Strampfer M J, Cunha B A
Infectious Disease Division, Winthrop-University Hospital, Mineola, NY.
Semin Respir Infect. 1987 Dec;2(4):228-34.
Legionnaires' disease is an illness with protean manifestations that are due to infection with Legionella pneumophila. It occurs both in epidemic and sporadic form and usually presents as an atypical pneumonia. Relative bradycardia, abnormal liver function test results, and a patient presenting with an atypical pneumonia should alert the clinician to the possibility of Legionella. The presence of systemic involvement, specifically neurological, gastrointestinal, and renal abnormalities, should further suggest the diagnosis. Patients may demonstrate multiple extrapulmonary manifestations of legionnaires' disease, sometimes without pneumonia. Several methods are available to aid the clinician in making the diagnosis of legionnaires' disease, and the use of all tests will increase the overall sensitivity.
军团病是一种由嗜肺军团菌感染引起的具有多种表现形式的疾病。它以流行和散发两种形式出现，通常表现为非典型肺炎。相对心动过缓、肝功能检查结果异常以及出现非典型肺炎的患者应提醒临床医生注意军团菌感染的可能性。存在全身受累，特别是神经、胃肠和肾脏异常，应进一步提示诊断。患者可能表现出军团病的多种肺外表现，有时无肺炎症状。有几种方法可帮助临床医生诊断军团病，使用所有检测方法将提高总体敏感性。
