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Abstract: Acute bronchitis is a common respiratory disease with a high incidence in the population and mostly non-contagious tendency. This case is a 26-year-old young patient with cough and sputum as the main symptoms, who developed cough and yellow pus sputum after exertion and cold, with chest X-ray suggesting: bronchitis and routine blood suggesting: inflammatory indexes were significantly elevated. The symptoms were completely relieved after active anti-infection, phlegm and cough treatment, and the inflammatory indexes completely recovered from the symptoms.
Basic information】Female, 26 years old
Disease Type】Acute bronchitis
Hospital】Wuhan University People’s Hospital
Date of Consultation】June 2022
Treatment Plan】Medication (Nenofloxacin Malate Capsules, Eucalyptus Pinellia Enteric Softgels, Su Huang Cough Capsules)
Treatment period】7 days of outpatient treatment and regular follow-ups
Effectiveness of treatment】The patient’s cough and sputum symptoms were relieved
I. Initial consultation
The patient is a 26-year-old female who started coughing and coughing yellow pus sputum 5 days ago after getting cold from exertion, with slight chest tightness when coughing is intense, accompanied by sore throat and obvious foreign body sensation in the throat. Previous physical health, denied special medical history, denied history of smoking and alcohol consumption and drug allergy.
Physical examination: clear consciousness, mental health, pharyngeal congestion, clear breath sounds in both lungs, no obvious dry rales on auscultation, no abnormalities on cardiac and abdominal physical examinations.
II. Treatment history
Chest DR examination suggested: increased and thickened texture in both lungs, which is a sign of acute bronchitis. Routine blood tests suggested that all inflammatory indexes were significantly elevated. Respiratory pathogenic examination, A-flu and B-flu examination did not show positive results. Based on the patient’s medical history, clinical symptoms, signs and relevant examination results, the diagnosis of acute bronchitis was supported.
The patient was informed of the treatment plan and precautions for acute bronchitis. The patient could be hospitalized or treated in an outpatient clinic, and due to work reasons, the patient requested oral medication in an outpatient clinic after consideration, and was given nenofloxacin malate capsules for anti-infection, eucalyptus pinene enteric soft capsules for phlegm and sulforaphane cough capsules for cough suppression. The treatment cycle for the patient’s acute bronchitis was 7 days, and the cough and cough symptoms improved significantly after treatment, and the patient was instructed to The patient was instructed to review regularly in our hospital.
III. Treatment effect
After the patient was treated with the above-mentioned active symptomatic drugs for 7 days, the patient reported that the discomfort symptoms such as cough, coughing yellow pus sputum, chest tightness, sore throat and foreign body feeling in the pharynx basically disappeared, and there was no other discomfort such as sore throat and weakness. The repeat blood test indicated that the inflammatory indexes were completely normalized. No adverse drug reactions occurred during the medication period, and the patient indicated that he was satisfied with the treatment effect.
IV. Notes
We are sincerely happy for the patient’s recovery. The patient was advised to avoid exertion and cold, drink more water, keep warm when the temperature drops and the weather changes, pay attention to rest, prevent upper respiratory tract infection, avoid exposure to cold air, irritating gases, dust and toxic gases and particles, etc., take appropriate physical exercise to enhance physical fitness, and develop regular work and rest habits in daily life.
V. Personal insight
Acute bronchitis is a common respiratory disease, mostly self-limiting, with a higher incidence in the autumn and winter seasons and weather changes, generally not contagious, and can be cured after active treatment. In this case, the patient developed cough and coughing yellow pus sputum with sore throat after exertion and cold. The routine blood test indicated that the inflammatory index was significantly elevated, and the chest X-ray showed the manifestation of bronchial tubes. The patient’s symptoms completely disappeared after active treatment of anti-infection, sputumification and cough suppression, and the routine blood inflammatory index returned to normal after rechecking.
Patients with acute bronchitis should take appropriate sports in daily life, enhance physical fitness, pay attention to rest, avoid strain and cold, avoid exposure to cold air and irritating gases, etc., to prevent upper respiratory tract infections, especially in the autumn and winter seasons and when the temperature drops suddenly, pay attention to keep warm.