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本文引用的文献

1
Severe non-type-1 Legionella pneumophila infection without pneumonia.严重非1型嗜肺军团菌感染但无肺炎表现
Neth J Med. 2010 Feb;68(2):84-6.
2
Legionella as a cause of severe pneumonia.嗜肺军团菌作为重症肺炎的病因
Semin Respir Crit Care Med. 2000;21(4):295-304. doi: 10.1055/s-2000-9862.
3
Diagnosis of Legionella infection in Legionnaires' disease.军团病中军团菌感染的诊断
Eur J Clin Microbiol Infect Dis. 2004 Dec;23(12):871-8. doi: 10.1007/s10096-004-1248-8.
4
Legionella and Legionnaires' disease: 25 years of investigation.军团菌与军团病：25年的研究历程
Clin Microbiol Rev. 2002 Jul;15(3):506-26. doi: 10.1128/CMR.15.3.506-526.2002.
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Can Legionnaires disease be diagnosed by clinical criteria? A critical review.军团病能否通过临床标准进行诊断？一项批判性综述。
Chest. 2001 Oct;120(4):1049-53. doi: 10.1378/chest.120.4.1049.
6
Isolation of Legionella pneumophila by centrifugation of shell vial cell cultures from multiple liver and lung abscesses.通过对来自多个肝肺脓肿的壳瓶细胞培养物进行离心分离嗜肺军团菌。
J Clin Microbiol. 1999 Mar;37(3):785-7. doi: 10.1128/JCM.37.3.785-787.1999.
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Legionellosis.军团病
N Engl J Med. 1997 Sep 4;337(10):682-7. doi: 10.1056/NEJM199709043371006.
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Legionella urinary antigen testing: potential impact on diagnosis and antibiotic therapy.
Diagn Microbiol Infect Dis. 1996 Mar;24(3):129-39. doi: 10.1016/0732-8893(96)00010-7.
9
Surveillance for Legionnaires' disease. Risk factors for morbidity and mortality.军团病监测。发病和死亡的危险因素。
Arch Intern Med. 1994 Nov 14;154(21):2417-22.
10
Pyelonephritis associated with Legionella pneumophila, serogroup 4.与嗜肺军团菌血清群4相关的肾盂肾炎
Ann Intern Med. 1980 Dec;93(6):835-7. doi: 10.7326/0003-4819-93-6-835.

伪装成急性酒精性肝炎的急性嗜肺军团菌感染

Acute Legionella pneumophila infection masquerading as acute alcoholic hepatitis.

作者信息

Hunter Jonathan Michael, Chan Julian, Reid Angeline Louise, Tan Chistopher

机构信息

Department of Medicine, Redcliffe Hospital, Brisbane, Queensland, Australia.

出版信息

BMJ Case Rep. 2013 Jan 25;2013:bcr2012007916. doi: 10.1136/bcr-2012-007916.

DOI:10.1136/bcr-2012-007916
PMID:23355576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3604377/
Abstract

A middle-aged man had deteriorated rapidly in hospital after being misdiagnosed with acute alcoholic hepatitis. Acute Legionnaires disease (Legionellosis) was subsequently diagnosed on rapid antigen urinary testing and further confirmed serologically. This led to appropriate antibiotic treatment and complete clinical resolution. Physicians caring for patients with alcohol-related liver disease should consider Legionella pneumophila in their differential diagnosis even with a paucity of respiratory symptoms.

摘要

一名中年男子在被误诊为急性酒精性肝炎后，在医院病情迅速恶化。随后通过快速抗原尿液检测诊断出急性军团病（军团菌病），并通过血清学进一步确诊。这使得患者得到了适当的抗生素治疗并完全康复。即使呼吸道症状不明显，治疗酒精性肝病患者的医生在鉴别诊断时也应考虑嗜肺军团菌。