Moore E H, Webb W R, Gamsu G, Golden J A
Radiology. 1984 Dec;153(3):589-93. doi: 10.1148/radiology.153.3.6387784.
The clinical presentation and radiographic progression of Legionnaires' disease is described in 10 renal transplant patients, the majority undergoing treatment for rejection. Presentation with pleuritic chest pain, fever, hypoxia, and hemoptysis was typical and in some cases led to confusion with pulmonary embolism. The radiographic appearance was that of rapidly progressive, dense, sublobar consolidation, occasionally showing patchy spread to other areas and usually accompanied by pleural effusion. Cavitation occurred in seven of 10 patients.
本文描述了10例肾移植患者军团病的临床表现和影像学进展,大多数患者正在接受抗排斥治疗。典型表现为胸膜炎性胸痛、发热、缺氧和咯血,在某些情况下会导致与肺栓塞混淆。影像学表现为迅速进展的、致密的肺叶下实变,偶尔可见斑片状扩散至其他区域,通常伴有胸腔积液。10例患者中有7例出现空洞形成。