患者,28岁,妊娠三月余。畏寒、发热、咳脓臭痰12天,胸痛5天,痰量500ml/日,分三层。T39.5℃,气急鼻扇,胸式呼吸减弱,两下肺浊音,闻及管状呼吸音及湿罗音。胸片右上肺见4×5.5cm透光区,壁薄有液平,左下肺右中肺大片模糊影,内见多个液平透光区。血培养(一)。痰培养多形模仿菌生长,对卡那、 Patient, 28 years old, more than three months of pregnancy. Chills, fever, cough purulent sputum 12 days, 5 days of chest pain, sputum volume 500ml / day, divided into three layers. T39.5 ℃, gas rush nose fan, thoracic respiratory weakness, two voiced lung sounds, smell and tubular breath sounds and wet rales. Chest right upper quadrant see 4 × 5.5cm light transmission area, the thin wall with a flat, left lung right lung large blurry shadow, see a number of horizontal transparent area. Blood culture (a). Phlegm culture polymorphism mimic growth, kana,