Diffuse or scattered reversible wheezing in both lungs

Introduction Lung malaria asthma type: There are symptoms such as cough, shortness of breath, dyspnea and asthma that are consistent with the clinical manifestations of malaria, chills, fever, sweating, and heat withdrawal cycles. Asthma is clinically pre-existing, throughout the onset of malaria, and even malaria has been clinically Can appear after healing. Physical examination of the two lungs diffuse or scattered reversible wheezing. Symptoms are: the nature of their breath sounds is similar to normal alveolar breath sounds, but the pitch is higher and louder. The nature of the breath sound is similar to that of the bronchial breath sound, but the intensity is slightly weaker, the tone is slightly lower, the tube-like nature is less and the expiratory phase is shorter, and there is a very short gap between inhalation and exhalation. X-ray chest radiographs have a degree of hyperinflation of the lungs of varying degrees.

Cause

Current malaria patients and carriers are the source of infection. Domestically, it is mainly transmitted by four species of Anopheles sinensis, Anopheles sinensis, Anopheles sinensis and Anopheles sinensis, among which Anopheles sinensis. In addition, transfusion transmission and maternal-infant transmission have been reported occasionally.

an examination

Related inspection

Lung and pleural auscultation chest flat chest B-ultrasound

Symptoms of lung malaria:

1. Incubation period: Pulmonary malaria is a lung manifestation of systemic damage of Plasmodium, and its incubation period is equivalent to the time of infection of malaria. The malaria and ovarian malaria are 10 to 20 days, and the malaria is 70 to 80 days. Malaria is 10 to 14 days.

2. Classification, according to the main manifestations of its disease can be divided into:

(1) Asthma type: There are symptoms such as cough, shortness of breath, dyspnea and asthma which are basically consistent with the clinical manifestations of malaria, chills, fever, sweating and heat withdrawal. Asthma is clinically pre-existing, the whole disease, and even malaria has been clinically Can appear after healing. Physical examination of the two lungs diffuse or scattered reversible wheezing. X-ray chest radiographs have a degree of hyperinflation of the lungs of varying degrees.

(2) bronchitis type: malaria episodes at the same time there are obvious cough, cough, shortness of breath or wheezing during activities, generally do not relieve the ups and downs with the symptoms of malaria, but can be reduced with the cure of malaria, but cough and anger can exist for a long time. Physical examination of the two lungs may have scattered dry or wet sound. X-ray chest radiographs often have enhanced lung texture, and it has been reported that 60% of the signs appear in this case, and some may have small shadows along the lung line.

Laboratory inspection:

1. Auscultation of the lungs.

2, chest radio.

Differential diagnosis

Pulmonary auscultation:

Pulmonary artery stenosis, the disease is more common in congenital heart disease, the incidence rate of male and female is similar. Severe stenosis, poor development. In patients with mild to moderate stenosis, systolic jet sounds can be heard in the pulmonary valve area.

Bronchoalveolar breath sounds are mixed breath sounds that combine the characteristics of bronchial breath sounds and alveolar breath sounds. The nature of its breath sounds is similar to normal alveolar breath sounds, but the pitch is higher and louder. The nature of the breath sound is similar to that of the bronchial breath sound, but the intensity is slightly weaker, the tone is slightly lower, the tube-like nature is less and the expiratory phase is shorter, and there is a very short gap between inhalation and exhalation. The inspiratory phase of bronchoalveolar breath sounds is approximately the same as the expiratory phase.

The dry and wet lungs suggest respiratory diseases. Like other systemic diseases, careful detailed medical history and physical examination are the basis for diagnosing diseases. X-ray chest examinations have a special important role in respiratory diseases. Because respiratory diseases are often a manifestation of systemic diseases, comprehensive comprehensive analysis should be performed in combination with routine tests and other special examination results, in order to make a diagnosis of etiology, anatomy, pathology and function.

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