TY - T1的婴儿肺炎,未能茁壮成长和持续radiographical变化JF -欧洲呼吸杂志》乔和J SP - 172 LP - 176欧元——六世10.1183/09031936.00113206 - 30 - 1 AU -汤普森,n . AU - Saglani s . AU -布什,A . Y1 - 2007/07/01 UR - //www.qdcxjkg.com/content/30/1/172.abstract N2 - 9男提出他的当地医院两周腹泻和呕吐的历史和48小时历史tachypnoea,咕哝着。入院时不发热，室内空气氧饱和度96%，但有轻度呼吸窘迫和呼吸急促。炎症标志物未升高，但胸部x光片显示左侧塌陷和实变。开始用静脉注射抗生素治疗。入院24 h后患者呼吸模式恶化，氧饱和度降至90%，需补氧2.5 L·min - 1。48小时后腹泻消退，但仍有间歇性呕吐。该患者是独生子，父母无血缘关系，足月出生，在此之前没有重大疾病。他有完整的免疫接种史，正在正常实现他的发育里程碑。在头6个月里，体重增加在第50个百分位，但自从断奶后，体重下降到了第二个百分位。没有其他值得注意的家族史。 After 2.5 weeks, he still had a significant supplemental oxygen requirement and persisting left-sided chest radiograph abnormalities, despite a change to broader spectrum antibiotics, and so was transferred to the Royal Brompton Hospital (London, UK) for a respiratory opinion. On arrival, he had no significant fever and over the next 4 days he became normally saturated in room air. Antibiotics were stopped as his clinical condition improved. Initial investigations on presentation were normal (table 1⇓), including white cell count differential and blood film. Early morning gastric washings were negative, as were Mantoux and sweat tests. Blood, urine and stool cultures, nasopharyngeal aspirate (NPA) for viral immunofluorescence and mycoplasma serology were all negative. Radioallergosorbent test for common allergens was negative as was a coeliac screen.View this table:In this windowIn a new windowTable 1— Initial investigations at presentation The patient remained mildly tachypnoeic, despite the absence of an oxygen requirement. A … ER -