The fever has been around 20 days and the temperature has been hovering around 38 degrees with a maximum fever of 39.3. The temperature has been normal for the past three days and tuberculosis has been ruled out.Is it a sign of lung cancer?
Hello, combined with your description of the patient's condition and the imaging results you sent the patient above, the patient's recent review of the chest CT findings suggest no significant changes in the infected lesion, but according to the patient's body temperature, consider the lung infection anti-inflammatory treatment effect is not ideal.
The patient's CT description of multiple high-density nodules in both lungs is not necessarily the case of lung infection, there may be autoimmune diseases or connective tissue disease, the basis for considering the occurrence of lung malignancy is not enough, it is recommended to continue with intravenous anti-inflammatory treatment and cooling treatment to observe the effect, while checking the respiratory virus spectrum and the presence of fungal infections and other related tests, while checking the autoimmune series.It is recommended to continue with intravenous anti-inflammatory treatment and hypothermia to observe the effect.
Based on the results of the examination, the patient is considered to have pathological changes in the lungs left over from old tuberculosis.At present, there is no sign of malignant transformation, but the patient is still considered to have lung infection in combination with fever.It is recommended to continue anti-infection treatment, but repeated infections and history of tuberculosis are high-risk factors to induce lung cancer.
Because there is fever and infected lesions on the CT lung, inflammatory infections should be considered, and the possibility of viral infections is high, and now the body temperature has normalized, proving that the condition is gradually improving.If the lesion is gradually dissipating on the image, there is no more problem. If the pleural effusion increases again and can be pumped, it can be pumped out for laboratory tests, and then continue the treatment if it is needed according to the laboratory results.
The fever is caused by inflammation of the lungs. On the one hand, it is recommended to check the sputum smear and sputum culture to see if there are any pathogenic results, and also to check the blood culture if necessary to exclude the possibility of bacteremia.