1例长滩军团菌性重症肺炎诊治分析及文献复习  

Diagnosis and treatment for a case of Legionella longbeachae severe pneumonia and literature review

作　　者：冯书 罗鹏勇 黄实仁 欧宗兴[1] FENG Shu;LUO Pengyong;HUANG Shiren;OU Zongxing(Department of Respiratory and Critical Care Medicine,Haikou Hospital Affiliated to Xiangya School of Medicine,Central South University,Haikou 570208;Department of Respiratory and Critical Care Medicine,Loudi Central Hospital,Loudi Hunan 417099,China)

机构地区：[1]中南大学湘雅医学院附属海口医院呼吸与危重症医学科,海口570208 [2]娄底市中心医院呼吸与危重症医学科,湖南娄底417099

出　　处：《中南大学学报（医学版）》2021年第10期1167-1171,共5页Journal of Central South University ：Medical Science

摘　　要：长滩军团菌作为军团菌的一种,其导致的军团菌病在国内十分罕见,且患者早期临床症状不典型、毒力强、致死率高,常规病原学检测不易检出。通过支气管肺泡灌洗液病原宏基因组学确诊了1例长滩军团菌感染所致的重症肺炎患者,在针对性抗感染治疗后患者病情好转。目前对长滩军团菌性肺炎认识有限,本文通过回顾性分析1例收治的长滩军团菌性重症肺炎患者的诊断、治疗过程,并对相关文献进行复习,可对其以后的诊断、治疗提供经验。As a type of Legionella bacteria, Legionella longbeachae bacteria can lead to very rare legionella disease case in China with clinical characteristics, such as no typical early clinical symptoms, strong toxicity, high mortality, and not easy to detect by conventional etiology. A case of severe pneumonia caused by Legionella longbeachae infection was confirmed by bronchoalveolar lavage fluid pathogen metagenomics, and the patient’s condition was improved after targeted anti-infection treatment. At present, our understanding in Legionella longbeachae severe pneumonia is limited. The diagnosis and treatment process of the patient with severe pneumonia of Legionella longbeachaeis retrospectively analyzed and the relevant literature was reviewed to provide the experience for its future diagnosis and treatment.

关 键 词：长滩军团菌 重症肺炎 支气管肺泡灌洗液 病原宏基因组学 

分 类 号：R563.1[医药卫生—呼吸系统]