Oda Naohiro, Hirahara Tomoaki, Fujioka Yusuke, Mitani Reo, Takata Ichiro
Department of Internal Medicine, Fukuyama City Hospital, Japan.
Intern Med. 2019 Oct 1;58(19):2831-2834. doi: 10.2169/internalmedicine.2825-19. Epub 2019 Jun 27.
We herein report the case of a 62-year-old man diagnosed with Legionella pneumonia while engaged in recovery work in a flooded area after the Heavy Rain Event of July 2018 in Japan. The patient was intubated and maintained on mechanical ventilation and continuous hemodiafiltration. He was also administered antimicrobial therapy with ciprofloxacin and azithromycin. After 53 days in the hospital, he was discharged. It is important to recognize the risk of Legionella infection and to take measures to prevent it during recovery work that involves exposure to water and soil after a flood disaster.
我们在此报告一例62岁男性病例,该患者于2018年7月日本暴雨事件后在洪水泛滥地区从事恢复工作时被诊断为军团菌肺炎。患者接受了气管插管,并接受机械通气和持续血液透析滤过治疗。他还接受了环丙沙星和阿奇霉素的抗菌治疗。住院53天后,他出院了。认识到军团菌感染的风险并在洪水灾害后涉及接触水和土壤的恢复工作中采取预防措施非常重要。