78 一位 68 歲男性，長期酗酒，因發燒、咳嗽併咖啡色濃痰、呼吸困難，胸部 X 光顯示右上肺野白色堅 實性變化（consolidation）合併肺葉間隙鼓漲（bulging interlobar fissure），此病患肺部感染的菌種最 可能為何？
(A)結核菌
(B)克雷白氏肺炎桿菌（Klebsiella pneumoniae）
(C)肺炎雙球菌
(D)肺炎黴漿菌（Mycoplasma pneumoniae）

答案：登入後查看
統計： A(12), B(33), C(8), D(4), E(0) #1061433

詳解 (共 1 筆)

#6289759
The bulging fissure sign refers to lobar consolidation where the affected portion of the lung is expanded, causing displacement of the adjacent fissure. Any type of pneumonia or space-occupying process can lead to bulging (sagging) fissure sign.
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Classically, it has been described in right upper lobe (RUL) consolidation secondary to Klebsiella pneumonia. It is now rarely seen due to prompt antibiotic therapy for suspected pneumonia.
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by Ashesh Ishwarlal Ranchod on 11 Oct 2023
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