Aga Masaharu, Shiba Aya, Hamakawa Yusuke, Matsuzaka Suguru, Miyazaki Kazuhito, Taniguchi Yuri, Misumi Yuki, Agemi Yoko, Shimokawa Tsuneo, Okamoto Hiroaki
Department of Respiratory Medicine Yokohama Municipal Citizen's Hospital Yokohama Japan.
Department of Accidents and Emergencies and General Internal Medicine Fukuoka Seisyukai Hospital Fukuoka Japan.
Respirol Case Rep. 2021 Oct 8;9(11):e0850. doi: 10.1002/rcr2.850. eCollection 2021 Nov.
We report an acute clinical course of pneumonia caused by in a patient receiving chemotherapy for lung cancer and corticosteroid therapy. A 57-year-old man presented with fever and dyspnoea and was admitted to our hospital. Chest computed tomography revealed a new left lower lung infiltrate, tumour progression in the right upper lung region, metastases to lymph nodes and pleural effusion. The urinary antigen test for was positive. The patient's oxygen requirement increased on the day of admission, and he died the day after hospitalization. Legionnaires' disease may manifest with an acute presentation, and patients in Japan with physical risk factors for this disease could get infected despite the absence of environmental risk factors. Early treatment for suspected Legionnaire's disease should be considered.
我们报告了1例在接受肺癌化疗和皮质类固醇治疗的患者中由[病原体名称未给出]引起的急性肺炎临床病程。一名57岁男性出现发热和呼吸困难，被收入我院。胸部计算机断层扫描显示左肺下叶有新的浸润影，右上肺区域肿瘤进展，淋巴结转移和胸腔积液。[病原体名称未给出]的尿抗原检测呈阳性。患者入院当天氧需求增加，住院次日死亡。军团菌病可能以急性表现出现，在日本，即使没有环境危险因素，有该疾病身体危险因素的患者也可能被感染。对于疑似军团菌病应考虑早期治疗。
