Della Santa L, Crimaldi G, Pellegrini V, Migliaccio P, Pampana A
Istituto di Clinica Pediatrica, Università degli Studi di Pisa.
Minerva Pediatr. 1994 Mar;46(3):89-97.
Pneumonia due to L. pneumophila occurs frequently in children even though "legionnaires' disease" in adults in usual. The authors show a literary scientific review of almost one hundred cases, sporadic generally, in childhood. In children legionnaires' disease remembers the adults infection, beginning with bronchiolitis. The extrarespiratory symptoms appears more frequently in adults. Chest roentgenograms obtained early reveal patchy infiltrates that become nodular areas of consolidation bilateral also, with pleural effusion. In children prognosis is poor (exitus in 15 about 97 described cases). The infection responds to erythromycin; it is administered intravenously, but oral treatment may also be used.
嗜肺军团菌引起的肺炎在儿童中很常见，尽管“军团病”在成人中较为常见。作者对近100例儿童散发性病例进行了文献综述。儿童军团病的发病类似于成人感染，始于细支气管炎。成人出现肺外症状的频率更高。早期胸部X线片显示斑片状浸润，随后也会发展为双侧结节状实变区域，并伴有胸腔积液。儿童的预后较差（在97例报告病例中有15例死亡）。该感染对红霉素有反应；可静脉给药，也可采用口服治疗。
