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以急性肾损伤为表现的军团病:抗生素治疗成功

Legionnaires' Disease Presenting With Acute Kidney Injury: Successful Treatment With Antibiotics.

作者信息

Fujii Ai, Mishima Mizuki, Kumano Sho, Fujimoto Keiji, Furuichi Kengo

机构信息

Nephrology, Kanazawa Medical University, Kahoku, JPN.

Internal Medicine, Keiju Medical Center, Nanao, JPN.

出版信息

Cureus. 2024 Nov 24;16(11):e74360. doi: 10.7759/cureus.74360. eCollection 2024 Nov.

Abstract

Legionnaires' disease is a bacterial infection caused by , such as . It mainly causes severe pneumonia, with symptoms such as fever, cough, and shortness of breath. In rare cases, it can cause acute kidney disease and also occasionally become severe enough to require replacement therapy. We report the case of a patient who was admitted with severe pneumonitis and acute kidney injury following infection. Symptoms improved with antibiotic treatment; however, renal damage persisted. A renal biopsy was performed, highlighting the importance of recognizing kidney involvement in infections and demonstrating how renal biopsy can guide the course of treatment.

摘要

军团病是由……引起的细菌感染,例如……。它主要导致严重肺炎,伴有发热、咳嗽和呼吸急促等症状。在罕见情况下,它可导致急性肾病,偶尔也会严重到需要替代治疗。我们报告了一例患者,该患者在……感染后因严重肺炎和急性肾损伤入院。抗生素治疗后症状有所改善;然而,肾损伤持续存在。进行了肾活检,强调了认识到肾脏在……感染中的受累情况的重要性,并展示了肾活检如何指导治疗过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d07/11668538/4f63c473ee3e/cureus-0016-00000074360-i01.jpg

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