一名免疫功能低下儿童因嗜肺军团菌感染导致的复杂性医院获得性肺炎。
Complicated nosocomial pneumonia due to Legionella pneumophila in an immunocompromised child.
作者信息
Trübel Hubert K F, Meyer Heinz G W, Jahn Bernhard, Knuf Markus, Kamin Wolfgang, Huth Ralf G
机构信息
Department of Pediatrics, Private University of Witten/Herdecke, Wuppertal, Germany.
出版信息
Scand J Infect Dis. 2002;34(3):219-21. doi: 10.1080/00365540110077317.
PMID:12030402
Abstract
An immunocompromised child developed necrotizing pneumonia with BAL cultures growing Legionella pneumophila resistant to treatment, including erythromycin and rifampicin. Ciprofloxacin and clarithromycin reversed the clinical course; their use as first-line drugs is justifiable and a high index of suspicion for the occurrence of legionellosis is warranted.
摘要
一名免疫功能低下的儿童患上了坏死性肺炎，支气管肺泡灌洗培养出对包括红霉素和利福平在内的治疗有耐药性的嗜肺军团菌。环丙沙星和克拉霉素扭转了临床病程；将它们用作一线药物是合理的，并且有必要对军团菌病的发生保持高度怀疑。
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