Harris A, Lally M, Albrecht M
Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA.
Clin Infect Dis. 1998 Jul;27(1):97-9. doi: 10.1086/514618.
Legionella bozemanii is known to cause pneumonia often in immunocompromised hosts. To our knowledge, we describe the first three cases of L. bozemanii pneumonia in patients with AIDS. At the time of presentation, these patients had varied histories, physical findings, and radiological findings. All three patients had a uniformly excellent response to treatment despite receiving different antibiotic regimens. The cases illustrate the need for thorough diagnostic workups and prompt institution of antibiotic therapy when clinical suspicion for L. bozemanii infection is high.
博兹曼军团菌已知常导致免疫功能低下宿主发生肺炎。据我们所知,我们描述了首例三例艾滋病患者感染博兹曼军团菌肺炎的病例。就诊时,这些患者有不同的病史、体格检查结果和影像学表现。尽管接受了不同的抗生素治疗方案,但所有三名患者对治疗均有一致的良好反应。这些病例表明,当临床高度怀疑博兹曼军团菌感染时,需要进行全面的诊断检查并及时开始抗生素治疗。