Frömmel Niklas, El Baraka Ibtissame, Walz Bastian, Hellmich Bernhard
Klinik für Radiologie, medius Klinik Kirchheim, Eugenstraße 3, 73230, Kirchheim unter Teck, Deutschland.
Klinik für Innere Medizin, Rheumatologie, Pneumologie, Nephrologie und Diabetologie, medius Klinik Kirchheim, Kirchheim unter Teck, Deutschland.
Inn Med (Heidelb). 2025 May;66(5):546-549. doi: 10.1007/s00108-024-01829-6. Epub 2024 Dec 23.
A 48-year-old male patient was admitted to hospital with Legionella pneumonia. He developed a splenic rupture 1 day after admission, which was surgically treated. Retrospectively, the splenomegaly could already be seen by sonography on admission. An alternative etiology of the splenic rupture was excluded. The case highlights the importance of early detection of splenomegaly in patients with legionellosis. Through an early interdisciplinary presentation this life-threatening complication can be recognized in a timely manner and safely treated.
一名48岁男性患者因军团菌肺炎入院。入院1天后出现脾破裂，接受了手术治疗。回顾性分析发现，入院时超声检查已可发现脾肿大。排除了脾破裂的其他病因。该病例强调了在军团菌病患者中早期发现脾肿大的重要性。通过早期多学科会诊，这种危及生命的并发症能够得到及时识别并安全治疗。
