Severe Legionnaires' Disease with Pneumonia and Biopsy-Confirmed Myocarditis Most Likely Caused by Legionella pneumophila Serogroup 6

被引：10

作者：

Ishimaru, Naoto ^{[1
]}

Suzuki, Hiromichi ^{[2
]}

Tokuda, Yasuharu ^{[2
]}

Takano, Tomoko

机构：

[1] Tsukuba Univ Hosp, Community Based Med Training Stn, Tsukuba, Ibaraki, Japan

[2] Univ Tsukuba, Grad Sch Comprehens Human Sci, Dept Primary Care & Med Educ, Tsukuba, Ibaraki 305, Japan

来源：

INTERNAL MEDICINE | 2012年 / 51卷 / 22期

关键词：

Legionella pneumophila serogroup 6; myocarditis; urinary antigen test; SENSITIVITY; INFECTIONS; THERAPY; BIOTEST; BINAX; KITS; EIA;

D O I：

10.2169/internalmedicine.51.7952

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein describe the successful treatment of a patient with possible Legionella pneumophila serogroup 6 infection complicated by pneumonia and myocarditis. A 32-year-old man presented with a five-day history of cough, dyspnea and chest pain. Chest radiography revealed patchy opacities in both lungs suggestive of bilateral pneumonia, and a urinary antigen test for Legionella pneumophila was positive. After admission, the patient developed congestive heart failure due to pathologically confirmed myocarditis. He was successfully treated with minocycline, macrolide, steroids and noninvasive positive-pressure ventilation (NPPV). He eventually recovered with a normalized cardiac function. L. pneumophila serogroup 6 was isolated from the bath-water in the patient's home.

引用

页码：3207 / 3212

页数：6

共 26 条

[1] MYOCARDITIS - A RARE COMPLICATION DURING LEGIONELLA INFECTION [J].