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军团菌感染导致构音障碍、横纹肌溶解症并伴有急性肾衰竭,最终实现康复。

Legionella-induced dysarthria and rhabdomyolysis with acute renal failure achieving recovery.

作者信息

El Sharu Husam, Ahmad Soban, Coore Hunter

机构信息

Internal Medicine East Carolina University Health Medical Center Greenville North Carolina USA.

出版信息

Clin Case Rep. 2024 Mar 7;12(3):e8628. doi: 10.1002/ccr3.8628. eCollection 2024 Mar.

Abstract

KEY CLINICAL MESSAGE

Legionnaires' disease, often presenting as pneumonia, can uncommonly manifest with extrapulmonary symptoms such as cerebellar involvement and rhabdomyolysis. This case emphasizes the successful resolution of dysarthria and renal dysfunction with prompt Legionella treatment, underscoring the importance of vigilance for diverse manifestations in Legionella infections.

ABSTRACT

Legionnaires' disease usually presents with pneumonia and a few extrapulmonary manifestations, such as neurological, musculoskeletal, and cutaneous manifestations. However, cerebellar involvement and rhabdomyolysis as an association with Legionella are not frequently encountered. We present a case of Legionella-induced rhabdomyolysis requiring hemodialysis and dysarthria that resolved with Legionella treatment.

摘要

关键临床信息

军团病常表现为肺炎,但也可能罕见地出现肺外症状,如小脑受累和横纹肌溶解。本病例强调了及时治疗军团菌可成功缓解构音障碍和肾功能不全,凸显了警惕军团菌感染多种表现的重要性。

摘要

军团病通常表现为肺炎及一些肺外表现,如神经、肌肉骨骼和皮肤表现。然而,军团菌感染合并小脑受累和横纹肌溶解并不常见。我们报告一例因军团菌感染导致横纹肌溶解需进行血液透析以及出现构音障碍的病例,经治疗军团菌后症状缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc81/10920313/0050a2197483/CCR3-12-e8628-g001.jpg

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