[The 485th case: fever of undetermined origin and hypoxemia]

Autor: X B, Dong, T, Zhang, Z, Huo, Q, Wang, Y, Ge, T S, Li
Rok vydání: 2021
Předmět:
Zdroj: Zhonghua nei ke za zhi. 60(3)
ISSN: 0578-1426
Popis: A 49-year-old male was admitted to Peking Union Medical College Hospital presented with fever for more than half a year. The patient was diagnosed as Sjogren's syndrome at local hospital. After oral prednisone 60 mg per day was given, the fever alleviated, but recurred after prednisone tapered to 40 mg/d. Both blood culture and stool culture were positive for患者男,49岁,因“发热半年余”就诊。患者在当地医院诊断为“干燥综合征”,予泼尼松60 mg/d口服治疗后热退,但泼尼松减量至40 mg/d后再次发热。入院后因发现血培养及便培养示肠炎沙门菌阳性,先后予头孢他啶、头孢曲松、亚胺培南-西司他丁抗感染治疗共4周,但体温仍未控制。患者虽无呼吸系统症状及体征,且胸部高分辨CT未见明显异常,但检查发现动脉血氧分压降低,乳酸脱氢酶及β
Databáze: OpenAIRE