McConkey Joshua, Obeius Marcus, Valentini John, Beeson Michael S
Department of Emergency Medicine, Summa Health System, Akron, Ohio 44304, USA.
J Emerg Med. 2006 May;30(4):389-92. doi: 10.1016/j.jemermed.2005.07.016.
Legionella pneumophila infection is a recognized but rare cause of rhabdomyolysis. While the mechanism of rhabdomyolysis associated with Legionella is unknown, theories include direct invasion of Legionella into the muscle itself, or the release of its endotoxin into the circulation with subsequent muscle injury. In this case report, we describe a case of Legionella pneumonia presenting as altered mental status, high fever, and rhabdomyolysis with acute renal failure. We review the epidemiology, clinical and laboratory findings, and treatment of the disease.
嗜肺军团菌感染是一种已被认识但罕见的横纹肌溶解病因。虽然与军团菌相关的横纹肌溶解机制尚不清楚，但理论包括军团菌直接侵入肌肉本身，或其内毒素释放到循环系统中随后导致肌肉损伤。在本病例报告中，我们描述了一例以精神状态改变、高热、横纹肌溶解伴急性肾衰竭为表现的军团菌肺炎病例。我们回顾了该疾病的流行病学、临床和实验室检查结果以及治疗方法。
