痰中抗酸杆菌：一例米克戴德军团菌肺炎病例。

Acid-fast bacilli in sputum: a case of Legionella micdadei pneumonia.

作者信息

Hilton E, Freedman R A, Cintron F, Isenberg H D, Singer C

出版信息

J Clin Microbiol. 1986 Dec;24(6):1102-3. doi: 10.1128/jcm.24.6.1102-1103.1986.

DOI:10.1128/jcm.24.6.1102-1103.1986

PMID:2430995

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC269108/

Abstract

Legionella micdadei has been implicated as a cause of nosocomial pneumonia. There are no reports of L. micdadei pneumonia diagnosed by acid-fast stain of expectorated sputum. We report a case of L. micdadei pneumonia in which expectorated sputum harbored acid-fast bacteria that reacted specifically with fluorescent antiserum to L. micdadei, confirmed by culture. In a patient at risk for nosocomial infection, the differential diagnosis of a positive sputum stain for acid-fast bacilli should include L. micdadei in addition to mycobacteria. Therapy for L. micdadei infection should be considered pending confirmation of the diagnosis.

摘要

米克戴德军团菌被认为是医院获得性肺炎的病因之一。尚无通过咳出痰液的抗酸染色诊断米克戴德军团菌肺炎的报道。我们报告一例米克戴德军团菌肺炎病例，咳出的痰液中含有抗酸菌，该菌与米克戴德军团菌荧光抗血清发生特异性反应，经培养证实。对于有医院感染风险的患者，痰涂片抗酸杆菌阳性的鉴别诊断除了分枝杆菌外还应包括米克戴德军团菌。在确诊之前应考虑对米克戴德军团菌感染进行治疗。