Gowani Saqib Ali, Kumar Anupam, Arora Sabeena, Lahiri Bimalin
Department of Internal Medicine, Saint Francis Hospital, Hartford, USA.
Conn Med. 2013 Jun-Jul;77(6):331-4.
Legionella infection most commonly manifests as pneumonia. Extrapulmonarylegionellosis is rare, but the clinical manifestations are often dramatic. Myocardialinvolvementis the most common extrapulmonary manifestation of legionellosis and can result in left ventricular dysfunction. We report a case of Legionellapneumopbila-induced myocarditis and acute left ventricular dysfunction with subsequent development of torsades de pointes (TdP) in a young adult with no other risk factors. Early recognition of this complication is paramount as timely initiation of appropriate antibiotics is crucial to ensure full recovery from this form of reversible carditis.
军团菌感染最常见的表现为肺炎。肺外军团菌病罕见，但临床表现往往较为严重。心肌受累是军团菌病最常见的肺外表现，可导致左心室功能障碍。我们报告一例由嗜肺军团菌引起的心肌炎和急性左心室功能障碍，随后在一名无其他危险因素的年轻成年人中发生尖端扭转型室速（TdP）的病例。尽早识别这种并发症至关重要，因为及时开始使用适当的抗生素对于确保从这种可逆性心肌炎中完全康复至关重要。
