肺韦格肉芽肿误诊为肺脓肿1例报道  

Pulmonary abscess was misdiagnosed as pulmonary Wegener′s granuloma-A case report

作　　者：银玲[1] 邓蓉[1] 李欢[1] YIN Lin;DENG Rong;LI Huan(Infectious Disease Center,West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院感染性疾病中心,四川成都610041

出　　处：《热带医学杂志》2018年第7期943-945,共3页Journal of Tropical Medicine

摘　　要：目的探讨1例肺韦格肉芽肿的临床表现及误诊原因,提高该病的诊治水平。方法对1例以肺部空洞为主要表现的肺韦格肉芽肿患者的临床资料进行回顾性分析并复习相关文献。结果患者因咳嗽、咳痰、发热2+月入院,曾经给予多种抗菌药物治疗无缓解,后经过肺穿,病理结果证实为肺韦格肉芽肿,经过激素治疗后,患者症状明显缓解。结论肺部空洞可由多种原因引起,容易误诊,应尽早行活检明确肺部空洞的病因,针对性治疗,使患者早日康复。Objective To explore the clinical manifestation and misdiagnosis reasons of one case of pulmonary Wegener′sgranulomatosis,and improve the level of diagnosis and treatment.Methods The clinical data of 1 case of patients ofpulmonary Wegener′s granulomatosis with cavity were retrospectively analyzed.Results Patient complains with coughing,sputum and fever for 2＋ months in hospital.He was treated with a variety of antimicrobial agents,and the treatment was fail.After the lung puncture,the patient was diagnosed as lung Wegener′s granuloma and confirmed by pathology.The patientwas cured by hormone treatment.Conclusion The lung cavity can be caused by a variety of causes,and can be easilymisdiagnosed.Early biopsy should be done to confirm the cause of lung cavity,and to provide targeted treatment for theearly recover of the patient.

关 键 词：韦格肉芽肿 肺脓肿 

分 类 号：R593.9[医药卫生—内科学]