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An unusual presentation of recurrent pneumonia.

机译:一种不寻常的复发性肺炎呈现。

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摘要

In October, 2010, a 20-year-old man was referred to us after having been admitted to hospital four times with community acquired pneumonia since the age of 16 years. His recurrent symptoms included a productive cough, lethargy, fever, night sweats, and rigors. Apart from childhood asthma, he had no important medical history of respiratory illness. He was a life-long non-smoker and denied illicit drug use. Auscultation of the chest showed equal air entry to the lung fields with mild crepitations in the left lower zone posteriorly. Erect chest radiography showed multiple cystic lesions in the left lower lobe posteriorly with crowding of bronchovascular markings (figure A). CT of the chest showed a systemic artery feeding a left lower lobe pulmonary sequestration (figure B). The feeding artery originated from the common hepatic artery before passing through the oesophageal hiatus into the thorax. Aberrant venous drainage from the sequestration was not identified and a diagnosis of intralobar pulmonary sequestration was made.
机译:2010年10月,自16岁以来,共有社区收购肺炎的4次入院后,一名20岁的男子被提交给我们。他的经常性症状包括生产咳嗽,嗜睡,发烧,盗汗和严谨性。除了儿童哮喘之外,他没有重要的呼吸疾病病史。他是一名终身非吸烟者,否定了非法药物使用。胸部的听诊显示于肺部的平等空气进入,左下区域的温和裂缝。竖立胸部射线照相显示左下叶中的多个囊性病变,并在支气管血管标记(图A)中挤出。胸部的CT显示出饲喂左下叶肺螯合的全身动脉(图B)。饲养动脉起源于常见的肝动脉,然后穿过食管中断进入胸腔。未鉴定出螯合中的异常静脉引流,并制备诊断血管内肺螯合。

著录项

  • 来源
    《The Lancet》 |2012年第9811期|共1页
  • 作者

    Cao C; Bi M; Hendel N; Yan TD;

  • 作者单位

    Department of Cardiothoracic Surgery Royal Prince Alfred Hospital Sydney Australia.;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
  • 关键词

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