Harris Nicholas John, Harris Anna Claire Victoria, Spiro Michael
Whipps Cross University Hospital NHS Trust, London, UK.
BMJ Case Rep. 2011 May 12;2011:bcr1220103587. doi: 10.1136/bcr.12.2010.3587.
In August 2009, during the swine flu pandemic, a 55-year-old male presented to the Emergency Department (ED) with shortness-of-breath and chest pain. He had experienced diarrhoea and vomiting during the 3 weeks preceding admission, and so had sought the advice of his General Practitioner (GP) who had prescribed a course of oseltamivir (Tamiflu). Despite this, his symptoms had worsened, and on arrival in the ED he was found to be tachypnoeic, tachycardic, feverish, anuric and in type I respiratory failure with a compensated metabolic acidosis. He subsequently became hypotensive, and so was transferred to the Intensive Care Unit (ICU) for supportive treatment of three organ failures. Investigation revealed that he was suffering from Legionnaires disease. This required a prolonged inpatient stay owing to both disease and treatment related complications.
2009年8月，在猪流感大流行期间，一名55岁男性因呼吸急促和胸痛被送往急诊科。入院前3周，他出现腹泻和呕吐症状，因此向全科医生咨询，医生给他开了一个疗程的奥司他韦（达菲）。尽管如此，他的症状仍在恶化，抵达急诊科时，发现他呼吸急促、心跳过速、发烧、无尿，处于I型呼吸衰竭并伴有代偿性代谢性酸中毒。随后他出现低血压，因此被转至重症监护病房，对其三个器官功能衰竭进行支持治疗。调查显示，他患有军团病。由于疾病和治疗相关并发症，他需要长时间住院治疗。
