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目的探讨肺结核合并超鞭毛虫感染的临床诊断和治疗。方法对7例肺结核合并超鞭毛虫感染患者的临床和影像表现、实验室检查和治疗进行分析。结果患者以咳嗽和发热为主要症状,正规抗结核治疗后多仍有发热和明显盗汗,支气管肺泡灌洗液沉渣涂片镜检有助于提高超鞭毛虫检出率,甲硝唑治疗效果良好,可进一步恢复患者体温并消除盗汗。结论深圳地区肺结核患者合并超鞭毛虫感染临床并不少见,提高认识及时诊断治疗预后良好。
Objective To investigate the clinical diagnosis and treatment of pulmonary tuberculosis complicated with. Methods The clinical and imaging findings, laboratory tests and treatment of 7 cases of pulmonary tuberculosis complicated with GFP infection were analyzed. Results The patients were mainly cough and fever. After regular anti-TB therapy, fever and obvious night sweats were still more, and bronchial alveolar lavage sediment smear microscopy was helpful to improve the detection rate of super-flagellates and the metronidazole treatment effect was good , Can further restore the patient’s temperature and eliminate night sweats. Conclusions It is not uncommon for pulmonary tuberculosis patients to be infected with the super-flagellate infection in Shenzhen. The prognosis is good for prompt diagnosis and treatment.