PDF(Pubmed)
Abstract：
UNASSIGNED: Postoperative Legionella pneumonia is very rare.
UNASSIGNED: A 71-year-old male patient with prostate cancer (cT2bN0M0) underwent a robotic-assisted radical prostatectomy. On the 5th postoperative day, the patient developed chills and a fever of 39.2°C. Chest radiography revealed decreased permeability in the right middle lung field, leading to the diagnosis of postoperative pneumonia. Antimicrobial therapy was initiated immediately. Blood tests on postoperative day 10 revealed mild liver function abnormalities, electrolyte abnormalities, and a markedly elevated inflammatory response. Legionella pneumonia was suspected based on blood sample results and systemic symptoms, such as diarrhea and nausea. Furthermore, Legionella antigens were detected in the patient\'s urine, prompting further administration of levofloxacin. The patient\'s subsequent clinical course was favorable.
UNASSIGNED: When bacterial pneumonia fails to respond to antimicrobial therapy and systemic symptoms develop, atypical pneumonia, caused by pathogens such as Legionella pneumophila, should be considered even in cases of postoperative pneumonia.
UNASSIGNED: A 71-year-old male patient with prostate cancer (cT2bN0M0) underwent a robotic-assisted radical prostatectomy. On the 5th postoperative day, the patient developed chills and a fever of 39.2°C. Chest radiography revealed decreased permeability in the right middle lung field, leading to the diagnosis of postoperative pneumonia. Antimicrobial therapy was initiated immediately. Blood tests on postoperative day 10 revealed mild liver function abnormalities, electrolyte abnormalities, and a markedly elevated inflammatory response. Legionella pneumonia was suspected based on blood sample results and systemic symptoms, such as diarrhea and nausea. Furthermore, Legionella antigens were detected in the patient\'s urine, prompting further administration of levofloxacin. The patient\'s subsequent clinical course was favorable.
UNASSIGNED: When bacterial pneumonia fails to respond to antimicrobial therapy and systemic symptoms develop, atypical pneumonia, caused by pathogens such as Legionella pneumophila, should be considered even in cases of postoperative pneumonia.
摘要：
■术后军团菌肺炎非常罕见。
■一名71岁的男性前列腺癌患者（cT2bN0M0）接受了机器人辅助的前列腺癌根治术。术后第5天,患者出现寒战和39.2°C的发烧。胸片显示右中肺野通透性降低，导致术后肺炎的诊断。立即开始抗菌治疗。术后第10天的血液检查显示轻度肝功能异常，电解质异常，和明显升高的炎症反应。根据血样结果和全身症状怀疑军团菌肺炎,如腹泻和恶心。此外，在患者尿液中检测到军团菌抗原，促使左氧氟沙星的进一步管理。患者随后的临床过程是有利的。
当细菌性肺炎对抗菌治疗无效并出现全身症状时，非典型肺炎，由嗜肺军团菌等病原体引起，即使在术后肺炎的情况下也应考虑。
■一名71岁的男性前列腺癌患者（cT2bN0M0）接受了机器人辅助的前列腺癌根治术。术后第5天,患者出现寒战和39.2°C的发烧。胸片显示右中肺野通透性降低，导致术后肺炎的诊断。立即开始抗菌治疗。术后第10天的血液检查显示轻度肝功能异常，电解质异常，和明显升高的炎症反应。根据血样结果和全身症状怀疑军团菌肺炎,如腹泻和恶心。此外，在患者尿液中检测到军团菌抗原，促使左氧氟沙星的进一步管理。患者随后的临床过程是有利的。
当细菌性肺炎对抗菌治疗无效并出现全身症状时，非典型肺炎，由嗜肺军团菌等病原体引起，即使在术后肺炎的情况下也应考虑。
