Dorman S A, Hardin N J, Winn W C
Ann Intern Med. 1980 Dec;93(6):835-7. doi: 10.7326/0003-4819-93-6-835.
A patient with bladder carcinoma metastatic to lung and brain died of pneumonia. Autopsy examination showed a confluent bronchopneumonia with several small abscesses and acute pyelonephritis with abscess formation. Legionella pneumophila, serogroup 4, was isolated in pure culture from lung tissue postmortem and was also shown by direct immunofluorescence in the kidney and spleen. In the kidney, the organism was noted in areas of acute pyelonephritis. This represents the first case of an extrathoracic inflammatory lesion associated with L. pneumophila.
一名膀胱癌转移至肺和脑的患者死于肺炎。尸检显示为融合性支气管肺炎，伴有多个小脓肿以及急性肾盂肾炎并形成脓肿。从死后肺组织中分离出纯培养的嗜肺军团菌血清群4，并且通过直接免疫荧光法在肾脏和脾脏中也检测到该菌。在肾脏中，该菌存在于急性肾盂肾炎区域。这是首例与嗜肺军团菌相关的胸外炎性病变病例。
