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[军团菌感染——一个被低估的疾病类别]

[Legionella infections--an underestimated disease group].

作者信息

Faber T

机构信息

Københavns Amts Sygehus i Herlev.

出版信息

Ugeskr Laeger. 1990 Apr 2;152(14):986-9.

PMID:2183454
Abstract

As in other countries, pneumonia due to Legionella bacteria occurs in Denmark. Even so, legionellosis is rarely diagnosed and often late in the course of illness. This may be due both to the variable and nonspecific clinical picture of the infection, and to the fact that currently available diagnostic methods are inadequate in a clinical context. Even in severe cases, the prognosis of Legionnaires' disease is quite good, if adequate antibiotic therapy is instituted early in the course of illness. The treatment of Legionnaires' disease differs from the treatment of most other pneumonias; frequently, therapy must be completed solely on a basis of clinical suspicion. The present diagnostic state may be improved by an increased awareness of the disease and its clinical manifestations, as well as by improved laboratory diagnosis.

摘要

与其他国家一样,丹麦也有由军团菌引起的肺炎。即便如此,军团菌病很少被诊断出来,而且往往在病程后期才被诊断。这可能是由于感染的临床表现多样且不具特异性,也因为目前可用的诊断方法在临床环境中并不充分。即使在严重病例中,如果在病程早期就开始进行充分的抗生素治疗,军团病的预后也相当良好。军团病的治疗与大多数其他肺炎的治疗不同;通常,治疗必须仅基于临床怀疑来完成。提高对该病及其临床表现的认识,以及改进实验室诊断,可能会改善目前的诊断状况。

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