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患者 男,5 4岁。于45d前出现发热,每日下午开始,持续4h后退热,最高可达3 9.2℃,咳嗽剧烈,影响夜间睡眠,咳大量白色泡沫状痰,且痰中带血,伴胸痛、气短,无乏力、盗汗等症状,曾给予抗感染(不详)治疗症状无缓解。胸部CT片示:两肺门旁可见蝶冀状致密影,其边缘可见斑片状、结节状及
Patient male, 54 years old. Fever occurred 45d before the start of every day, lasting 4h fever, up to 3 9.2 ℃, severe cough, affecting nighttime sleep, cough, a large number of white foam-like sputum, and bloody sputum, with chest pain, shortness of breath, no fatigue , Night sweats and other symptoms, had given anti-infection (unknown) no improvement in treatment symptoms. Chest CT showed: two hilar can see the butterfly-shaped dense shadow, the edge of the patchy, nodular and