Akou'ou M H, Oger M, Gras G, Eckart P, Penniello M J, Vergnaud M, Guillois B
Service de pédiatrie, hôpital Clémenceau, CHU de Caen, 14033 Caen Cedex, France.
Arch Pediatr. 2005 Apr;12 Suppl 1:S49-53. doi: 10.1016/s0929-693x(05)80012-0.
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.
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。