Furugen Makoto, Koide Michio, Baba Motoo, Sato Yoko, Teruya Hiromitsu, Naha Yui, Tamayose Maki, Akamine Morikazu, Uchihara Teruhito, Atsumi Eriko, Haranaga Shusaku, Yara Satomi, Higa Futoshi, Tateyama Masao, Fujita Jiro
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases (First Department of Internal Medicine), Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0215, Japan.
J Infect Chemother. 2008 Apr;14(2):161-5. doi: 10.1007/s10156-008-0594-3. Epub 2008 Apr 30.
A 56-year-old man with a 3-day history of a chilly sensation and general fatigue presented to a hospital in his neighborhood. He was diagnosed as having pneumonia and immediately treated with intravenous ceftriaxone sodium, but his respiratory condition deteriorated and he developed symptoms of restlessness. Although Legionella urinary antigen detection tests were negative, his clinical course suggested Legionella pneumonia. After his treatment was changed to intravenous ciprofloxacin and oral clarithromycin, his general condition gradually improved. Later, Legionella pneumophila serogroup 2 was isolated from a bronchoalveolar lavage specimen. This was considered to be the causative organism. In our literature search, this was only the second case of Legionella pneumonia caused by Legionella pneumophila serogroup 2 in Japan.
一名56岁男性，有3天的寒战和全身乏力病史，前往附近医院就诊。他被诊断为肺炎，并立即接受静脉注射头孢曲松钠治疗，但他的呼吸状况恶化，出现了烦躁不安的症状。尽管军团菌尿抗原检测呈阴性，但他的临床病程提示为军团菌肺炎。在将治疗改为静脉注射环丙沙星和口服克拉霉素后，他的总体状况逐渐改善。后来，从支气管肺泡灌洗标本中分离出嗜肺军团菌血清型2。这被认为是病原体。在我们的文献检索中，这是日本第二例由嗜肺军团菌血清型2引起的军团菌肺炎病例。
