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Legionellosis must be kept in mind in case of pneumonia with lung abscesses in children receiving therapeutic steroids

机译:对于接受类固醇治疗的儿童,如果患有肺脓肿引起的肺炎,必须牢记军团菌病

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摘要

A 10-year-old boy, who had received recurrent short-course treatments with steroids to control severe autoimmune thrombocytopaenia, developed Legionnaires’ disease as community-acquired pneumonia. Legionella pneumophila pneumonia was complicated by an extended abscess of the right inferior lobe, leading to residual lung cavities. Legionellosis must be kept in mind as the differential diagnosis in the case of severe pneumonia and with lung abscesses in children receiving therapeutic steroids. Legionella-specific diagnostic tests (polymerase chain reaction [PCR] in respiratory samples or urine antigen assay) and, also, specific empirical antibiotic combination therapy are required for the early detection and treatment of L. pneumophila pneumonia in childhood.
机译:一名10岁的男孩接受了类固醇的短期短期治疗以控制严重的自身免疫性血小板减少症,并因社区获得性肺炎而患退伍军人病。肺炎军团菌肺炎并发右下叶脓肿并发,导致残留肺腔。在接受类固醇治疗的儿童中,严重肺炎和肺脓肿的鉴别诊断必须牢记军团菌病。军团菌特异性诊断测试(呼吸道样本中的聚合酶链反应[PCR]或尿液抗原测定),以及特殊的经验性抗生素联合治疗,对于儿童早期检测和治疗嗜肺乳杆菌的肺炎是必需的。

著录项

  • 来源
    《Infection》 |2011年第5期|p.481-484|共4页
  • 作者单位

    Department of Paediatric Oncology and Haematology, Children’s Hospital Medical Centre, University Hospital of Saarland, Kirrberger Straße, 66421, Homburg, Saarland, Germany;

    Department of Paediatric Oncology and Haematology, Children’s Hospital Medical Centre, University Hospital of Saarland, Kirrberger Straße, 66421, Homburg, Saarland, Germany;

    Institute of Medical Microbiology and Hygiene, State of Saarland Laboratory of Hygiene, University Hospital of Saarland, Homburg, Saarland, Germany;

    Department of Paediatric Oncology and Haematology, Children’s Hospital Medical Centre, University Hospital of Saarland, Kirrberger Straße, 66421, Homburg, Saarland, Germany;

    Department of Diagnostic and Interventional Radiology, University Hospital of Saarland, Homburg, Saarland, Germany;

    Department of Paediatric Oncology and Haematology, Children’s Hospital Medical Centre, University Hosp;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Legionella; Legionellosis; Children; Steroids;

    机译:军团菌;军团菌病;儿童;类固醇;

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