Division of Neurology, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Tokyo, 153-8515, Japan.
Neurol Sci. 2012 Dec;33(6):1435-7. doi: 10.1007/s10072-011-0927-3. Epub 2012 Jan 11.
We report a 71-year-old man with legionellosis, who presented with abducens nerve palsy, singultus, confusion, memory impairment, ataxia, and hyporeflexia. Legionella pneumonia was diagnosed on the basis of detection of Legionella pneumophila antigen in the urine. The cerebrospinal fluid was negative for the antigen and antibody, but an oligoclonal band was detected, and the IgG index was elevated. It was speculated that an undetermined immune-mediated mechanism had contributed to the development of the neurological manifestations.
我们报告了一例 71 岁男性莱姆病患者，其表现为外展神经麻痹、呃逆、意识混乱、记忆力减退、共济失调和反射减弱。军团菌肺炎的诊断依据是尿液中检测到嗜肺军团菌抗原。脑脊液中未检测到抗原和抗体，但检测到寡克隆带，IgG 指数升高。推测一种未确定的免疫介导机制导致了神经表现的发生。
