肺部少见病原感染-刘金荣

肺部少见病原感染 支气管灌洗液（送友谊医院）可见活动的蠊缨 等 diagnosedwithBPFPfromJanuary2014toBronchopulmonarydiseasecausedbyflagellateddiagnosedwithBPFPfromJanuary2014toBronchopulmonarydiseasecausedbyflagellatedprotozoainfectionin15ChineseChildrenMethods:Inthisstudy,weretrospectivelyreviewedrecordsofprotozoainfectionin15ChineseChildrenMethods:Inthisstudy,weretrospectivelybronchopulmonarydiseaseofunknowncausesatadmissionandwerefinallypresentedwithabronchopulmonarydiseaseofunknowncausesatadmissionandwerefinallyJanuary2015wereenrolled.ProtozoawereobservedinbronchoalveolarProtozoawereobservedinbronchoalveolar,,BronchopulmonarydiseasecausedbyflagellatedBronchopulmonarydiseasecausedbyflagellatedprotozoainfectionin15ChineseChildren.Results:Atotalof15pediatriccases(11maleand4femaleindividuals,1-year-8-monthsto12-years-1-monthofage)withflagellatedprotozoainfectiondiagnosedbylightmicroscopywererecruited.Thecourseofthediseaseatthetimeofdiagnosiswasy),gpcouhN=11wheezinN=5andchestdatashowedelevatedperipheralbloodleucocytes(N=6)y),gpn=.nchiectasisgilblin=.nchiectasisg()db(N=1).Lungcomputedtomographyresultsindicatedground-glassopacification(N=2),atelectasis(N=3),opacity(N=6,includingonecaseofpulmonaryembolism)opacity(N=6,includingonecaseofpulmonaryembolism).Allchildrenrespondedtometronidazolefora2-to5-weektreatmentperiod. protozoainfectionin15ChineseChildrenBronchopulmonarydiseasecausedbyflagellatedprotozoainfectionin15ChineseChildren 。。毛停mitesandrespiratoryallergynasalextrusionsofpatientswithalergicfindingofprotozoalformsintheRafaelMartínez-Girón学者为主PutativeBronchopulmonaryFlagellatedProtozoainImmunosuppressedPatients withbronchopulmonary cells.msmear.NotethenuclearApoptoticciliatedcellsonmsmear.Notethenuclearliarciliaryarrangementfragmentationandthepeculiarciliaryarrangement.立克次体肺炎细胞17~60%，CRP最高16mg/L细胞17~60%，CRP最高16mg/L再次间断发热2次严重威胁人类健康人兽共患自然疫源性疾病斑疹伤寒、恙虫病、Q热在分布较广严重威胁人类健康人兽共患自然疫源性疾病斑疹伤寒、恙虫病、Q热在分布较广种立克次体病得到有效控制。在生物战剂名录中美国将流行性斑疹伤寒、落基山斑点热及Q热列在生物战剂名录中亚洲等地区仍有时有局部爆发流行性斑疹伤寒(普氏立克次体)人虱传播媒介病理部位：病理部位：致病物质：致病物质：致病机制：致病机制：局部（淋巴组织、小血管）全身小血管内皮细胞高热、头痛、皮疹、面部及眼结膜充血血 外周血WBC涂片胞浆中包含体。 诊断。（重要）（2）恢复期IgG较急性期4倍或以上升高则可明确诊断。（重要）OXk-恙虫病，OX19-斑疹伤寒，OX2斑点热OXk-恙虫病，OX19-斑疹伤寒，OX2斑点热扩增及测序直接诊断依据。、、通过细胞膜进入细胞通过细胞膜进入细胞