猛暴性腺病毒肺炎：一病例報告

Fulminating Adenovirus Pneumonia: Report of One Case

寇崇德(Chang-Der Kow) ； 張寶琪(Bao-Chy Chang) ； 朱夢麟(Mong-Ling Chu)

《Acta Paediatrica Sinica》 35卷5期 (1994/10) Pp. 471-475

https://doi.org/10.7097/APS.199410.0471

摘要

98%的腺病素肺炎發生在5歲以下，健康學齡兒童的腺病毒肺炎，罕見且有很高的死亡率。本文報告的病例：十三歲女生，關始以發燒、全峰倦怠、頭痛、四肢酸痛、乾咳表現，四天後，呼吸急促、發紺、意識不清合併嚴重的低血氧發生，胸部X光表現出雙側性肺浸潤，實驗室檢查並發現SGOT,CPK和LDH增加現象。由病人氣管內抽痰管管尖(endo-suction tube tip)培養出腺病毒。出且於使用呼吸器五天後，成功脫離呼吸器。本文對臨床症狀、病程及治療加以討論並回顧相關文獻。

關鍵字

腺病毒 ； 猛暴性肺炎

並列摘要

Adenoviral pneumonia, while most common in infancy and young childhood, is rare in school childhood. Here, we report one case, a 13 years old otherwise healthy girl, suffered from fulminating pneumonia caused by adenovirus infection. She had dry cough, pharyngitis, lethargy, myalgia and fever in the beginning. Four days later, the patient became tachypneic, dyspneic and drowsy, and developed hypoxemia and diffuse bilateral infiltrates on chest radiographs. The Laboratory data revealed elevated SGOT, CPK and LDH. Adenovirus was isolated form patient's endotracheal suction tube tips. Fortunately, weaning from mechanical ventilation was accomplished on the fifth day of hospitalization, despite of the high fatality rate of adenoviral pneumonia in this age group. The clinical characteristics and therapeutic management of our case are discussed and literatures reviewed.

並列關鍵字

adenovirus ； fulminating pneumonia