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男患,15岁。因恶寒、发烧、咳嗽伴咯血痰3天于1989年8月12日住院。呈弛张热型,退热时伴出汗.无胸痛.既往健康.体检:T39℃.P100次/分,R21次/分,Bp14.66/9.80kPa.急性热病容,口唇疱疹。右肩胛下区少许湿性啰音。心脏听诊正常。肝脾无肿大。X线胸片示两下肺小片状阴影,心膈正常。化验:WBC4.8×10~9/L,N0.62,L0.35,M0.03;厚滴血片和血痰涂片找到间日疟原虫。诊断疟原虫性肺炎。停抗生素,改用氯喹三日疗法治疗,2天后发烧消退,一周复查X线胸片示肺部阴影消失,治愈出院。讨论疟原虫性肺炎临床上少见,一般认为多由间日症原虫引起。其确切发病机制不明,可能系疟疾免疫复合物在肺部沉积而引起的非特异性炎
Male suffering, 15 years old. Due to aversion to cold, fever, cough with hemoptysis sputum 3 days in August 12, 1989 hospitalization. Tension was fever type, with fever when fever. No chest pain. Past health. Physical examination: T39 ℃. P100 beats / min, R21 beats / min, Bp14.66 / 9.80kPa. Acute fever, cold sores. Right sub-subscapular area a little wet rales. Cardiac auscultation normal. No enlargement of liver and spleen. X-ray showed two small lung shadow, normal diaphragmatic. Laboratory tests: WBC4.8 × 10 ~ 9 / L, N0.62, L0.35, M0.03; thick drops and bloody sputum smear found Plasmodium vivax. Diagnosis of Plasmodium pneumonia. Stop antibiotics, switch to chloroquine three days therapy, 2 days after the fever subsided, a week review X-ray showed lung shadow disappeared, cured and discharged. Discussion Malaria pneumonia is clinically rare, it is generally believed that more caused by the protozoan parasite. Its exact pathogenesis is unknown and may be due to nonspecific inflammation caused by the deposition of malaria immune complexes in the lung