Woo J H, Kim S A, Park C S, Choi T Y, Chang I C, Lee I S
Department of Internal Medicine, Soon Chun Hyang University, College of Medicine, Seoul, Korea.
Korean J Intern Med. 1992 Jan;7(1):68-72. doi: 10.3904/kjim.1992.7.1.68.
We report a case of nosocomial legionellosis in a 63 year-old man who was managed with neurosurgery under the diagnosis of subarachnoidal hemorrhage and complicated pneumonia in the intensive care unit. A legionella species was reported from sputum culture and direct immunofluorescent antibody test revealed L. pneumophila (serogroup 2). Our patient's pneumonia was cured with medical therapy including erythromycin and was the first case of microbiologically confirmed legionellosis in Korea.
我们报告一例医院获得性军团菌病,患者为一名63岁男性,因蛛网膜下腔出血接受神经外科手术治疗,并在重症监护病房并发肺炎。痰培养报告分离出一种军团菌,直接免疫荧光抗体检测显示为嗜肺军团菌(血清型2)。我们的患者经包括红霉素在内的药物治疗后肺炎治愈,这是韩国首例经微生物学确诊的军团菌病病例。