沃里康纳诱导的急性间歇性肺与血管:一个病例报告
Yuzhen Jin1, Lijie Qin1, Peng Liu1
1Department of Respiratory and Critical Care Medicine, Cangzhou Fifth Hospital (People's Hospital of Qingxian), Cangzhou, China.
BMC pulmonary medicine
|January 29, 2026
概括
沃里科纳很少会导致急性间歇性肺和血管. 迅速停止药物治疗和使用皮质类固醇导致肺炎患者的快速康复.
科学领域:
- 医学 医学 医学 医学 医学
- 肺部病理学 肺部病理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 沃里康纳是侵入性感染的关键抗真菌剂.
- 伏利康纳诱导的间歇性肺水腫是一种罕见的不良事件.
研究的目的:
- 报告一种罕见的伏利康纳诱导的急性间歇性肺.
- 要突出诊断挑战和管理这种情况.
主要方法:
- 一个74岁的肺炎妇女的案例介绍.
- 临床评估包括胸部CT,B型尿素 (BNP) 水平和心声回声.
- 治疗涉及伏利康纳取消和皮质类固醇治疗.
主要成果:
- 患者出现了面部,呼吸障碍和肺症状.
- 胸部CT显示了双边的多叶膜溢出和细胞间隔膜厚化.
- 在停止服用伏利康纳和服用皮质类固醇后,临床恢复迅速发生.
结论:
- 伏利康纳过敏症可以呈现为急性间歇性肺与血管.
- 这种表现可以被误认为是心脏性肺.
- 早期诊断和皮质类固醇治疗对于积极的结果至关重要.
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