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Empyema。Atypical Presentation
Empyema: An Atypical Presentation.
PMID: 32665930 PMCID: PMC7350953. DOI: 10.12890/2020_001631.
抄録
40歳の男性が救急外来に来院し、原因不明の体重減少、無気力症、食欲不振および過去2ヵ月間の寝汗を内科で評価された。胸部CTで局在性胸水が確認された後，肺から膿性の液体が排出され，分離された．患者はアモキシシリン-クラヴラン酸で27日間の治療に成功した。この症例は、肺感染症に関与する一般的な微生物の非典型的な症状であった。
A 40-year-old man presented to the emergency room and was evaluated in the internal medicine department for unexplained weight loss, asthenia, anorexia and night sweats over the previous 2 months. After a loculated pleural effusion was identified on thoracic computed tomography, purulent fluid was drained from the lung and was isolated. The patient was successfully treated for 27 days with amoxicillin-clavulanic acid. This was an atypical presentation of a common micro-organism implicated in lung infections.
学習ポイント:
肺感染症は通常、一般的な抗生物質による治療によく反応する。
LEARNING POINTS: Empyema due to can have an atypical presentation, manifesting only with unexplained weight loss and night sweats. lung infection usually responds well to treatment with common antibiotics.In patients with unexplained weight loss, the differential diagnosis should include cancer, tuberculosis and atypical presentations of other bacterial infections.
© EFIM 2020.