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病历资料患儿女,12岁,因发热28 d、咳嗽24 d 入院。患儿于入院前28 d 无明显诱因出现发热,体温波动于37～39.8℃,4 d后出现咳嗽,开始干咳无痰,夜间为著,逐渐出现痰液,为黄色黏痰,病后于当地医院分别进行胸部 X 线片和 CT 检查,诊断肺炎,先后输注先锋霉素、三代头孢菌素(具体不详)10d,阿奇霉素6 d,万古霉素6 d,亚胺培南3 d,体温仍持续于39.3℃以上,咳嗽逐渐加重,痰增多,呼吸费力,尿培养出少量毛霉菌,考虑可能为真菌感染,建议家长转入我院。患儿自发病以来精神稍差,伴乏力,食欲可,大小便正常,无咯血、脓涕、鼻塞、皮疹、关节痛、胸痛、腹痛等症状。既往体健。个
Medical records with children, 12 years old, 28 days due to fever, cough 24 d admission. There was no obvious predisposition for fever in children 28 days before admission. The body temperature fluctuated between 37 and 39.8 ℃. After 4 days, the patient developed cough and began to cough and sputum without sputum. At nighttime, sputum gradually appeared, which was yellow phlegm. The hospital was carried out chest X-ray and CT examination, diagnosis of pneumonia, successively celecoxib, third generation cephalosporins (in detail) 10d, azithromycin 6 d, vancomycin 6 d, imipenem 3 d, body temperature still Continued for more than 39.3 ℃, cough gradually increased, sputum increased, strenuous breathing, urine culture a small amount of mold fungi, consider may be fungal infection, it is recommended that parents transferred to our hospital. Children with mental illness since the onset of a bit weak, with fatigue, appetite, normal urine, no hemoptysis, purulent nasal discharge, nasal congestion, rash, joint pain, chest pain, abdominal pain and other symptoms. Past physical health. A