1例肺孢子菌肺炎非典型临床特征分析  

A case report of Pneumocystis carinii pneumonia and literature review

作　　者：姜文青[1] 殷彬[1] 赵国静[2] 周杰华[1] 邵学军[1] 

机构地区：[1]青岛海慈医疗集团呼吸科,山东青岛266033 [2]山东中医药大学,山东济南250014

出　　处：《中华医院感染学杂志》2014年第6期1387-1388,1391,共3页Chinese Journal of Nosocomiology

基　　金：青岛市公共领域科技支撑计划基金项目(11-2-3-4[5]-nsh)

摘　　要：目的分析卡氏肺孢子菌肺炎的临床特点，提高临床医师对PCP的认识。方法对医院呼吸科2011年12月诊治的1例卡氏肺孢子菌肺炎患者的临床资料，包括病史、体征、实验室检查、胸部影像学检查、治疗过程等资料进行分析、总结，并进行文献复习。结果肺孢子菌肺炎临床表现缺乏特异性，在临床上易被延误诊断，根据相关文献报道，在疾病的早期5～10d未接受治疗，病死率可达75．0％～100．0％。结论对于不典型临床表现的间质性肺炎，特别是HIV高危者，应考虑到肺孢子菌肺炎的可能。OBJECTIVE To study the clinical features of Pneumocystis carinii pneumonia （PCP） and deepen the understanding of clinicians to PCP. METHODS The clinical data of one case of PCP who were treated in the respiratory department in Dec 2011, including medical history, clinical signs, laboratory examination, chest imaging, and therapeutic process, were analyzed and summarized, and the literature review was conducted. RESULTS PCP was lack of specificity in clinical manifestations, so that its diagnosis tended to be delayed. According to the relevant literature, the mortality rate of patients with PCP could be up to 75%- 100% if they hadn＇t received treatment in 5-10 days. CONCLUSION For the atypical clinical manifestations of interstitial pneumonia, the patients at high risk of HIV in particularly, it is necessary to highly incline to the diagnosis of PCP.

关 键 词：卡氏肺孢子菌肺炎 临床特点 文献复习 

分 类 号：R181.32[医药卫生—流行病学]