- 期刊
Legionnaires' Disease in an Immunocompetent Young Adult
年輕女性之退伍軍人症感染
摘要
肺的退伍軍人症感染在免疫力正常的年輕人為一罕見之原因。肋膜積液在退伍軍人症感染中雖為常見，但臨床上並不顯著。以肋膜積水合併輕微肺間質浸潤表現之退伍軍人症感染在文獻中實為罕見。本病例描述一十九歲之年輕女性主述為發燒、畏寒、喉嚨痛、咳嗽三天，胸部X光為左側肋膜積液而僅有輕微之肺浸潤，經血清學診斷為退伍軍人症感染，在紅黴表及rifampin 治療後痊癒。本病例報告說明了年輕人呈現以不明原因之肋膜積水，退伍軍人症感染必須列入鑑別診斷之一。
關鍵字
無資料並列摘要
Infection with Legionella pneumophila (LP) is a rare cause of pneumonia in previously healthy young adults. Pleural effusion is relatively common in Legionnaires’ disease but is usually clinically insignificant. Herein we describe an immunocompetent, 19-year-old female with LP respiratory infection that presented with pleural effusion and mild interstitial infiltrates in the lower lungs. She received 3 weeks’ treatment with erythromycin and rifampin and recovered completely. Diagnosis was based on serology testing with a four-fold rise of the antibody titer in the acute and convalescent phase. Legionnaires’ disease should be considered in the differential diagnosis of culture-negative pleural effusion in immunocompetent young adults.
延伸閱讀
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