case_images: PMC11769771_01
case_images: (A) Physical examination showed a 2 x 2 cm crusted wound on the outside of the left calf. (B) On June 14, it was observed that the patient had conjunctival congestion. (C) On June 25, after treatment with penicillin, the patient's conjunctival congestion subsided.
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case_images: PMC11769771_01_fmed-11-1495324-g001.jpg
case_images: fig1
case_images: Physical examination revealed a 2 x 2 cm scab wound on the outer side of the left calf (Figure 1). Affiliated Hospital of Guangxi Medical University on June 14, 2024. At admission, the following readings were observed: body temperature, 35.8 C; pulse, 56 beats/min; respiration, 14 beats/min; blood pressure, 138/69 mmHg (0.2 ug/kg/min norepinephrine), and conjunctival congestion (Figure 1A).
case_images: The image shows the patient's lung condition and changes after treatment. (A) On June 11, the patient's lung CT showed slight exudative lesions in both lungs. (B) On June 13, pulmonary CT showed diffuse exudative lesions in both lungs. (C) On June 17, lung CT showed significant improvement after treatment.
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case_images: fig2
case_images: Yellow staining throughout the body, wet rales covering both lungs, and diffuse exudative lesions visible on computed tomography (CT) scans of both lungs (Figure 2A) were observed. A re-examination of CT showed a significant increase in diffuse exudative lesions in both lungs compared to before (Figure 2B). On June 17, 2024, there was a significant improvement in the lung CT after re-examination (Figure 2C).
case_images: On June 15, 2024, diffuse bloody secretions were observed under fiberoptic bronchoscopy.
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case_images: fig3
case_images: On June 15, 2024, diffuse bloody secretions of the airway were observed under fiberoptic bronchoscopy (Figure 3), and metagenomic next-generation sequencing (mNGS) was performed on the patient's blood and bronchoalveolar lavage fluid.
case_images: Summary of the usage, dosage, and duration of antibiotics.
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case_images: fig4
case_images: Figure 4 summarizes the antibiotic therapy.