[Dyspnea with multiple bilateral lung opacities on CT scan].
Zhonghua Jie He He Hu Xi Za Zhi
; 47(8): 761-766, 2024 Aug 12.
Article
em Zh
| MEDLINE
| ID: mdl-39069853
ABSTRACT
A 58-year-old man was admitted with a typical presentation of acute left heart failure. However, the patient showed a partial response to the anti-heart failure therapy. Following admission, a continuous fever was monitored, and a CT scan revealed that multiple opacities on bilateral lungs had progressed. Bronchoscopy was performed, and Coxiella burnetii was detected by Metagenomic next-generation sequencing (mNGS) in bronchoalveolar lavage (BALF), and transbronchial lung biopsy showed organizing pneumonia. Considering that the patient had a history of rabbit breeding and delivery, with some newborn rabbits dying before he became ill, organizing pneumonia secondary to Q fever pneumonia was diagnosed. Anti-Q fever treatment was initiated and the patient's temperature returned to normal. Glucocorticoid was administered after adequate treatment for Q fever. The patient's symptom of dyspnea relieved soon and opacities on CT scan were absorbed remarkably. The final diagnosis was organizing pneumonia secondary to Q fever pneumonia accompanied with left heart failure.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Febre Q
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Tomografia Computadorizada por Raios X
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Dispneia
Limite:
Animals
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Humans
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Male
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Middle aged
Idioma:
Zh
Ano de publicação:
2024
Tipo de documento:
Article