A 19-year-old female presented with a 6-month history of progressive shortness of breath. She reported a new onset of palpitations preceding her shortness of breath, which progressed progressively into dull chest pain and trepopnea, and she experienced dyspnoea while lying on her right side. With wheezing and rhinorrhoea, the symptoms became more prominent. She had no previous history of haemoptysis, fatigue, night chills, weight loss or facial oedema. At the time of the physical examination, the heart rate was 79 beats per minute, the respiratory rate was 24 times per minute, the blood pressure was 110/72 mm Hg and the body temperature was 37.8°C. The remaining upper left lung sounds were diminished. The chest radiograph (figure 1A) revealed opacification of the left haemithorax, a displacement to the left of the heart and mediastinal structures and a hyperexpanded right lung across the midline. CT (figure 1B) and a 3D segmentation model (figure 1C–D and online supplemental video) of the thorax revealed …

中文翻译：

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密螺旋体的不常见原因


一名 19 岁女性，有 6 个月的进行性呼吸短促病史。她报告在呼吸急促之前新发心悸，逐渐发展为钝痛和毛肺漏气，并且她在右侧卧时出现呼吸困难。随着喘息和流涕，症状变得更加突出。她既往无咯血、疲劳、夜寒、体重减轻或面部水肿病史。体格检查时心率 79 次/分，呼吸频率 24 次/分，血压 110/72 mm Hg，体温 37.8°C。 其余的左上肺音减弱。胸片（图 1A）显示左侧血胸混浊，心脏和纵隔结构向左移位，右肺中线过度扩张。胸部的 CT（图 1B）和 3D 分割模型（图 1C-D 和在线补充视频）显示......