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.
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。
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