Boucree M C
J Natl Med Assoc. 1988 Oct;80(10):1065-71.
A case report is presented of a young man admitted to a general hospital with leukocytosis, elevated temperature, right lower lobe infiltrate, and confusion. A diagnosis of rhabdomyolysis, acute renal failure, and Legionnaire's disease was made. The patient subsequently had a respiratory arrest and died on the 29th hospital day. This triad is currently an enigma in the field of internal medicine. The diagnosis of each entity is elusive, and in many cases must be made by the astute clinician. Diagnostic features along with early intervention measures and their expected outcomes are discussed. Recognition of the interrelationship of these diseases, risk factors, and vague clinical presentations might allow further prospective intervention methods and diagnostic procedures to be undertaken to avoid the fatal consequences seen in this disease triad.
本文报告了一名年轻男性病例，该患者因白细胞增多、体温升高、右下叶浸润及意识模糊入住综合医院。诊断为横纹肌溶解症、急性肾衰竭和军团病。患者随后发生呼吸骤停，于住院第29天死亡。这一三联征目前是内科领域的一个谜团。每种疾病的诊断都很棘手，在许多情况下必须由敏锐的临床医生做出诊断。文中讨论了诊断特征以及早期干预措施及其预期结果。认识到这些疾病、危险因素和模糊临床表现之间的相互关系，可能会促使采取进一步的前瞻性干预方法和诊断程序，以避免在这一疾病三联征中出现的致命后果。
