军团菌肺炎：特发性肺含铁血黄素沉着症免疫抑制治疗期间的感染

Legionella pneumonia: infection during immunosuppressive therapy for idiopathic pulmonary hemosiderosis.

作者信息

Watson Andrea M, Boyce Thomas G, Wylam Mark E

机构信息

Department of Pediatrics and Adolescent Medicine, Mayo Clinic College of Medicine, Tochester, MN 55905, USA.

出版信息

Pediatr Infect Dis J. 2004 Jan;23(1):82-4. doi: 10.1097/01.inf.0000107016.09468.80.

DOI:10.1097/01.inf.0000107016.09468.80

PMID:14743057

Abstract

We report a case of Legionella pneumonia in a 10-year-old girl with idiopathic pulmonary hemosiderosis who was chronically immunosuppressed and had exposure to a hot tub. Prompt diagnosis with bronchoalveolar lavage and subsequent antimicrobial therapy resulted in full recovery. Legionellosis should be included in the differential diagnosis of the immunosuppressed child with respiratory illness. High risk patients should avoid exposure to hot tubs.

摘要

我们报告了一例10岁患有特发性肺含铁血黄素沉着症的女孩患军团菌肺炎的病例，该女孩长期免疫抑制且接触过热浴缸。通过支气管肺泡灌洗进行快速诊断并随后进行抗菌治疗，患者完全康复。军团菌病应纳入患有呼吸道疾病的免疫抑制儿童的鉴别诊断中。高危患者应避免接触热浴缸。