摘要
隐源性机化性肺炎(COP)是特发性间质性肺炎(IIP)的亚型之一,临床较为少见,由于该病无特异性临床表现,容易误诊。本文报告1例COP患者的诊治过程并复习相关文献,旨在提高临床医师对该病的认识。该患者入院后诊为社区获得性肺炎(CAP),痰培养未找到致病菌,临床症状与肺部体征及影像学严重程度不相符,多种抗生素治疗无效,病情进行性加重,在排除各种感染性及非感染性疾病后,高度怀疑COP,给予激素治疗,病情得以控制。该病例提示我们临床有诸多用CAP不能解释的现象,我们需要多一些诊断思路。
Cryptogenic organizing pneumonia （COP） is one of the subtypes of idiopathic interstitial pneumonia （IIP）. Having no specific clinical features, COP is difficult to be detected and easy to be misdiagnosed. Here, we report one case of COP and review the literature, aiming to improve the awareness of clinician to this disease. The patient was hospitalized as community-acquired pneumonia （CAP）, but sputum culture was negative. The severity of symptom did not correlate to physical examination and image changing. Although treated by a variety of antibiotics, the symp- tom was still deteriorated. He was diagnosed as COP and treated by methylprednisolone after excluding any other in- fectious and noninfectious diseases. The condition was improved at last. It should be concluded that if the symptom of CAP is atypical, differential diagnosis may include the COP.
出处
《中国现代医生》
2013年第19期135-136,139,共3页
China Modern Doctor
