Heki U, Ogawa H, Fujimura M, Matsuda T
Toyama Redcross Hospital, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1995 Jul;33(7):775-9.
A 56-year-old man was admitted to our hospital because of a high fever. An abnormal shadow was seen on his chest X-ray film. He was treated with piperacillin, isepamycin, and minocycline, but his fever remained and the abnormal shadow got worse. Because he had proteinuria, a severe headache, hyponatremia, and hypophosphatemia, Legionella pneumonia was suspected. A skin test for erythromycin was positive, so roxithromycin was given orally. By the next day the fever had remitted, the appearance of the chest X-ray film had improved, and his symptoms were promptly relieved. This case suggests that roxithromycin can be effective against Legionella pneumonia.
一名56岁男性因高热入院。其胸部X线片上可见异常阴影。给予哌拉西林、异帕米星和米诺环素治疗，但仍持续发热，异常阴影加重。由于他有蛋白尿、严重头痛、低钠血症和低磷血症，怀疑为军团菌肺炎。红霉素皮肤试验呈阳性，因此口服罗红霉素。到第二天，发热已消退，胸部X线片表现改善，症状迅速缓解。该病例提示罗红霉素对军团菌肺炎可能有效。
