未经证实:虽然军团菌不是社区获得性肺炎最常见的病原体,肺炎病原体的流行病学分布近年来发生了变化,随着一些罕见病原体的逐渐增加。例如,水源污染后发生的肺炎主要由军团菌感染引起。本文报道了一例军团菌感染后的诊治过程,一开始就误诊了,迅速进展为严重疾病,并伴有真菌感染。本文主要针对进展迅速的军团菌肺炎的及时有效治疗,期望对疾病的诊断和治疗有更好的了解。
未经评估:这里,我们报告一例军团菌感染并伴有恶心,呕吐为首发症状伴有虚弱,发冷,头晕,一名75岁女性腹部不适。患者有2型糖尿病病史30年,糖尿病周围神经病变超过20年,动脉高血压10年,骨质增生超过5年,1990年切除右侧甲状腺囊腺瘤。患者首先被诊断为胆囊炎和胆囊颈结石,节食,甲硝唑,头孢哌酮舒巴坦,并给予补液。患者对这些经验性治疗反应不佳。患者在出现呼吸道症状后,给予莫西沙星联合阿奇霉素,但病情继续恶化,随后加入替加环素。在机械通气和治疗方案调整后,她有了明显的改善。
UNASSIGNED:合并基础疾病的免疫功能低下患者在受军团菌污染的环境中更容易感染,快速发作和不典型的呼吸道症状容易误诊,从而延迟治疗并导致进一步恶化。及时诊断,早期机械通气和合理用药是治疗军团菌肺炎的基础.
UNASSIGNED: Although Legionella is not the most common pathogen of community-acquired pneumonia, the epidemiological distribution of pneumonia pathogens has changed in recent years, with a gradual increase in some rare pathogens. For example, pneumonia that occurs after water source contamination is mostly caused by Legionella infection. This paper
reports the diagnosis and treatment process of a patient after Legionella infection, who had misdiagnosis at the beginning, rapidly progressed to severe disease and combined with fungal infection. This article focuses on the timely and effective treatment of rapidly progressing Legionella pneumonia, in anticipation of a better understanding of the diagnosis and treatment of the disease.
UNASSIGNED: Here, we report a
case of legionella infection with the nausea, vomiting as the first symptoms accompanied by weakness, chills, dizziness, abdominal discomfort in a 75-year-old female. The patient had a history of type 2 diabetes for 30 years, diabetic peripheral neuropathy for more than 20 years, arterial hypertension for 10 years, bone hyperplasia for more than 5 years, resection of right-sided thyroid cystadenoma in 1990. The patient had firstly been diagnosed with cholecystitis and gallbladder neck stones, diet abstinence, metronidazole, cefoperazone sulbactam, and rehydration were given. The patient responded poorly to these empiric treatments. The patient was given moxifloxacin in combination with azithromycin after the onset of respiratory symptoms, but the condition continued to deteriorate, and tigecycline was subsequently added. After the mechanical ventilation and the treatment plan adjusting, she improved significantly.
UNASSIGNED: Immunocompromised patient combined with underlying diseases are more susceptible to infection in an environment contaminated with Legionella, and the rapid onset and atypical respiratory symptoms make it easy to misdiagnose the disease, thus delaying treatment and leading to further deterioration. Timely diagnosis, early mechanical ventilation and rational drug administration were fundamental to treat Legionella pneumonia.