Shtern R D, Ageev A K
Arkh Patol. 1982;44(11):78-85.
A review of the world literature on the "Legionnaires' disease", an infectious disease which was designated in 1979 as "legionellosis" and described in three different clinicoanatomic forms is presented. These forms differ both in manifestations of the disease and in species of the causal agents, legionellae, united in a genus Legionellaceae. Particular attention in the review is paid to morphological lesions observed in legionelloses (macro- and microscopic, and ultrastructural). The necessity of a careful histobacterioscopic examination of tissues in suspected cases of legionellosis and additional crucial bacteriological and serological examinations is noted. Since in the majority of the observations the main pathological process was represented by pneumonia (pleuropneumonia with frequent abscessing), the main differential diagnostic features of legionellosis pneumonia and its differences from other similar infectious diseases are described.
本文综述了关于“军团病”的世界文献，这种传染病于1979年被命名为“军团菌病”，有三种不同的临床解剖学形式。这些形式在疾病表现和病原体种类（军团菌，归属于军团菌科）方面均有所不同。综述特别关注了在军团菌病中观察到的形态学病变（宏观、微观和超微结构）。文中指出，对于疑似军团菌病的病例，有必要对组织进行仔细的组织细菌学检查以及其他关键的细菌学和血清学检查。由于在大多数观察中，主要病理过程表现为肺炎（常伴有脓肿形成的胸膜肺炎），因此描述了军团菌病肺炎的主要鉴别诊断特征及其与其他类似传染病的区别。
