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免疫功能正常宿主中播散性军团菌感染并发心肌炎:一例病例报告及文献复习

Disseminated Legionella Associated With Myocarditis in an Otherwise Immunocompetent Host: A Case Report and Review of the Literature.

作者信息

Jarrah Abdullah, Mansour Mohamed, Alnasarat Ahmad, Abdelrahman Ahmed, Damlakhy Ahmad, Eltawansy Sherif

机构信息

Internal Medicine, Detroit Medical Center/Sinai Grace Hospital/Wayne State University, Detroit, USA.

Internal Medicine, Jersey Shore University Medical Center, Neptune, USA.

出版信息

Cureus. 2023 Jun 16;15(6):e40529. doi: 10.7759/cureus.40529. eCollection 2023 Jun.

DOI:10.7759/cureus.40529
PMID:37461776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10350323/
Abstract

Legionnaires' disease caused by the bacteria Legionella pneumophila, is considered a type of atypical pneumonia. The disease usually presents with dyspnea, cough, fever, muscle aches, headache, nausea, and vomiting. A milder form of the disease (Pontiac fever) with flu-like illness also exists. In addition to lung infection, extrapulmonary manifestations might occur including sepsis, rhabdomyolysis, neurological impairment, kidney, and liver damage. Myocarditis can be seen as a rare complication in Legionnaires' disease. Here, we are presenting a case of Legionnaires' disease associated with myocarditis in a patient with no predisposing risk factors for severe illness.

摘要

由嗜肺军团菌引起的军团病被认为是一种非典型肺炎。该病通常表现为呼吸困难、咳嗽、发热、肌肉酸痛、头痛、恶心和呕吐。还存在一种症状较轻的类似流感疾病的形式(庞蒂亚克热)。除肺部感染外,可能会出现肺外表现,包括败血症、横纹肌溶解、神经功能损害、肾脏和肝脏损伤。心肌炎在军团病中可视为一种罕见的并发症。在此,我们报告一例无严重疾病易感风险因素的患者发生的与心肌炎相关的军团病病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10c3/10350323/4e1f61d8910f/cureus-0015-00000040529-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10c3/10350323/4e1f61d8910f/cureus-0015-00000040529-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10c3/10350323/4e1f61d8910f/cureus-0015-00000040529-i01.jpg

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Global Perspective of Infection in Community-Acquired Pneumonia: A Systematic Review and Meta-Analysis of Observational Studies.全球社区获得性肺炎感染视角:一项观察性研究的系统评价和荟萃分析。
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J Cardiovasc Echogr. 2021 Apr-Jun;31(2):98-101. doi: 10.4103/jcecho.jcecho_130_20. Epub 2021 Jul 28.
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