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A Case of Esophageal Perforation Presenting as cavitary pneumonia: Diagnostic and Therapeutic Challenges

Open Journal of Gastroenterology 2024年第7期14卷 241-247页

作者： Feruza Abraamyan Harpreet Singh Vishal Raj Inder M. Singh Internal Medicine Department Sutter Roseville Medical Center Roseville CA USA Pulmonary Medicine Associates Sutter Roseville Medical Center Roseville CA USA Gastroenterology Department Sutter Roseville Medical Center Roseville CA USA

Esophageal perforation, a rare condition, can arise from iatrogenic, traumatic, or spontaneous origins. Even when therapy is initiated within the first 24 hours, it is associated with a mortality rate of up to 25%. Due to the varied initial presentation, treatment may be delayed, leading to poorer outcomes. Here, we present a unique case of a 27-year-old schizophrenic patient who initially presented with acute respiratory failure and septic shock and was ultimately diagnosed with cavitary pneumonia secondary to esophageal perforation.

关键词： Esophageal Perforation Foreign Body Esophageal Stent cavitary pneumonia Septic Shock Respiratory Failure

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Mycoplasma hominis pneumonia Presented as a cavitary Mass with a Halo Sign in an Immunocompetent Adult Male:A Case Report

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Infectious Diseases & Immunity 2024年第3期4卷 142-145页

作者： Pan-Pan Xie Yao Yao Ning Yang Wen-Kai Niu Xin Yuan Department of Respiratory and Critical Care Diseases Senior Department of Infectious Diseasesthe Fifth Medical Center of Chinese PLA General HospitalNational Clinical Research Center for Infectious DiseasesBeijing 100039China Anhui Medical University PLA 307 Clinical College Beijing 100039China.

Mycoplasma hominis is an opportunistic microorganism that colonizes the genitourinary tract and causes genitourinary ***,pulmonary infections caused by *** have rarely been reported in immunocompetent ***,we report a rare case of an immunocompetent adult male with *** pneumonia who presented with multiple pulmonary nodules that progressed to a cavitary mass with a halo *** presence of *** infection was confirmed using multiplex polymerase chain reaction(mPCR)of the bronchoalveolar lavage *** patient demonstrated no response to the initial levofloxacin therapy;however,the symptoms subsequently improved after the administration of *** may be an underestimated causative agent of community-acquired pneumonia of unknown etiology in immunocompetent adults,and the involvement of the organism should be especially suspected in sexually active *** diagnostic methods,such as mPCR,can be used to identify the etiology of atypical *** antibiotics are crucial for effective treatment.

关键词： M.hominis Halo sign cavitary pneumonia Extragenital infections Case report

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Legionella sainthelensi pneumonia with Abdominal Symptoms as Prominent Manifestations:A Case Report

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Infectious Diseases & Immunity 2022年第4期2卷 285-288页

作者： Xin Yuan Fanglin Meng Xinting Yu Changqing Bai Rui Jia Fanping Meng Fu-sheng Wang Junliang Fu Department of Respiratory and Critical Care Medicine Senior Department of Infectious Diseasesthe Fifth Medical Center of PLA General HospitalNational Clinical Research Center for Infectious DiseasesBeijing 100039China Senior Department of Infectious Diseases the Fifth Medical Center of PLA General HospitalNational Clinical Research Center for Infectious DiseasesBeijing 100039China

Fewstudies have reported Legionella sainthelensi *** infection primarily presents with ***,we report an immunocompromised patient with cavitary pneumonia caused by *** who mainly had abdominal *** timely administration of moxifloxacin provided clinical improvement and resolution of *** our knowledge,this is one of the rare cases of *** infection presenting uniquelywith abdominal distension and liver function impairment butwithout obvious respiratory symptoms.

关键词： Next-generation sequencing Abdominal distension cavitary pneumonia Legionella sainthelensi

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