BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 休闲或者职业暴露
  • 主要居住在疫区或前往过疫区旅行

其他诊断因素

  • 男性
  • 30 至 50 岁
  • 全身症状
  • 咳嗽

危险因素

  • 男性
  • 免疫功能受损
  • 休闲或者职业暴露
  • 前往过疫区旅行或居住在疫区

诊断性检查

首要检查

  • 胸部 X 线检查
  • 痰涂片和培养
全部具体信息

需要考虑的检查

  • 皮炎芽生菌 PCR
  • 支气管镜检查
  • 活组织检查或细胞学(肺、皮肤或骨)
  • 关节穿刺术
全部具体信息

治疗流程

贡献者

Assistant Professor of Medicine

Division of Infectious Diseases

Mayo Clinic

Rochester

MN

利益冲突披露
NC declares that he has no competing interests.

Professor of Medicine

Division of Infectious Diseases

Mayo Clinic

Rochester

MN

利益冲突披露
LB declares that he has received royalty payments for authorship duties on UpToDate, Inc., and that he has been editor-in-chief of the Massachusetts Medical Society and NEJM Journal Watch (infectious diseases).

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Assistant Professor of Medicine

Department of Medicine

Section of Pulmonary and Critical Care

University of Chicago

Chicago

IL

利益冲突披露
KH declares that he has no competing interests.

Associate Professor of Medicine

Stanford University

Stanford

Staff Physician

US Department of Veterans Affairs

Palo Alto Health Care System

Palo Alto

CA

利益冲突披露
WK declares that he has no competing interests.

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