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[免疫功能正常儿童的军团菌肺炎]

[Legionella pneumonia in an immunocompetent child].

作者信息

Akou'ou M H, Oger M, Gras G, Eckart P, Penniello M J, Vergnaud M, Guillois B

机构信息

Service de pédiatrie, hôpital Clémenceau, CHU de Caen, 14033 Caen Cedex, France.

出版信息

Arch Pediatr. 2005 Apr;12 Suppl 1:S49-53. doi: 10.1016/s0929-693x(05)80012-0.

Abstract

We report a case of Legionella pneumonia in an immunocompetent child. Legionella pneumonia is a rare pathology among children, and even rarer when they are immuno-competent; a few cases have been reported in the literature. This is explained by the fact that infection occurs primarily to immuno-suppressed patients. Legionella bacteria are not systematically sought for in front of child's atypical pneumonia, contrary to Mycoplasma or Chlamydiae. In addition, a number of cases are probably not even noticed because either not serious (Pontiac fever), spontaneously cured, or cured with macrolides prescribed in the case of suspected pneumonia with Mycoplasma.

摘要

我们报告一例免疫功能正常儿童的军团菌肺炎病例。军团菌肺炎在儿童中是一种罕见的病症,在免疫功能正常的儿童中更为罕见;文献中仅报道过少数病例。这是因为感染主要发生在免疫抑制患者身上。与支原体或衣原体不同,面对儿童非典型肺炎时,并非都会系统性地检测军团菌。此外,许多病例可能甚至未被注意到,原因要么是病情不严重(庞蒂亚克热)、自行痊愈,要么是在疑似支原体肺炎时使用大环内酯类药物治疗后痊愈。

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本文引用的文献

2
Extrapulmonary Legionella micdadei infection in a previously healthy child.
Pediatr Infect Dis J. 2002 Dec;21(12):1174-6. doi: 10.1097/00006454-200212000-00022.
3
Diagnosis of Legionella infection.军团菌感染的诊断
Clin Infect Dis. 2003 Jan 1;36(1):64-9. doi: 10.1086/345529. Epub 2002 Dec 12.
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Nosocomial Legionnaire's disease in a children's hospital.
Pediatr Infect Dis J. 2000 Mar;19(3):228-34. doi: 10.1097/00006454-200003000-00011.
9
Legionellosis.军团病
N Engl J Med. 1997 Sep 4;337(10):682-7. doi: 10.1056/NEJM199709043371006.
10

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