Report of 1 case of Pseudomonas aeruginosa pneumonia.doc

 PAGE \* MERGEFORMAT 5 Report of 1 case of Pseudomonas aeruginosa pneumonia [Key Words] high fever; Pseudomonas aeruginosa pneumonia 1 Case information Patients, female, aged 62, farmer. Because of “intermittent fever for 20 days” on July 10, 2010 admission. More than 20 days before admission, no obvious incentive to fever, body temperature 37.5 ~ 39.5 , no cough, sputum, chest pain, hemoptysis and chills and so on. outside the hospital check blood (2010-07-02) WBC 3.2 109 / L, N 67%, anteroposterior chest radiograph (2010-07-02) said: Two lower lung patchy shadows. intermittent intravenous Cefminox 2.0g, 2 times a day, 7 days, symptomatic treatment of fever, body temperature returned to normal. But the interval of 4 to 5 days and re-high fever, again 3 days before admission, fever, body temperature 39.7 , the “double under pneumonia, “the hospital. Since the disease has appetite can be, no significant decline in body weight, no abdominal pain, diarrhea, rash, joint pain and other symptoms. past abled. denial tuberculosis, hepatitis, history, non-infected living history. checkup: T 38.7 , P 100 times / min, R 24 times / min, BP 100/70mmHg. the spirit of God can be clear, smooth breathing, skin, mucous membranes and skin rash without jaundice, enlargement of superficial lymph nodes no time, no cyanotic lips, lungs breathing exercise consistent, percussion voiceless, coarse breath sounds, sounds can be heard, and small blisters, was left with no pleural friction rub. heart rate 100 times / min, law Qi, did not hear noise. abdomen and nervous system were normal. blood: WBC 2.7 109 / L, N 59.2%, Hb 85g / L, PLT 166 109 / L, MCV 79fL, ESR 121mm / h, C reactive protein 112mg / L, arterial blood gas analysis PaO2105mmHg, PaCO2 35mmHg (without oxygen). Urine Orders will be normal. lung CT showed: two inferior pulmonary effusion patchy shadow. electrocardiogram normal. admission diagnosis: (1) bilateral pneumonia; (2) moderate anemia. given intravenous cefu