Unresolving Pneumonia / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 604-608, 2004.
Article
en Ko
| WPRIM
| ID: wpr-95160
Biblioteca responsable:
WPRO
ABSTRACT
A 47-year-old-man was admitted to the emergency department with dyspnea, right pleuritic pain, and high fevers for 3 days. He had a nonproductive cough that exacerbated the chest pain. A clinical examination revealed distressed and slightly tachypneic patient, with blood pressure of 110/90 mmHg, temperature of 39degrees C, pulse of 90 beats/min, respiratory rate of 24 breaths/min. A chest examination showed significantly diminished breath sounds in the right lung with dullness to percussion. Laboratory investigation demonstrated leukocytosis and a raised C-reactive protein. The results of arterial blood gas analysis revealed moderate hypoxemia. A radiograph and a CT scan of the chest showed extensive consolidation with multifocal low densities, and pleural effusion in the right lung. A diagnostic thoracentesis revealed straw-colored fluid, which was found to be a neutrophil-predominant exudate. At 7 days after admission, the clinical symptoms had not improved and the temperature was still 39degrees C despite the aggressive therapy of community- acquired pneumonia. After comprehensive history taking, we realized then that he accidentally aspirated kerosene while siphoning from fuel tank to put into the boiler 3 days ago. Bronchoscopy with bronchial washings could be successful in establishing the diagnosis of hydrocarbon pneumonitis by demonstration of a high lipid-laden macrophage index. Thereafter, the symptoms and radiographic opacities gradually improved, and he was discharged several days later.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Percusión
/
Derrame Pleural
/
Neumonía
/
Tórax
/
Análisis de los Gases de la Sangre
/
Presión Sanguínea
/
Dolor en el Pecho
/
Broncoscopía
/
Proteína C-Reactiva
/
Queroseno
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
Ko
Revista:
Tuberculosis and Respiratory Diseases
Año:
2004
Tipo del documento:
Article