YU Jinhua,ZHAO Chengjun,QIAO Fei.A Case of Multi-drug Resistant Bacteria Combined with Tuberculosis Infection Treated by Combination of Traditional Chinese and Western Medicine[J].,
YU Jinhua,ZHAO Chengjun,QIAO Fei.A Case of Multi-drug Resistant Bacteria Combined with Tuberculosis Infection Treated by Combination of Traditional Chinese and Western Medicine[J].,DOI:.
A Case of Multi-drug Resistant Bacteria Combined with Tuberculosis Infection Treated by Combination of Traditional Chinese and Western Medicine
Summary of case history, The elderly men were admitted to the hospital for "3 days of fever".Patients repeatedly have high fever with cough and sputum, Tmax 39.2° C, and repeatedly checked the blood cells for many times that white blood cells (WBC) counting decrease, neutrophil (NE) ratio increased, C-reactive protein (CRP) increased,Chest CT showed interstitial infection of both lungs. Please refer to the clinic. Calcification foci in upper lobe of both lungs; Multiple nodules in both lungs; Two lungs emphysema, pulmonary bulla; Calcification of right pulmonary hilum; Mediastinal lymph node calcification.Multiple sputum cultures and drug susceptibility suggested: Klebsiella pneumoniae (extensively drug-resistant), Pseudomonas aeruginosa. Sputum found acid-fast bacilli: Positive for Mycobacterium tuberculosis.After anti -infection and anti -tuberculosis treatment, there are still repeated fever, chills, cough and sputum, and double limb rash.When we added chinese medicine treatment ,the patient's condition improved significantly and his temperature returned to normal.,TCM diagnosis, wind-warmth disease with lung-heat:phlegm-heat obstructing lung syndrome,qi-yin deficiency syndrome,Western medicine diagnosis, multidrug-resistant infections, tuberculosis, hypertension, coronary heart disease, rheumatoid arthritis,Therapeutic methods, western medicine treatment: anti -infection treatment, anti -tuberculosis treatment and symptomatic support treatment.Traditional Chinese medicine such as raw astragalus, raw ground yellow by clearing heat and eliminating phlegm,Qi-enriching and Yin-nourishing method.,Clinical outcomes, The patient's body temperature returned to normal, the cough and sputum disappeared, and the rash subsided. The reexamination of blood routine showed that the white blood cells and neutrophil counts were in the normal range, and CRP and other inflammatory indicators were in the normal range.
关键词
多重耐药菌肺结核发热皮疹益气养阴中西医结合治疗
Keywords
multiple drug resistancetuberculosisfeverrashnourishing qi nourishing yincombination of traditional Chinese and western medicine