頁籤選單縮合
題名 | Multifocal Mass-like Pulmonary Consolidation in a Patient with Community-Acquired Pneumonia Caused by Pseudomonas Aeruginosa |
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作者姓名(外文) | Lee, Chang-ching; Pan, Sheng-wei; | 書刊名 | 胸腔醫學 |
卷期 | 39:1 2024.03[民113.03] |
頁次 | 頁36-42 |
分類號 | 415.463 |
關鍵詞 | Multifocal consolidation; Bronchiectasis; Community-acquired pneumonia; Pseudomonas aeruginosa; Sono-guided needle aspiration; |
語文 | 英文(English) |
英文摘要 | Pseudomonas aeruginosa (P. aeruginosa) is a less common pathogen causing community-acquired pneumonia. However, patients with chronic airway disease are vulnerable to P. aeruginosa infection. P. aeruginosa infection is associated with a poor quality of life, frequent exacerbation, and a high mortality rate in patients with bronchiectasis. Groundglass attenuation, peribronchial infiltration and consolidation, but not mass-like lesions, are the common radiographic features of P. aeruginosa pneumonia. Here, we reported a rare case of P. aeruginosa pneumonia with multifocal conglomerate mass-like consolidation. Ultrasound-guided transthoracic aspiration was performed to rule out malignancy, and pus was aspirated, which showed numerous inflammatory cells and yielded P. aeruginosa. The early diagnosis of P. aeruginosa pneumonia in this case helped in the initiation of appropriate antibiotic treatment and eliminated the need of an investigation for mass-like lesions. The mass-like lesions resolved after antibiotic use. In this case report, we reviewed the clinical presentations and radiographic patterns of P. aeruginosa pneumonia and the diagnostic value of sono-guided needle aspiration. |
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