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军团病并发窦房阻滞

Sinoatrial block complicating legionnaire's disease.

作者信息

Medarov B, Tongia S, Rossoff L

机构信息

Division of Pulmonary and Critical Care Medicine, Long Island Jewish Medical Centre, The Long Island Campus of the Albert, 410 Lakeville Road, Suite 203, New Hyde Park, NY 11040, USA.

出版信息

Postgrad Med J. 2003 Nov;79(937):657-9. doi: 10.1136/pmj.79.937.657.

DOI:10.1136/pmj.79.937.657
PMID:14654580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1742870/
Abstract

A 59 year old woman presented with acute onset of fever, chills, diaphoresis, vague chest discomfort, and was found to be hypotensive and tachypnoeic. An electrocardiogram demonstrated sinoatrial block with a junctional rhythm between 50 and 80 beats/min. All cultures were negative and imaging studies unrevealing. Her urine tested positive for Legionella pneumophila antigen serotype 1 and she improved with antibiotic therapy.

摘要

一名59岁女性出现急性发热、寒战、出汗、胸部隐痛不适,检查发现有低血压和呼吸急促。心电图显示窦性停搏,交界性心律,心率每分钟50至80次。所有培养结果均为阴性,影像学检查未发现异常。她的尿液检测嗜肺军团菌1型抗原呈阳性,经抗生素治疗后病情好转。