Cunha Burke A, Cunha Cheston B
Infectious Disease Division, Winthrop-University Hospital, 222 Station Plaza North (#432), Mineola, NY 11501, USA; School of Medicine, State University of New York, Stony Brook, NY, USA.
Division of Infectious Disease, Rhode Island Hospital, The Miriam Hospital, Brown University Alpert School of Medicine, Providence, RI, USA.
Infect Dis Clin North Am. 2017 Mar;31(1):81-93. doi: 10.1016/j.idc.2016.10.007.
Legionnaire's disease is a nonzoonotic atypical pneumonia caused by Legionella sp that occurs sporadically or in outbreaks. Legionnaire's disease pneumonia is accompanied by several extrapulmonary clinical and laboratory findings. Rather than testing all pneumonias for Legionnaire's disease, the clinical challenge is to recognize the diagnostic significance of Legionnaire's disease's. The pretest probability of Legionnaire's disease is increased if several characteristic extrapulmonary findings are present. Similarly, if certain key findings are absent, Legionnaire's disease may be eliminated from further diagnostic consideration. If characteristic clinical findings are present, then specific tests should be ordered to confirm or rule out Legionnaire's disease.
军团病是由军团菌属引起的一种非人畜共患的非典型肺炎，可散发或暴发流行。军团病肺炎伴有多种肺外临床和实验室表现。临床面临的挑战不是对所有肺炎都进行军团病检测，而是要认识到军团病的诊断意义。如果出现一些特征性的肺外表现，军团病的预检概率会增加。同样，如果某些关键表现不存在，军团病可在进一步诊断时排除。如果出现特征性临床症状，应进行特定检测以确诊或排除军团病。
