阴沟肠杆菌性肺炎临床上少见,我院遇到1例,现报告如下。 1 病例介绍吴某,女性,82岁。患者于入院前1周,因受寒开始咳嗽、胸痛、畏寒、发烧,体温波动在38～39.5℃之间,咯黄痰,量约每日100～200ml,不易咯出。无咯血、盗汗及腹痛、腹泻等。门诊胸部X线透视检查:右侧肺纹理粗重,右上肺野伴有云絮状模糊阴影,左肺正常。WBC12.8×10～9/L,N0.58,L0.42。门诊以右上肺炎,待除外肺结核住院治疗。入院查体:神志清楚,发烧面容,营养尚好,体位自如。巩膜无黄疽,浅表淋巴结不大。胸廓对称,呼吸运动一致,右上肺叩诊浊音,可闻湿性啰音,语颤增强。心界不大,心律整齐,92次/min。腹软,肝脾不大,余体征无特殊。化验室检查:血、尿、使常规正常,ESR97mm/h,肝功能正常,CRP95μg/L,冷凝集试验1∶32,血培养2次(一),痰查结核杆菌3次(一),痰查癌细胞3次(一),连续 Enterobacter cloacae pneumonia clinically rare, I met one hospital, are as follows. 1 case introduction Wu, female, 82 years old. Patients in the first week before admission, due to cold began to cough, chest pain, chills, fever, body temperature fluctuations between 38 ~ 39.5 ℃, slightly yellow sputum, the amount of about 100 ~ 200ml per day, not easy to spit out. No hemoptysis, night sweats and abdominal pain, diarrhea and so on. Outpatient chest X-ray examination: the right lungs gross weight, the right upper lung field with cloud flocculent fuzzy shadow, left lung normal. WBC12.8 × 10 ~ 9 / L, N0.58, L0.42. Outpatient to the right upper lung, except for tuberculosis hospitalized. Admission examination: Conscious, fever face, nutrition is still good, comfortable position. Scleral jaundice, superficial lymph nodes is not large. Thorax symmetry, consistent breathing, the right upper lung percussion dullness, can be heard wet rales, tremor enhanced. Little heart, heart rhythm, 92 times / min. Abdominal soft, liver and spleen is not large, I no special signs. Laboratory tests: blood, urine, routine normal, ESR97mm / h, normal liver function, CRP95μg / L, cryogenic coagulation test 1:32, blood culture twice (1), sputum check Mycobacterium tuberculosis 3 times Check cancer cells 3 times (a), continuous