TY -的A2 Girgis Reda e . AU - Kewcharoen Jakrin盟——Poonsombudlert Kittika盟——Sathirareuangchai Sakda盟——Sae-Ow Wichit AU -洛杉矶,行非盟- Sriratanaviriyakul Narin PY - 2020 DA - 2020/01/03 TI -隐原性组织肺炎与一种罕见的影像学表现的弥漫性结节性模式模仿粟粒状的肺浸润:病例报告和文献之回顾SP - 2094625六世- 2020 AB -我们报道的不明原因引起的组织肺炎(COP)有一个不寻常的弥漫性结节性模式(DMP)模仿粟粒状的肺浸润。病人是一位66岁的老人过去病史的糖尿病2型和高脂血症出现进行性呼吸困难与显著的减肥和盗汗2周。入学后,患者的临床状况迅速发展为呼吸衰竭需要机械通气。最初的胸部x光片(CXR)显示弥漫性reticulonodular渗透模仿粟粒状的模式。胸部计算机断层扫描(CT)显示弥漫性小叶中心的小结节型入渗特性的模式树与CXR结果一致。他然后开始经验性抗生素治疗社区获得性肺炎进行了诊断支气管镜肺泡灌洗和transbronchial活检,产生了消极的文化和普通的病理变化。从计算机肺活检组织进行后来也是不确定的。由于缺乏临床改善,他最终接受了外科肺活检。组织病理学结果显示肺炎(OP)模式与重型lymphoplasmacytic浸润和众多的多核巨细胞。他最后的文化成果,微生物数据和自身免疫性疾病的血清学检查都是普通人。 The patient was diagnosed with COP and was started on systemic corticosteroids. He displayed dramatic clinical improvement and was successfully liberated from the ventilator. Subsequent chest imaging showed resolution of the reticulonodular infiltrations. Early diagnosis for OP and ability to distinguish OP from infectious pneumonitides are critical as the majority of patients with OP respond promptly to corticosteroids. Common findings of radiographic pattern for OP are patchy air space consolidation or ground-glass opacity, yet DMP is another rare radiographic pattern that must be recognized, especially in COP. In summary, this case illustrates a rare radiographic presentation of COP. With early recognition and prompt diagnosis, proper treatment can significantly prevent morbidity and reduce mortality. SN - 2090-6846 UR - https://doi.org/10.1155/2020/2094625 DO - 10.1155/2020/2094625 JF - Case Reports in Pulmonology PB - Hindawi KW - ER -