, general malaise, and body weight loss. Comprehensive surveys for infectious diseases, autoimmune diseases and malignancies were carried out at a local hospital and a medical center, and yielded negative results. Despite undergoing open lung biopsy, no definite diagnosis was made. Bronchoalveolar lavage (BAL) was done at our hospital and lymphocytic alveolitis was suggested by the cytological smear of the BAL fluid (BALF). Based on the clinical presentation, contact history, cytological findings of the BALF and pathological findings of lung biopsy obtained from other hospitals, HP was highly suspected. The patient underwent pulse therapy with methyprednisolone and maintenance with a low-dose steroid. Fever subsided gradually and the follow-up chest radiograph demonstrated marked regression of the pulmonary lesions. |
本系統中英文摘要資訊取自各篇刊載內容。