Pancer Katarzyna
Zakład Wirusologii, Narodowego Instytutu Zdrowia Publicznego -Państwowego Zakładu Higieny, Warszawa.
Przegl Epidemiol. 2010;64(2):297-302.
The analysis of published data concerning demographic and medical risk factors and clinical manifestation and outcome observed in Legionella pneumonia were presented in this study. The aim of this study was to discuss the problem of high diversity of symptoms of legionnaires' disease as well as risk factors frequency presented in patients with legionellosis. The different risk factors and clinical picture of Legionella pneumonia were presented, depending on kind of infection (sporadic/epidemic), populations and place of infection (travel-associated, nosocomial, community-acquired). The high percentage of patients with legionellosis and with digestive symptoms (15-70%) was pointed. The presence of digestive symptoms like: diarrhea, vomiting, nausea might cause problem in diagnosis because of suggestion of another etiological agent. Moreover, the hypothesis of M.Sabria et al. regarding the correlation between the exposure and kind and clinical manifestation of Legionella pneumonia was discussed.
本研究对已发表的有关军团菌肺炎患者的人口统计学和医学风险因素、临床表现及预后的数据进行了分析。本研究的目的是探讨军团病症状高度多样性以及军团菌病患者中风险因素频率的问题。根据感染类型(散发性/流行性)、人群及感染地点(旅行相关、医院获得性、社区获得性),介绍了军团菌肺炎的不同风险因素和临床表现。指出了军团菌病患者出现消化系统症状的比例较高(15%-70%)。腹泻、呕吐、恶心等消化系统症状的存在可能会因提示其他病原体而导致诊断困难。此外,还讨论了M. Sabria等人关于军团菌肺炎暴露与类型及临床表现之间相关性的假说。