一名 54 岁的男性，伴有高烧、咳嗽、呼吸困难和膀胱皮肤溃烂。

IF 9.5 1区医学 Q1 CRITICAL CARE MEDICINE Chest Pub Date : 2024-11-01 DOI:10.1016/j.chest.2024.05.034

Anna Oppliger, Patrick M Meyer Sauteur, Robert Dahmen, Adrian Schibli, Bertram Feil, Mattia Arrigo, Lars C Huber

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引用次数: 0

摘要

病例介绍：一名 54 岁的埃及男子因咳嗽、高烧和进行性呼吸困难恶化 5 天，被转诊到我院。他在门诊接受了为期 3 天的头孢曲松治疗，但临床症状未见好转。除三年前诊断出双侧肺栓塞外，病史无异常。患者经常吸烟，但否认酗酒和使用违禁药物。患者从事厨师工作，过去10年一直住在瑞士。实际发病前五周，他曾前往埃及旅行。大约两周前，他的一个孩子出现了呼吸道感染症状。他唯一经常服用的药物是利伐沙班。

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A 54-Year-Old Man With High-Grade Fever, Cough, Dyspnea, and Vesiculobullous Skin Eruptions.

Case presentation: A 54-year-old Egyptian man with a 5-day history of worsening cough, high-grade fever, and progressive dyspnea was referred to our hospital. A 3-day course of ceftriaxone provided in an outpatient setting showed no clinical improvement. Medical history was unremarkable, except for bilateral pulmonary embolism diagnosed 3 years earlier. The patient actively smoked and denied the use of alcohol and illicit drugs. The patient worked as cook and had lived in Switzerland for the past 10 years. Five weeks before the actual presentation, he had traveled to Egypt. One of his children showed symptoms of a respiratory infection approximately 2 weeks before that. His only regular medication was rivaroxaban.

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来源期刊

Chest 医学-呼吸系统

CiteScore

13.70

自引率

3.10%

发文量

3369

审稿时长

15 days

期刊介绍： At CHEST, our mission is to revolutionize patient care through the collaboration of multidisciplinary clinicians in the fields of pulmonary, critical care, and sleep medicine. We achieve this by publishing cutting-edge clinical research that addresses current challenges and brings forth future advancements. To enhance understanding in a rapidly evolving field, CHEST also features review articles, commentaries, and facilitates discussions on emerging controversies. We place great emphasis on scientific rigor, employing a rigorous peer review process, and ensuring all accepted content is published online within two weeks.