McWhinney P H, Ragunathan P L, Rowbottham T J
Department of Infectious Diseases, Seacroft Hospital, Leeds, UK.
J Infect. 2000 Jul;41(1):91-2. doi: 10.1053/jinf.2000.0662.
A case of legionella pneumonia diagnosed by co-culture with amoebae and urinary antigen detection is described. Diagnostic antibody tests remained negative despite prolonged follow-up. Investigation showed no evidence of an under-lying immunodeficiency. The value of culture-based diagnosis and consequences of missed diagnoses are discussed.
本文描述了一例通过与变形虫共培养及尿抗原检测诊断的军团菌肺炎病例。尽管进行了长期随访，诊断性抗体检测仍为阴性。调查显示没有潜在免疫缺陷的证据。文中讨论了基于培养的诊断的价值以及漏诊的后果。
