重症気管支拡張症における肺緑膿菌感染増悪の治療経験

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  • Treatment of acute exacerbation of pulmonary Pseudomonas aeruginosa infection in chronic bronchitis.

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We compared the characteristics of acute exacerbation of pulmonary Pseudomonas aeruginosa infection in two patients of chronic bronchitis. One patient was immotile cilia syndrome (ICS) and the other was cystic fibrosis (CF). In ICS patient, chief complaints were dyspnea and fever. Fever and CRP were high. Chest x-ray showed infiltration in the peripheral lung field. In CF patient, chief complaints were dyspnea and difficulty in expectoration. There was marked dyspnea without fever. CRP was moderately high, and chest x-ray findings were mainly near the hilum.<BR>We conclude that there are two types of acute exacerbation of pulmonary Pseudomonas aeruginosa infection. One is pneumonia type, and the other is airway obstruction type. In pneumonia type, antibiotics and gamma-globlin are effective. In airway obstruction type, physiotherapy and inhalation are important as well as antibiotics.

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