A 54-year-old Egyptian man with a 5-day history of worsening cough, high-grade fever, and progressive dyspnea was referred to our hospital. A 3-day course of ceftriaxone provided in an outpatient setting showed no clinical improvement. Medical history was unremarkable, except for bilateral pulmonary embolism diagnosed 3 years earlier. The patient actively smoked and denied the use of alcohol and illicit drugs. The patient worked as cook and had lived in Switzerland for the past 10 years. Five weeks before the actual presentation, he had traveled to Egypt. One of his children showed symptoms of a respiratory infection approximately 2 weeks before that. His only regular medication was rivaroxaban.

中文翻译：

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一名 54 岁男性，出现高热、咳嗽、呼吸困难和水疱大疱性皮疹。


一名 54 岁的埃及男性，有 5 d 咳嗽加重、高热和进行性呼吸困难的病史，被转诊至我院。在门诊提供的 3 天疗程的头孢曲松未显示临床改善。病史无明显异常，除了 3 年前诊断的双侧肺栓塞。患者积极吸烟并否认使用酒精和非法药物。患者是一名厨师，过去 10 年一直在瑞士生活。在实际演讲前五周，他已经去了埃及。他的一个孩子在大约 2 周前出现了呼吸道感染的症状。他唯一的常规药物是利伐沙班。