肝移植患者肺部结节和喉病变为播散性米氏军团菌感染。

Disseminated Legionella micdadei infection in a liver transplant patient presenting as pulmonary nodules and a laryngeal lesion.

机构信息

Division of Infectious Disease, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.

Department of Laboratory Medicine, University of California San Francisco, San Francisco, CA, USA.

出版信息

Transpl Infect Dis. 2021 Jun;23(3):e13563. doi: 10.1111/tid.13563. Epub 2021 Feb 18.

DOI:10.1111/tid.13563

PMID:33434394

Abstract

We report a liver transplant patient with disseminated Legionella micdadei infection with pulmonary, laryngeal, and suspected muscle involvement. This organism, which stains weakly acid-fast, primarily affects immunocompromised patients. The diagnosis is difficult to make; in this case, the organism was identified via molecular diagnostics on laryngeal and pulmonary biopsy tissue.

摘要

我们报告了一例肝移植患者患有播散性嗜肺军团菌感染，伴有肺部、喉部和疑似肌肉受累。这种组织弱抗酸性染色，主要影响免疫功能低下的患者。诊断较为困难；在本例中，通过喉和肺活检组织的分子诊断确定了该病原体。