A comparative study of Legionella micdadei and other nosocomial acquired pneumonia.
A comparative study of Legionella micdadei and other nosocomial acquired pneumonia.
复制标题
米氏军团菌与其他院内获得性肺炎的比较研究。
DOI：
10.1378/chest.86.5.675
复制
发表时间：
1984
期刊：
影响因子：
9.6
通讯作者：
Edward J. Wing
中科院分区：
文献类型：
--
作者：
Jennifer E. Rudin;Edward J. Wing
The clinical and laboratory characteristics of 27 patients during an outbreak of pneumonia due to Legionella micdadei were reviewed. These patients were compared with a group of 46 patients who had other causes of nosocomial acquired pneumonia. Patients with pneumonia due to L micdadei typically had nosocomial acquisition of the disease and were immunosuppressed. Symptoms, physical findings, and laboratory tests were nonspecific; however, patients with pneumonia due to L micdadei had an increased frequency of pleuritic pain in the chest, dyspnea, cough, and changes in mental status compared to the nosocomial group. Direct fluorescent antibody staining and culture of sputum and other respiratory secretions established the diagnosis of infection with L micdadei. Unusual features included dual infections in three patients and pulmonary cavitation in five patients. Therapy with erythromycin, when instituted early, decreased mortality. Trimethoprim-sulfamethoxazole, used as alternative therapy in patients with persistent infection, was also curative. Because of the high mortality associated with a delay in diagnosis, it is important to consider the diagnosis of pneumonia due to L micdadei in immunosuppressed patients.
用红霉素成功治疗米氏军团菌（匹兹堡肺炎病原体）肺炎。
DOI：
10.1016/0002-9343(81)90376-4
发表时间：
1981
期刊：
The American journal of medicine
影响因子：
--
作者：
Wing,EJ;Schafer,FJ;Pasculle,AW
通讯作者：
Pasculle,AW