持続的血液濾過透析 (CHDF) の有効性が認められた急性腎不全併発のレジオネラ肺炎の1例

• 西本 武司

  岸和田徳洲会病院呼吸器内科

• 山原 邦浩

  岸和田徳洲会病院内科

• 小西 弘起

  岸和田徳洲会病院内科

書誌事項

タイトル別名

• A Case of Legionnaires' Disease with Acute Renal Failure improved by Continuous Hemodiafiltration
• 症例 持続的血液濾過透析(CHDF)の有効性が認められた急性腎不全併発のレジオネラ肺炎の1例
• ショウレイ ジゾクテキ ケツエキ ロカ トウセキ CHDF ノ ユウコウセイ ガ ミトメラレタ キュウセイ ジンフゼン ヘイハツ ノ レジオネラ ハイエン ノ 1レイ

抄録

A 52-year-old man was admitted to our hospital because of fever and dyspnea. Chest X-ray film showed infiltrative shadows in the right lower lung fields and serum creatinin was 6.7mg/dl. The patient was diagnosed as pneumonia complicated with acute renal failure. He was treated with antimicrobial therapy. However he developed respiratory failure and exhibited mental confusion. Legionnaires' disease was suspected, because pneumonia was found to be associated with multiple organ dysfunction. We started treatment with intravenous administration of minocycline and continuous hemodiafiltration and his condition had been rapidly improved. We diagnosed this case as legionnaires' disease due to the positive of urinary Legionella pneumophila serogroup 1 antigen. Since the cases of legionnaires' disease with acute renal failure are serious, prompt diagnosis and adequate treatment are essential.

収録刊行物

• 感染症学雑誌

  感染症学雑誌 77 (9), 682-686, 2003

  一般社団法人 日本感染症学会

キーワード

• Legionnaires' Disease
• acute renal failure
• continuous hemodiafiltration

詳細情報

• CRID: 1390001205049138304
• NII論文ID: 130004331132
• NII論文ID: 50000306770
• NII書誌ID: AN00047715
• DOI: 10.11150/kansenshogakuzasshi1970.77.682
• COI: 1:STN:280:DC%2BD3svpvVagtg%3D%3D
• ISSN: 1884569X
• ISSN: 03875911
• ISSN: http://id.crossref.org/issn/03875911
• NDL書誌ID: 6720468
• PubMed: 14574845
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I6720468
• Web Site: https://search.jamas.or.jp/link/ui/2004097281
• データソース種別:
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  • NDL
  • Crossref
  • PubMed
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