Basic condition | Male, 37 years old, married, from Guangzhou, Guangdong province, a company employee |
Epidemiological | General contact (colleague to colleague), his colleague had no obvious symptoms of fever, and patient’s wife presented with cough on the same day |
Specialized examination | T, 37.3˚C; P, 104 times/min; R, 18 times/min; and BP, 131/65mmHg; sanity, answered to the point; pharyngeal hyperaemia; slightly thick breath sounds in both lungs; no obvious dry and wet rales. Results of blood test: WBC, 4.59 × 109/L; PLT, 136 × 109/L; NEUT, 0.687; LYMPH, and 1 × 109/L. Mp-ag and rsv-ag were negative and influenza antigen a/b was also negative. Thoracic CT: Double pulmonary infectious lesions and viral pneumonia for row were found. |
Clinical signs and symptoms | Fever and cough for 4 days |
Treatment | 1) Anti-infection and antiviral therapy: moxifloxacin hydrochloride, taxepoxil, schupen; Abidor, Kridge, interferon A-2B atomized inhalation. 2) Symptomatic and supportive treatment: gamma globulin to improve immunity, mucosolvan, asmei to relieve cough and expectum, and alprazolam to fight anxiety. 3) TCM treatment: TCM experts consult and guide the TCM treatment of pneumonia, such as cold-tea and granules of Lianhua Qingwen. 4) Psychological counseling: Consult psychological specialists, try to meet the reasonable requirements of the patients, and ask the community to help solve family problems. |