Chronic obstructive pulmonary disease secondary to pulmonary fungal infection in 6 cases.docVIP

 PAGE \* MERGEFORMAT 8 Chronic obstructive pulmonary disease secondary to pulmonary fungal infection in 6 cases [Abstract] Objective: To investigate the chronic obstructive pulmonary disease (COPD) patients with secondary pulmonary fungal infection in the etiology of clinical features and treatment, to increase awareness of these diseases. Methods: A retrospective analysis of our hospital in January 2006 to December 2008 during the 6 patients admitted to COPD patients with secondary features of pulmonary fungal infections. Results: In support for the primary disease and the disabled based on the symptomatic treatment of antibiotics, antifungal fluconazole given 2 weeks of treatment, the mixed infection, use of antibiotics according to susceptibility testing, 6 patients were cured or improved and discharged. Conclusion: The elderly COPD patients prone to secondary pulmonary fungal infection, clinical treatment should be highly alert and active. [Keywords:] Chronic obstructive pulmonary disease; fungi; infection Clinical manifestations of pulmonary fungal infections have no specific clinical misdiagnosis and missed diagnosis easily lost treatment time, resulting in delays in treatment, mortality is high, a growing clinical problem. In recent years, the report of such secondary infections is rising, now with our hospital from January 2006 to December 2008 were treated 6 patients with chronic obstructive pulmonary disease senile (COPD) secondary to pulmonary fungal infection were analyzed. 1 Clinical data 1.1 General Information 6 patients were 4 males and 2 females, aged 75 to 82 years, mean age 78.5 years, diagnosed according to Institute of Respiratory Diseases, 2007, China developed COPD treatment guidelines [1]: (1), pulmonary infection The symptoms and signs; (2) chest X-chip with markings thickening, inflammatory patch shadow; (3) after washing with normal saline mouthwash samples collected sputum, sputum culture positive for fungus; (4) Accor