Spherical pneumonia symptoms?

summary

The isolated round pneumonia is called spherical pneumonia, which is named after the morphological characteristics of X-ray chest film.

Spherical pneumonia symptoms?

The clinical characteristics of this disease are: most patients have the manifestations of acute inflammation, such as fever, cough, expectoration, leukocytosis and ESR acceleration, and most of them are combined with basic diseases. In addition to the above clinical manifestations, there were 10 cases of chest pain (47.6%) and 7 cases of sputum blood (33.3%). Among the cases of Ma et al., 4 cases had rust colored sputum with blood.

In the case reports of Japan, it is considered that a history of upper respiratory tract infection a few weeks ago is one of the characteristics, and the symptoms of the patients are mild and occult, with shoulder pain as another characteristic.

One patient had a history of "cold", took medicine at will on the way to business trip, had a history of cough and left shoulder pain, and found a spherical shadow on the left upper part of the film. He was suspected of lung cancer and was ready for surgery. One day before operation, the lesions disappeared. The patient was cured by oral administration of vancomycin No.4 in about two weeks from X-ray and CT to 1 day before operation.

matters needing attention

Children and adults over 2 years old who are susceptible to Streptococcus pneumoniae are suitable for vaccination, including the elderly over 65 years old, patients with chronic cardiopulmonary disease, patients with splenic insufficiency or no spleen, Hodgkin's disease, multiple myeloma, diabetes, liver cirrhosis, renal failure, HIV infection, organ transplantation and other diseases related to immunosuppression. Recurrent upper respiratory tract infections, including otitis media and sinusitis, are generally not considered as indications for vaccination. About half of the patients had erythema and / or pain at the injection site after vaccination, 1% had fever, myalgia or obvious local reaction, 5% had anaphylaxis or other obvious reaction, and those who received repeated vaccination within 5 years were prone to strong local reaction.