Computed tomography(CT)examination is the major measure for detecting and diagnosis of foreign bodies in human body.Although CT has high sensitivity in diagnosis of foreign body,some interference factors may still lea...Computed tomography(CT)examination is the major measure for detecting and diagnosis of foreign bodies in human body.Although CT has high sensitivity in diagnosis of foreign body,some interference factors may still lead to missed diagnosis or misdiagnosis.Here we report a rare case that a bamboo stick accidentally pierced into the left chest of a young man who was drunk and unware of this hurt.The patient experienced cough,chest pain,fever,hemoptysis,and was misdiagnosed as primary and secondary tuberculosis based on chest CT examinations at a local hospital,although no tubercular bacillus detected by sputum smear.He subsequently received anti-tuberculous treatments in the following three years,but no improvement of his symptoms was observed.Until one month before his death,the bamboo stick was detected by spiral CT examination as well as three-dimensional image reconstruction at another hospital.Postmortem examination revealed pneumonia,pulmonary infarction,and abscess as the causes of his death.We analyze the potential reasons of misdiagnosis in this case,aiming to provide reference for the diagnosis and treatment of pulmonary inflammation associated with foreign body in the future.展开更多
Background:Primary pulmonary amoeba is very rare and here we report a case of a 68-year-old man presenting with primary pulmonary amoeba after undergoing chemotherapy for lung adenocarcinoma.Case presentation:In Octob...Background:Primary pulmonary amoeba is very rare and here we report a case of a 68-year-old man presenting with primary pulmonary amoeba after undergoing chemotherapy for lung adenocarcinoma.Case presentation:In October 2016,the man aged 68 was admitted to our hospital because of repeated cough for 8 months and hemoptysis for 1 month.He was diagnosed lung adenocarcinoma and underwent surgery in 2012 without receiving chemotherapy.In March 2016,the patients suffered recurrence of cancer and was treated with chemotherapy.After 2 months of chemotherapy,the patient had consistent cough with white sputum,and chest CT showed a local lung nodule.The physicians suspected that the patient had pulmonary infectious diseases,and he was treated with empirical antibacterial treatment.However,his symptom wasn’t relieved and later the percutaneous lung biopsy found trophozites of Entamoeba histolytica.After administration of metronidazole,the symptoms of the patient were markedly relieved and the lesions were absorbed.Conclusions:In such cases where patients with pulmonary nodules were in immunodeficiency state and had adequate but ineffective anti-bacterial treatment,Entamoeba histolytica infection could be one of the rare causes.Percutaneous lung biopsy should be recommended and specific dying for parasites should be done when necessary.展开更多
文摘Computed tomography(CT)examination is the major measure for detecting and diagnosis of foreign bodies in human body.Although CT has high sensitivity in diagnosis of foreign body,some interference factors may still lead to missed diagnosis or misdiagnosis.Here we report a rare case that a bamboo stick accidentally pierced into the left chest of a young man who was drunk and unware of this hurt.The patient experienced cough,chest pain,fever,hemoptysis,and was misdiagnosed as primary and secondary tuberculosis based on chest CT examinations at a local hospital,although no tubercular bacillus detected by sputum smear.He subsequently received anti-tuberculous treatments in the following three years,but no improvement of his symptoms was observed.Until one month before his death,the bamboo stick was detected by spiral CT examination as well as three-dimensional image reconstruction at another hospital.Postmortem examination revealed pneumonia,pulmonary infarction,and abscess as the causes of his death.We analyze the potential reasons of misdiagnosis in this case,aiming to provide reference for the diagnosis and treatment of pulmonary inflammation associated with foreign body in the future.
文摘Background:Primary pulmonary amoeba is very rare and here we report a case of a 68-year-old man presenting with primary pulmonary amoeba after undergoing chemotherapy for lung adenocarcinoma.Case presentation:In October 2016,the man aged 68 was admitted to our hospital because of repeated cough for 8 months and hemoptysis for 1 month.He was diagnosed lung adenocarcinoma and underwent surgery in 2012 without receiving chemotherapy.In March 2016,the patients suffered recurrence of cancer and was treated with chemotherapy.After 2 months of chemotherapy,the patient had consistent cough with white sputum,and chest CT showed a local lung nodule.The physicians suspected that the patient had pulmonary infectious diseases,and he was treated with empirical antibacterial treatment.However,his symptom wasn’t relieved and later the percutaneous lung biopsy found trophozites of Entamoeba histolytica.After administration of metronidazole,the symptoms of the patient were markedly relieved and the lesions were absorbed.Conclusions:In such cases where patients with pulmonary nodules were in immunodeficiency state and had adequate but ineffective anti-bacterial treatment,Entamoeba histolytica infection could be one of the rare causes.Percutaneous lung biopsy should be recommended and specific dying for parasites should be done when necessary.
