Abstract：
Case of a 44-year-old woman with past medical history of dermatomyositis who had been on Methrotexate therapy who became infected with Legionella pneumophila after staying at a home rental, known commercially as an Airbnb. The patient presented to the ER with complaints of general malaise and subsequently developed sepsis with respiratory failure requiring intubation. CT scan confirmed the diagnosis of pneumonia and through extensive research L. pneumophila was identified using a pneumonia panel that works by identifying nucleic acids of fastidious organisms that are difficult and take long to grow by culture. As the patient\'s pneumonia progressed to ARDS and her clinical impression worsened, pronation technique was begun in addition to her course of antibiotics that were already being administered. The patient began showing significant improvement in her clinical picture and was extubated with progressive recovery.
摘要：
一例有皮肌炎既往病史的44岁女性，一直在使用甲氨蝶呤治疗，在租房后感染了嗜肺军团菌，商业上称为Airbnb。该患者因全身不适而向ER就诊，随后发展为脓毒症并伴有呼吸衰竭，需要插管。CT扫描证实了肺炎的诊断，并通过广泛的研究，使用肺炎小组鉴定了肺炎杆菌，该小组通过鉴定难以培养且需要很长时间才能生长的挑剔生物的核酸来工作。随着患者的肺炎进展为ARDS，她的临床印象恶化，除了她已经使用的抗生素疗程外，还开始了内旋技术。患者的临床表现开始显着改善，并逐渐恢复拔管。
