Mr. Zhu, 50 years old this year, was just recruited as a patient. He had a high fever for several days. It was not good how to inject and take medicine. The cause of the infection was Aspergillus pneumoniae, a rare fungus. The reason why he would be infected by it was because of a recent family health cleaning.
After cleaning, I coughed and had a high fever for three days
Mr. Zhu was ill more than two months ago. Suddenly, he had a high fever and coughed all the time. 'Mr. Zhu said that when he had a fever of 39 degrees, he thought it was just a cold at first, so he went to the nearby health center and injected cephalosporin and used cough medicine.
Unexpectedly, after three days, the fever still remained high. Mr. Zhao felt that he could not take it lightly. He hurriedly went to the local county hospital and then transferred to the respiratory department of Zhejiang People's hospital.
Lung CT showed that the diffuse lesions of both lungs were severe infection with cavities, which must be treated in hospital immediately. After being admitted to the hospital, the doctor examined Zhu's purulent sputum specimen and found Aspergillus fumigatus. This kind of pathogen is rare.
How can you get pulmonary aspergillosis? 'do you remember what you did before the onset?' Zhang Xiaoqin, deputy chief physician of respiratory medicine, learned about the medical history in detail again. 'by the way, one week before the onset of the disease, our family had a big cleaning,' Mr. Zhu said. It was a long time since we had a thorough cleaning. It was very dusty to turn the boxes and pour the cabinets. At that time, we didn't wear a mask, so we could not avoid inhaling a lot of polluted air.
Everyone has done cleaning at home. Why does Mr. Zhu get sick? It's because he is not healthy. He is a decades old smoker and has poor lung function.
According to the analysis of medical history and test results, Dr. Zhang et al. Respiratory physicians believe that in cleaning, it is likely that the Aspergillus in the dust will treat Mr. Zhu as a "soft persimmon" pinch, and find a chance to run into his lung, causing lung infection. Finally, Mr. Zhu was diagnosed with invasive aspergillosis. Immediately used the antifungal medicine, after taking the medicine, the patient cough expectoration symptom obviously alleviated, also gradually antipyretic.
Yesterday, Mr. Zhu went to the hospital for reexamination, the symptoms disappeared, and the lung lesions were obviously absorbed.
Three kinds of people are susceptible to Aspergillus
According to Mu Deguang, deputy director of respiratory medicine and chief physician of Zhejiang People's Hospital, pulmonary aspergillosis is a pulmonary disease caused by Aspergillus, and Aspergillus widely exists in our daily living environment, which can be said to be everywhere. They are spread by air flow, and people will inevitably inhale them frequently.
In general, normal people have strong immunity to it, and can remove or kill the spores inhaled in time. But people with low immunity are easy to be infected, and even healthy people without basic diseases and normal immunity are easy to cause pulmonary aspergillosis under the conditions of cold, fatigue, cold, etc.
From the perspective of patients in clinical treatment, three types of people need special attention.
Hypoimmunity: Patients with severe hypoimmunity, such as immune deficiency, hematopathy, chemotherapy for malignant tumors, are the high incidence population of pulmonary aspergillosis. Medical research has found that people with mild immune deficiency are also susceptible to Aspergillus infection, and even people with normal immune function due to irregular life and fatigue of work;
Next, people who live in humid and humid working environment, such as living all year round, working in dark and humid bungalows or basements, have a higher risk of pulmonary aspergillosis than others.
In addition, the white-collar workers who are too crowded in the office are also susceptible to infection. Now the office environment is mostly crowded, and the office ventilation is poor, which creates a good breeding environment for Aspergillus. In addition, many units clean the air conditioner irregularly to let the air with a large number of bacteria, including Aspergillus enter the office with poor ventilation, which also increases the prevalence of pulmonary aspergillosis.
In view of such cases as Mr. Zhu, mu Deguang reminded that we should keep the ventilation in the house, especially in the wet season when Aspergillus is most likely to grow. At the same time, we should air the bedding regularly, and choose a clean and ventilated accommodation environment for traveling. At the end of the year, you can't help but clean your house. It's suggested that you should wear a mask to minimize the infection of Aspergillus.