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Coxsackievirus infection is an enteroviral disease with diverse manifestations: aseptic meningitis/encephalitis/myocarditis/pericarditis/epidemic pleurodynia/herpangina; some polio-like. Group A/B; summer-autumn; GI/respiratory/transplacental transmission
呼吸内科CMV pneumonia is characterized by large type A eosinophilic intranuclear/cytoplasmic inclusions. Usually asymptomatic; severe in immunocompromised/infants. Common in bone-marrow/organ transplant and AIDS.
呼吸内科Herpangina is an acute febrile enterovirus disease of infants/toddlers, summer-autumn. Caused by Coxsackie group A. Acute high fever, sore throat, drooling, anorexia, vomiting; pharyngeal injection; 2-4 mm vesicles on anterior faucial pillars/uvula/soft p
呼吸内科VZV pneumonia occurs mainly in adults, winter-spring. Pneumonia symptoms 2-6 days after rash (also before/10 days after). Mild cases recover in days; most have high fever (up to 40°C), cough, hemoptysis, chest pain; severe dyspnea/respiratory failure. X-r
呼吸内科Legionellosis is a pneumonia-causing infection by Legionella; pathogens come from contaminated water and enter via the respiratory tract. A milder febrile form with headache/myalgia is called Pontiac fever.
呼吸内科Nocardiosis is a suppurative granulomatous disease caused by Nocardia; the lung is the most common organ, accounting for ~85% of pulmonary/systemic nocardiosis. Half of pulmonary cases have extrapulmonary lesions; only 1/5 of extrapulmonary cases dissemin
呼吸内科Pulmonary actinomycosis is a chronic suppurative granulomatous lung infection caused by anaerobic Actinomyces israelii, characterized by multiple abscesses, sinus tracts, and sulfur-yellow granular pus, with fibrosis. The organism is normal oral/dental/to
呼吸内科Tuberculous pleurisy is pleural inflammation caused when pulmonary tuberculous inflammation involves the pleura. In some cases it results from hematogenous infection, and some is related to host allergic reaction. Effusions are usually small to moderate;
呼吸内科Tuberculous dry pleurisy usually results from spread of pulmonary tuberculosis to the pleura. It most often occurs at the posterior lung apex, then the lower chest pleura. Pulmonary tuberculous foci are sometimes discovered during workup for chest pain.
呼吸内科Bronchial tuberculosis, also called endobronchial tuberculosis (EBTB), refers to tuberculosis involving the tracheal and bronchial mucosa and submucosa. In adults, the most common route is direct implantation of tubercle bacilli from pulmonary foci into t
呼吸内科Infiltrative pulmonary tuberculosis is a type of secondary pulmonary TB caused by reactivation of previously latent, uncured foci in the body.
呼吸内科In cavitary pulmonary tuberculosis, long-standing cavities gradually thicken; depending on treatment efficacy and immunity, lesions alternate between resolution and deterioration, forming chronic fibro-cavitary TB with a protracted course, fluctuating sym
呼吸内科Diagnosis and treatment of respiratory diseases including pneumonia, asthma, chronic obstructive pulmonary disease, bronchitis and pleural effusion, with emphasis on pulmonary function assessment and respiratory rehabilitation.
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