書誌事項
- タイトル別名
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- Two cases of Legionnaries' disease.
抄録
We experienced 2 cases of Legionnaires' disease. Case 1 was a 70 year-old man whose main complaints were cough and fever. His chest X-ray film showed a ground glass shadow in the lower lung field. Because he developed acute respiratory distress and renal failure soon after hospitalization, hemodialysis and mechanical ventilatory assistance was started. Laboratory findings indicated the presence of multi-system involvement, including renal, hepatic, cardiac and muscle lesions. Legionella pneumophila serogroup 1 was isolated from his endobronchial aspirate. This patient died due to DIC and pseudomonas pneumonia on hospital day 29.<br>Case 2 was a 60 year-old man with fever, cough and dyspnea. His chest X-ray film indicated a rapid spread of peripheral infiltration into the entire right lung by the presence of ground glass shadow. He exhibited mental confusion and renal and hepatic insufficiencies as well as elevation of CPK. His symptoms were abated by treatment with erythromycin and rifampsin. During this patient's convalescence, a definitive diagnosis of Legionnaires' disease was made by the indirect fluorescent antibody test, in which his serum antibody titer was found to be 1/2048.<br>As for characteristic phenomena, these 2 cases showed the rapid spread of lobar ground glass shadows on chest X-ray films in addition to multi-systemic disorders including those of renal, hepatic, cardiac, muscle and central nervous systems.
収録刊行物
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- 日本胸部疾患学会雑誌
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日本胸部疾患学会雑誌 25 (7), 781-787, 1987
社団法人 日本呼吸器学会
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詳細情報
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- CRID
- 1390001205019274496
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- NII論文ID
- 130003676165
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- ISSN
- 1883471X
- 03011542
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- PubMed
- 3694958
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可