可逆性脳梁膨大部病変による神経症状をきたしたレジオネラ肺炎の1 例

DOI Web Site Web Site 参考文献14件
  • 渋江 寧
    東京高輪病院感染症内科・総合内科
  • 岡 秀昭
    東京高輪病院感染症内科・総合内科

書誌事項

タイトル別名
  • A Case of <i>Legionella </i>Pneumonia Causing Neurological Symptoms Related to a Reversible Corpus Callosum Lesion
  • 症例 可逆性脳梁膨大部病変による神経症状をきたしたレジオネラ肺炎の1例
  • ショウレイ カギャクセイ ノウリョウボウダイブ ビョウヘン ニ ヨル シンケイ ショウジョウ オ キタシタ レジオネラ ハイエン ノ 1レイ

この論文をさがす

抄録

<p>A 51-year-old man presented at the emergency department with a one-day history of fever, altered mental status, slurred speech, worsening gait instability, nausea, vomiting, and diarrhea. The patient did not have a history of alcoholism or drug abuse. On physical examination, crackles were heard over the right lower lobe. Neurological findings revealed ataxic gait, dysarthria and bilateral dysmetria upon finger-nose testing. The results of laboratory tests revealed leukocytosis, renal failure, and hyponatremia. Chest radiography and lung computed tomography (CT) revealed right lower lobe infiltrates with air bronchograms. The result of a urinary Legionella antigen test was positive. The results of brain CT and cerebrospinal fluid (CSF) analyses did not reveal any signs of infection, but brain magnetic resonance imaging (MRI) revealed a corpus callosum lesion upon admission. The patientʼs symptoms began to resolve after the administration of intravenous levofloxacin. A subsequent brain MRI examination performed 9 days after admission showed the complete resolution of the lesion. He was discharged 11 days after admission without any neurological sequelae. He was finally diagnosed as having clinically mild encephalitis/ encephalopathy with a reversible splenial lesion (MERS). </p>

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 90 (5), 670-673, 2016

    一般社団法人 日本感染症学会

参考文献 (14)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ