Guthrie T H, Mahizhnan P
Med Pediatr Oncol. 1983;11(3):180-1. doi: 10.1002/mpo.2950110310.
A patient with acute nonlymphocytic leukemia developed progressive lung infiltrates and unremitting fevers during a profound neutropenic state. Legionnaire's disease was diagnosed by simple immunologic studies and successfully treated with erythromycin. This index case alerts physicians toward a treatable infection which would not normally be susceptible to the empiric antibiotic regimens given neutropenic patients with fevers.
一名急性非淋巴细胞白血病患者在严重中性粒细胞减少状态期间出现进行性肺部浸润和持续发热。通过简单的免疫学研究诊断为军团病,并成功用红霉素治疗。该首例病例提醒医生注意一种可治疗的感染,这种感染通常对给予发热中性粒细胞减少患者的经验性抗生素治疗方案不敏感。