2024-03-28T16:43:43Z
https://soar-ir.repo.nii.ac.jp/oai
oai:soar-ir.repo.nii.ac.jp:00004170
2023-03-06T01:37:45Z
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第3病日に診断を確定し,救命し得た重症レジオネラ肺炎の1例
山田, 重徳
城下, 智
村木, 崇
山田, 雪
岩谷, 勇吾
横沢, 秀一
古川, 賢一
石田, 文宏
田中, 榮司
Legionella pneumonia
Legionella pneumophila
serogroup 1 レジオネラ肺炎
レジオネラ症
血清群1
A 48-year-old man was admitted to our hospital after suffering from fever, dyspnea, and disturbance of gait for four days before admission. A chest X-ray taken in the emergency unit showed ground glass-like infiltrates in the left upper lung field and blood examinations demonstrated increases in serum CRP,CPK,and AST and a decrease in sodium.Bacterial pneumonia was diagnosed and the patient was started on intravenous administration of doripenem. On hospital day 2, a second chest X-ray revealed that the infiltration had worsened, causing exacerbation of his hypoxemia. We immediately shifted to a combination therapy of pazufloxacin,minomycin, and erythromycin since the Legionella species was suspected to be infecting bacterium. Legionella antigen present in urinalysis on day 3 confirmed this diagnosis. However, the patient’s respiratory condition had rapidly deteriorated, necessitating the use of a respirator. His condition gradually improved with the intensive treatment and he was discharged on hospital day 23. Prompt diagnosis and treatment is necessary for Legionella pneumonia since this disease is one of the main sources of communityacquired pneumonia causing severe symptoms despite of appropriate treatment. Thus, clinicians should bear Legionella pneumonia in mind when treating cases with suspected pneumonia who show the specific clinical findings of this disease,such as an increase in serum AST and a decrease in sodium
Article
信州医学雑誌 59(1): 27-31(2011)
信州医学会
2011-02-10
jpn
departmental bulletin paper
VoR
http://hdl.handle.net/10091/11718
https://soar-ir.repo.nii.ac.jp/records/4170
https://doi.org/10.11441/shinshumedj.59.27
10.11441/shinshumedj.59.27
0037-3826
AN00120815
信州医学雑誌
59
1
27
31
https://soar-ir.repo.nii.ac.jp/record/4170/files/Shinshu_med59-1-03.pdf
application/pdf
346.3 kB
2015-09-24