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感染所致淋巴结炎:一例病例报告及文献综述

Lymphadenitis caused by infection: a case report and literature review.

作者信息

Zhang Cangjian, Zhao Minlei

机构信息

Department of Hematology, Lishui Municipal Central Hospital, Lishui, China.

出版信息

Front Med (Lausanne). 2025 May 20;12:1574205. doi: 10.3389/fmed.2025.1574205. eCollection 2025.

DOI:10.3389/fmed.2025.1574205
PMID:40463979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12132018/
Abstract

BACKGROUND

Legionella infection is a group of bacterial diseases caused by species of the Legionella genus, the most notable of them being Legionnaires' disease and Pontiac fever. Legionnaires' disease primarily affects the lungs, with the respiratory and gastrointestinal systems being the most commonly affected. Legionella may cause multisystem involvement, according to this study. In this report, we present a rare case of lymphadenitis caused by , aiming to raise awareness of atypical manifestations and uncommon sites of Legionella infection.

CASE PRESENTATION

We present the case of a 43-year-old man who was admitted to the hospital for a week due to fever and enlargement of the cervical lymph nodes. He was diagnosed with lymphadenitis, which was treated with azithromycin and lymph node puncture and drainage.

CONCLUSION

For patients with Legionella lymphadenitis, multiple etiological tests should be performed as early as possible to confirm the infectious pathogen. Early intervention with appropriate intravenous antibiotics and lymph node drainage is critical to improve the cure rate.

摘要

背景

军团菌感染是由军团菌属物种引起的一组细菌性疾病,其中最著名的是军团病和庞蒂亚克热。军团病主要影响肺部,呼吸系统和胃肠道是最常受影响的部位。根据这项研究,军团菌可能导致多系统受累。在本报告中,我们展示了一例罕见的由[此处原文缺失病原体名称]引起的淋巴结炎病例,旨在提高对军团菌感染非典型表现和罕见部位的认识。

病例介绍

我们报告一例43岁男性病例,因发热和颈部淋巴结肿大入院一周。他被诊断为[此处原文缺失病原体名称]淋巴结炎,接受了阿奇霉素治疗以及淋巴结穿刺引流。

结论

对于军团菌淋巴结炎患者,应尽早进行多项病原学检查以确诊感染病原体。早期使用适当的静脉抗生素干预和淋巴结引流对于提高治愈率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9352/12132018/a1df4697e41c/fmed-12-1574205-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9352/12132018/b63f20d2befd/fmed-12-1574205-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9352/12132018/8e84c98e20d0/fmed-12-1574205-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9352/12132018/a1df4697e41c/fmed-12-1574205-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9352/12132018/b63f20d2befd/fmed-12-1574205-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9352/12132018/8e84c98e20d0/fmed-12-1574205-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9352/12132018/a1df4697e41c/fmed-12-1574205-g003.jpg

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本文引用的文献

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2
Early Detection of and by mNGS in a Critically Ill Patient With Pneumonia After Extracorporeal Membrane Oxygenation Treatment: Case Report and Literature Review.体外膜肺氧合治疗后重症肺炎患者中宏基因组下一代测序对病原体的早期检测:病例报告及文献综述
Front Med (Lausanne). 2021 Jun 30;8:686512. doi: 10.3389/fmed.2021.686512. eCollection 2021.
3
High-Throughput Metagenomics for Identification of Pathogens in the Clinical Settings.
用于临床环境中病原体鉴定的高通量宏基因组学
Small Methods. 2021 Jan 4;5(1):2000792. doi: 10.1002/smtd.202000792. Epub 2020 Dec 13.
4
Evaluation of a novel urinary antigen test kit for diagnosing Legionella pneumonia.评价一种用于诊断军团菌肺炎的新型尿抗原检测试剂盒。
Int J Infect Dis. 2021 Feb;103:42-47. doi: 10.1016/j.ijid.2020.10.106. Epub 2020 Nov 8.
5
Legionella pneumophila as Cause of Severe Community-Acquired Pneumonia, China.嗜肺军团菌引起的严重社区获得性肺炎,中国。
Emerg Infect Dis. 2020 Jan;26(1):160-162. doi: 10.3201/eid2601.190655.
6
What is the risk of missing legionellosis relying on urinary antigen testing solely? A retrospective Belgian multicenter study.仅依靠尿抗原检测漏诊军团菌病的风险有多大?一项回顾性的比利时多中心研究。
Eur J Clin Microbiol Infect Dis. 2020 Apr;39(4):729-734. doi: 10.1007/s10096-019-03785-8. Epub 2019 Dec 14.
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Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America.成人社区获得性肺炎诊断和治疗。美国胸科学会和美国传染病学会的官方临床实践指南。
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