Abstract：
UNASSIGNED: A case admitted with dysarthria and syncope and hyperintense lesion in the splenium of the corpus callosum, diagnosed as Legionnaires\' disease by detecting Legionella antigen in the urine, and recovered only with antibiotic treatment is presented because it is rare in the literature.
UNASSIGNED: When a 64-year-old female patient was admitted to the emergency department with complaints of sudden loss of consciousness and fainting at home, she had speech impairment, and her pulse oxygen saturation in room air was 88%. In the neurological examination, there was no pathological finding except dysarthria in the patient with no motor deficit. The patient had no respiratory complaints and had a recent travel history. In laboratory examinations, hyponatremia was detected with increased C-reactive protein and liver enzymes. Consolidation was observed in the lower right zone on chest computed tomography. Ampicillin + sulbactam (4x1 gr, intravenous) and clarithromycin (2 × 500 mg orally) were initiated. On cranial magnetic resonance, a hyperintense lesion was observed in the splenium of the corpus callosum in the oval T2 sequence. Legionella pneumophila serogroup 1 antigen in urine was reported as positive. On the fourth day of her hospitalization, the patient, whose CRP and liver enzyme values regressed, her hyponatremia improved, her pulse oxygen saturation increased to 92% in room air, and her speech became comprehensible, was discharged after oral antibiotic treatment was arranged. On the 12th day, the speech ability of the patient completely returned to normal.
UNASSIGNED: Legionella infection should be suspected in the presence of pneumonia and corpus callosum splenium lesion.
UNASSIGNED: When a 64-year-old female patient was admitted to the emergency department with complaints of sudden loss of consciousness and fainting at home, she had speech impairment, and her pulse oxygen saturation in room air was 88%. In the neurological examination, there was no pathological finding except dysarthria in the patient with no motor deficit. The patient had no respiratory complaints and had a recent travel history. In laboratory examinations, hyponatremia was detected with increased C-reactive protein and liver enzymes. Consolidation was observed in the lower right zone on chest computed tomography. Ampicillin + sulbactam (4x1 gr, intravenous) and clarithromycin (2 × 500 mg orally) were initiated. On cranial magnetic resonance, a hyperintense lesion was observed in the splenium of the corpus callosum in the oval T2 sequence. Legionella pneumophila serogroup 1 antigen in urine was reported as positive. On the fourth day of her hospitalization, the patient, whose CRP and liver enzyme values regressed, her hyponatremia improved, her pulse oxygen saturation increased to 92% in room air, and her speech became comprehensible, was discharged after oral antibiotic treatment was arranged. On the 12th day, the speech ability of the patient completely returned to normal.
UNASSIGNED: Legionella infection should be suspected in the presence of pneumonia and corpus callosum splenium lesion.
摘要：
■一例因构音障碍和晕厥以及call体Spenium高强度病变而入院的病例，通过检测尿液中的军团菌抗原诊断为军团病，并且仅通过抗生素治疗才能恢复，因为它在文献中很少见。
■当一名64岁的女性患者因突然失去知觉和晕倒在家中而入院急诊时，她有言语障碍,她在室内空气中的脉搏氧饱和度为88%。在神经系统检查中，在没有运动缺陷的患者中，除了构音障碍外，没有病理发现。患者没有呼吸道疾病，最近有旅行史。在实验室检查中，低钠血症检测到C反应蛋白和肝酶升高。在胸部计算机断层扫描的右下区域观察到巩固。氨苄西林+舒巴坦（4x1gr，静脉注射）和克拉霉素（口服2×500mg）。在头颅磁共振上，在椭圆形T2序列中，在call体的脾中观察到高强度病变。报告尿中嗜肺军团菌血清群1抗原为阳性。在她住院的第四天,病人,其CRP和肝酶值回归，她的低钠血症改善了,她的脉搏氧饱和度在室内空气中增加到92%，她的演讲变得容易理解，安排口服抗生素治疗后出院。第12天,患者的言语能力完全恢复正常。
■在存在肺炎和call体脾病变的情况下，应怀疑军团菌感染。
■当一名64岁的女性患者因突然失去知觉和晕倒在家中而入院急诊时，她有言语障碍,她在室内空气中的脉搏氧饱和度为88%。在神经系统检查中，在没有运动缺陷的患者中，除了构音障碍外，没有病理发现。患者没有呼吸道疾病，最近有旅行史。在实验室检查中，低钠血症检测到C反应蛋白和肝酶升高。在胸部计算机断层扫描的右下区域观察到巩固。氨苄西林+舒巴坦（4x1gr，静脉注射）和克拉霉素（口服2×500mg）。在头颅磁共振上，在椭圆形T2序列中，在call体的脾中观察到高强度病变。报告尿中嗜肺军团菌血清群1抗原为阳性。在她住院的第四天,病人,其CRP和肝酶值回归，她的低钠血症改善了,她的脉搏氧饱和度在室内空气中增加到92%，她的演讲变得容易理解，安排口服抗生素治疗后出院。第12天,患者的言语能力完全恢复正常。
■在存在肺炎和call体脾病变的情况下，应怀疑军团菌感染。
