Interlobular fissures often fall in an arc shape

Introduction Klebsiella infection X-ray manifestations, can have large leaf consolidation, lobular infiltration and abscess performance, large leaf consolidation is mostly located in the upper lobe, due to inflammation and exudate more sticky, so the interlobular fissure often curved Falling down. Inflammatory infiltration is also denser than other pneumonia, with sharp borders, and 16% to 50% of patients have lung abscess formation.

Cause

The interlobular fissure often causes the cause of a curved fall:

Klebsiella infection.

an examination

Related inspection

White blood cell count (WBC) neutrophil count (NEUT) urine routine

Interlobular fissures often have an arc-shaped fall diagnosis:

Typical Klebsiella pneumoniae pneumonia often occurs in middle-aged and elderly men, chronic bronchopulmonary disease patients with long-term drinking, with typical clinical manifestations and X-ray signs, combined with sputum culture results, is not difficult to diagnose. However, in the case of patients with serious primary diseases, the clinical manifestations are more atypical and the diagnosis is more difficult. Anyone who develops a new infiltrating lesion on the X-ray chest radiograph with high fever, white blood cells and neutrophil in the course of the original disease and who is not treated with penicillin should consider this disease. 2 or more consecutive sputum culture positive, or pleural effusion blood culture positive can confirm the majority of septic patients, the total number of white blood cells increased significantly neutrophils; but the number of white blood cells in patients with blood diseases or anti-metabolites may not increase or There is a decrease. Others such as urinary tract infections and meningitis have changes in urine and cerebrospinal fluid. The diagnosis should be based on bacterial culture results. Chronic granulomatous induration caused by nasal induration sub-species, Mikulicz cells found in biopsy have a definite diagnosis value.

Differential diagnosis

Interlobular fissures are often confusing and confusing:

Klebsiella infection should be clinically distinguished from S. pneumoniae infection.

Streptococcus pneumoniae infection: Streptococcus pneumoniae usually resides in the nasopharyngeal cavity of normal people, most of which are not pathogenic, and only a few are toxic. When the body's resistance is reduced, it can often invade the lung tissue and cause pneumonia. In addition, it can cause, and purulent meningitis. Streptococcal pneumonia, formerly known as lobar pneumonia (90% of out-of-hospital acquired pneumonia), typical symptoms are sudden chills, high fever, chest pain, cough and rust stains. Erythromycin is the first choice for penicillin G treatment, allergic to penicillin or clinically unable to exclude Legionella pneumonia. The prognosis is generally good, and antibiotic treatment can be restored. However, the mortality rate of elderly patients, bacteremia, multilobular lesions, and purulent meningitis was significantly increased.

Typical Klebsiella pneumoniae pneumonia often occurs in middle-aged and elderly men, chronic bronchopulmonary disease patients with long-term drinking, with typical clinical manifestations and X-ray signs, combined with sputum culture results, is not difficult to diagnose. However, in the case of patients with serious primary diseases, the clinical manifestations are more atypical and the diagnosis is more difficult. Anyone who develops a new infiltrating lesion on the X-ray chest radiograph with high fever, white blood cells and neutrophil in the course of the original disease and who is not treated with penicillin should consider this disease. 2 or more consecutive sputum culture positive, or pleural effusion blood culture positive can confirm the majority of septic patients, the total number of white blood cells increased significantly neutrophils; but the number of white blood cells in patients with blood diseases or anti-metabolites may not increase or There is a decrease. Others such as urinary tract infections and meningitis have changes in urine and cerebrospinal fluid. The diagnosis should be based on bacterial culture results. Chronic granulomatous induration caused by nasal induration sub-species, Mikulicz cells found in biopsy have a definite diagnosis value.

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