Mrozińska Maria
Oddział Pediatryczny SZPZOZ Szpital Zachodni im Jana Pawła II w Grodzisku Mazowieckim.
Przegl Epidemiol. 2005;59(4):851-7.
This is a report of three cases Legionella pneumonia; in 7-year-old girl, 4-year-old-girl, 10-year-old boy who were admitted to Paediatric Department during the twelve month. The clinical presentation of this cases ranged from mild respiratory illness to overwhelming involvement with multisystem organ failure. In all three cases were observed prodromal symptoms commonly associated with legionnaires' disease and radiographic or laboratory signs of legionnaires' disease. Initial diagnosis of Legionella pneumonia were made and clarithromycin were initiated. Serologic evaluation of their paired sera showed increasing titers against Legionella (IgM; ELISA test). Follow up chest radiographic examination showed complete resolution of the infiltrate in all three cases.
这是一份关于三例军团菌肺炎的报告；一名7岁女孩、一名4岁女孩和一名10岁男孩在十二个月内入住儿科。这些病例的临床表现从轻度呼吸道疾病到伴有多系统器官衰竭的严重病情不等。在所有三例病例中均观察到通常与军团病相关的前驱症状以及军团病的影像学或实验室体征。初步诊断为军团菌肺炎并开始使用克拉霉素治疗。对他们的配对血清进行的血清学评估显示针对军团菌的滴度升高（IgM；ELISA检测）。随访胸部X线检查显示所有三例病例的浸润均完全消退。
