Kashif Muhammad, Patel Ravi, Bajantri Bharat, Diaz-Fuentes Gilda
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, United States.
Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, United States.
Respir Med Case Rep. 2017 Mar 14;21:7-11. doi: 10.1016/j.rmcr.2017.03.008. eCollection 2017.
is a common, usually underreported and undiagnosed cause of community acquired pneumonia which can lead to significant morbidity and mortality. Diffuse alveolar hemorrhage rarely have been associated with legionella infection. We present a 61-year-old man with hypertension, diabetes mellitus and obesity admitted with severe acute respiratory distress syndrome. He was found to have Legionella pneumonia with associated diffuse alveolar hemorrhage diagnosed with bronchoscopic sequential bronchoalveolar lavage. He was successfully managed with antibiotics, lung protective strategies and intravenous pulse dose steroids. This patient highlights the unusual association of Legionella infection and diffuse alveolar hemorrhage. Additionally, the case re-enforces the need for early and aggressive evaluation and management of patients presenting with pneumonia and progressive hypoxia despite adequate treatment.
是社区获得性肺炎的常见病因，通常未得到报告和诊断，可导致严重的发病率和死亡率。弥漫性肺泡出血很少与军团菌感染相关。我们报告一名61岁男性，患有高血压、糖尿病和肥胖症，因严重急性呼吸窘迫综合征入院。通过支气管镜序贯支气管肺泡灌洗诊断发现他患有军团菌肺炎并伴有弥漫性肺泡出血。他通过抗生素、肺保护策略和静脉脉冲剂量类固醇成功得到治疗。该患者突出了军团菌感染与弥漫性肺泡出血的不寻常关联。此外，该病例强调了对尽管接受了充分治疗但仍出现肺炎和进行性缺氧的患者进行早期积极评估和管理的必要性。
