A Case of Successful Early Detection of Legionella Pneumonia by Urinary Antigen Test.
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Accession number;01A0305101
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| Title;A Case of Successful Early Detection of Legionella Pneumonia by Urinary Antigen Test. |
| Author;
KIMURA KAZUHIRO
(Toho Univ., Sch. of Med.)
TATEDA KAZUHIRO
(Toho Univ., Sch. of Med.)
TOYAMA KATSUHIRO
(Toho Univ., Sch. of Med.)
HIROI MAYUMI
(Toho Univ., Sch. of Med.)
HOJO TAKAKO
(Toho Univ., Sch. of Med.)
RYO HIDETOMI
(Toho Univ., Sch. of Med.)
NAKATA MASAYUKI
(Toho Univ., Sch. of Med.)
ISHII YOSHIKAZU
(Toho Univ., Sch. of Med.)
YAMAGUCHI KEIZO
(Toho Univ., Sch. of Med.)
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Journal Title;Journal of the Medical Society of Toho University
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Journal Code:G0654A
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ISSN:0040-8670
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VOL.48;NO.1;PAGE.79-84(2001)
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| Figure&Table&Reference;FIG.3, TBL.1, REF.10 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We treated a 73-year-old man with Legionella pneumonia, whose life was saved due to early detection of the disease by the urinary antigen test. A fever of 38.5.DEG.C. was noted on May 6, 1996. He was then admitted to a nearby hospital for treatment. However, because of rapidly worsening respiratory function, he was transferred to our Critical Care Center on May 9 for intubation and artificial ventilation. Panipenem/betamipron was administered empirically for serious pneumonia; however, no causative organism could be detected by Gram's staining of the sputum. Administration of erythromycin and rifampicin was also begun as a precaution against possible Legionella pneumonia. The diagnosis of Legionella pneumonia was confirmed by a positive urine antigen test performed 2 days after admission, and the antimicrobial regimen was thus continued. When the chest X-ray findings and clinical test results improved soon thereafter, the patient was transferred to the general ward. Our experience suggests that when a clinician suspects the possibility of Legionella pneumonia, appropriate treatment should be initiated from an early stage, and necessary clinical tests, such as the urine antigen test, must be performed. (author abst.) |
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