Franzin L, Dal Conte I, Cabodi D, Sinicco A
Infectious Diseases Unit, University of Turin, Corso Svizzera 164, 10149 Turin, Italy.
J Infect. 2002 Oct;45(3):199-201. doi: 10.1016/s0163-4453(02)91030-3.
We report the first culture proven case of Legionella pneumonia in a HIV-positive patient in Italy. The laboratory diagnosis was obtained by isolation of Legionella pneumophila serogroup 1, serology, urinary antigen detection and PCR. Culture first allowed diagnosis of the infection, that probably would have been unrecognized. Since Legionellosis in HIV-positive patients with respiratory symptoms is rare and difficult to confirm, we strongly suggest that all available laboratory tests, and particularly culture, should be performed. A review of literature on culture proven cases is also provided.
我们报告了意大利首例经培养证实的HIV阳性患者感染军团菌肺炎的病例。实验室诊断通过分离嗜肺军团菌血清1型、血清学检测、尿抗原检测及聚合酶链反应（PCR）得以确立。培养首先使感染得以诊断，否则该感染可能无法被识别。鉴于有呼吸道症状的HIV阳性患者感染军团菌病较为罕见且难以确诊，我们强烈建议应进行所有可用的实验室检测，尤其是培养。本文还提供了关于经培养证实病例的文献综述。
