Burke Peter T, Shah Roshni, Thabolingam Raveend, Saba Souheil
Providence Heart Institute, Providence Hospital, Southfield, Michigan 48075, USA.
Tex Heart Inst J. 2009;36(6):601-3.
Legionella infection can manifest itself in many clinical forms, most commonly as pneumonia, but rarely in the form of myocardial involvement. Legionella with myocardial involvement independent of pneumonia is almost never seen in the adult population and therefore is cited only a handful of times in the medical literature. When reported, Legionella carditis itself typically occurs as an isolated pericarditis with effusion. Cases of isolated Legionella with myocardial involvement, but without associated pneumonia, have been reported among children. To our knowledge, there are no reported cases of Legionella myocarditis and pericarditis presenting concurrently with or without pneumonia, in either an adult or a pediatric population. Herein, we report a rare manifestation of Legionella pneumophila-induced perimyocarditis (strongly suspected, if not incontrovertibly proved) in an adult, in the absence of pneumonia.
军团菌感染可表现为多种临床形式，最常见的是肺炎，但很少表现为心肌受累。在成人中几乎从未见过独立于肺炎的军团菌心肌受累情况，因此在医学文献中仅被提及过几次。当有相关报道时，军团菌性心肌炎本身通常表现为孤立性心包炎伴积液。在儿童中曾有过孤立性军团菌心肌受累但无相关肺炎的病例报道。据我们所知，在成人或儿童人群中，均未报道过军团菌性心肌炎和心包炎伴或不伴肺炎同时出现的病例。在此，我们报告一例成人罕见的由嗜肺军团菌引起的心肌心包炎（即便未确凿证实，也高度怀疑），且无肺炎表现。
