Legionella Pneumonia Associated with Adult Respiratory Distress Syndrome Caused by Legionella Pneumophila Serogroup 3
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概要
- 論文の詳細を見る
A 68-year-old man developed pneumonia 2 days after nearly drowning in a bathtub of a hot spring spa. Chest radiography revealed bilateral consolidation shadows associated with adult respiratory distress syndrome. Initial treatment with antibiotics and pulse therapy with methylprednisolone was not effective. The patient died on the 4th hospital day. A urinary antigen test for Legionella was positive. Legionella pneumophila serogroup 3 was recovered from an intratracheal specimen. The same serotype of Legionella was isolated from the hot spring water. Restriction enzyme analysis by pulse-field gel electrophoresis revealed identical restriction fragments. We conclude that the water at the hot spring spa could have been the source of infection.
- 社団法人 日本内科学会の論文
- 2005-01-01
著者
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MIYAMOTO Susumu
Department of Neurosurgery, Kyoto University Graduate School of Medicine
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OKA Rie
Department of Internal Medicine, Hokuriku Central Hospital
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Oka Rie
Department Of Hygiene Kanazawa University School Of Medicine
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Oka Rie
Department Of Internal Medicine Yamanaka Spa Medical Center
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Nozue Tsuyoshi
Department Of Internal Medicine Yokohama Sakae Kyosai Hospital
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Nozue Tsuyoshi
Department Of Internal Medicine Yamanaka Spa Medical Center
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CHIKAZAWA Hiroo
Department of Internal Medicine, Yamanaka Spa Medical Center
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MIYANISHI Shuji
Department of Internal Medicine, Yamanaka Spa Medical Center
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SHIMAZAKI Takeo
Department of Internal Medicine, Yamanaka Spa Medical Center
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SHIMAZAKI Seikou
Department of Internal Medicine, Yamanaka Spa Medical Center
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Miyamoto Susumu
Department Of Internal Medicine Hokuriku Central Hospital
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Miyanishi Shuji
Department Of Internal Medicine Yamanaka Spa Medical Center
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Shimazaki Takeo
Department Of Internal Medicine Yamanaka Spa Medical Center
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Shimazaki Seikou
Department Of Internal Medicine Yamanaka Spa Medical Center
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Miyamoto Susumu
Department Of Internal Medicine Yamanaka Spa Medical Center
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Miyamoto Susumu
Department Of Internal Medicine Himi City Hospital
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Chikazawa Hiroo
Department Of Internal Medicine Yamanaka Spa Medical Center
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