Correia M, Dieudonné V, Almeida H, Bandeira T, Lito L, Rodrigues G, Sequeira S
Unidade de Cuidados Especiais, Hospital de Santa Maria, Lisboa.
Acta Med Port. 1995 Jun;8(6):363-7.
Legionella pneumophila is an uncommon cause of pneumonia, mainly in children. We present a case with aggressive disease and unfavourable outcome. The diagnosis was established by serum antibody detection and immunofluorescence and culture of a fragment of lung tissue obtained at necropsy. We focus the importance of this aetiology in nosocomial pneumonia and community-acquired pneumonia with an atypical evolution. The need for specific therapy and some preventive measures are also stressed.
嗜肺军团菌是肺炎的一种罕见病因，主要发生在儿童中。我们报告一例病情严重且预后不良的病例。诊断通过血清抗体检测、免疫荧光以及对尸检时获取的肺组织片段进行培养得以确立。我们着重强调了这种病因在具有非典型病程的医院获得性肺炎和社区获得性肺炎中的重要性。同时也强调了特异性治疗的必要性以及一些预防措施。
