頁籤選單縮合
題 名 | Severe Community-Acquired Pneumonia Due to Legionella pneumophila in a Chronic Peritoneal Dialysis Patient |
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作 者 | Chang, Chung-hsin; Liang, Jun-hua; Jang, Tsrang-neng; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 28:4 2014.12[民103.12] |
頁 次 | 頁175-178 |
分類號 | 415.816 |
關鍵詞 | Atypical pneumonia; Dialysis; Legionnaires' disease; Peritoneal dialysis; Uremia; |
語 文 | 英文(English) |
英文摘要 | "Legionella pneumophila", a relatively rare bacterial pathogen of community-acquired or nosocomial pneumonia, can cause severe illness and death if not treated properly. All reports of legionella pneumonia in uremic patients have focused on hemodialysis, but none on peritoneal dialysis, Here, we report the firstcase of severe community-acquire d Legionnaires' disease in chronic peritoneal dialysis patients of Taiwan . He was admitted to the intensive care unit and his pneumonia resolved gradually after treatment with levofloxacin, followed by erythromycin for one month. Legionnaires' disease is not readily recognizable by clinical manifestations or laboratory tests; hence, "L. pneumophila" should be included in the differential diagnosis of severe pneumonia, especially in immune-compromised host s like dialysis patients. Early diagnosis and appropriate antibiotics therapy can reduce mortality. |
本系統中英文摘要資訊取自各篇刊載內容。