Morelli N, Battaglia E, Lattuada P
Department of Respiratory Medicine, Second University of Naples, Italy.
Infection. 2006 Feb;34(1):49-52. doi: 10.1007/s15010-006-4131-y.
To report a case of Legionella pneumonia with unusual neurologic involvement.
Chest X-ray, lumbar puncture, magnetic imaging of the brain, electroencephalography, audiometry, brainstem acoustic evoked potentials and institution of oral antibiotics and steroids.
Gradual clinical improvement of neurologic and pulmonary illness within 4 weeks.
Legionellosis should be considered in the differential diagnosis of neurologic involvement in the setting of pneumonia.
报告一例伴有不寻常神经受累的军团菌肺炎病例。
胸部X光检查、腰椎穿刺、脑部磁共振成像、脑电图检查、听力测定、脑干听觉诱发电位检查,并使用口服抗生素和类固醇。
4周内神经和肺部疾病临床症状逐渐改善。
在肺炎伴有神经受累的鉴别诊断中应考虑军团菌病。