Clinical cases discussion:fever-hemoptysis-chest pain-pleural effusion
10.3760/cma.j.issn.0254-9026.2014.09.029
- VernacularTitle:发热咯血胸痛胸腔积液
- Author:
Yuan ZHANG
;
Jingchun HE
;
Liyu LI
;
Dongqing LI
;
Likui QIAO
- Publication Type:Journal Article
- Keywords:
Wegener granulomatosis;
Fever;
Vasculitis,Chest pain;
Staphyolcoccus,aureus
- From:
Chinese Journal of Geriatrics
2014;33(9):1025-1028
- CountryChina
- Language:Chinese
-
Abstract:
This report presented a male patient aged 69 years,who was admitted into our hospital for fever,hemoptysis and chest pain.Chest X-Ray showed shadows on the right lung and pleural thickening.The effect of broad spectrum antibiotic therapy was poor.With the disease progressed,pleural effusion appeared on the right side.Blood culture showed methicillin-resistant staphylococcus aureus.Pleural effusion tests indicated pyothorax,but the effects of closed chest drainage and sensitive antibiotic therapy were poor.After disentangling with open thoracic exploration,the right middle lobe was resected and the right lung lobe pathology showed Wegener granulomatosis.His blood antineutrophil cytoplasmic autoantibodies was negative.The paranasal sinus CT scan and renal function showed no abnormalities.The definitive diagnosis was pulmonary limited Wegener granulomatosis.
