https://scholars.lib.ntu.edu.tw/handle/123456789/540413
標題: | Legionnaires' disease with acute renal failure: Report of two cases | 作者: | SHUEI-LIONG LIN Chen H.-S. CHONG-JEN YU Yen T.-S. |
公開日期: | 1995 | 卷: | 94 | 期: | 3 | 起(迄)頁: | 123-126 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Acute renal failure in Legionnaires' disease is rare, but the mortality rate is high. Although the actual pathogenesis is not clear, the renal pathology discloses either acute tubulointerstitial nephritis or acute tubular necrosis in most cases. We report two cases of Legionnaires' disease complicated by acute renal failure. One patient was completely healthy before, and the other had underlying gouty arthritis and diabetes mellitus. Their renal function was normal before these episodes. The diagnosis of Legionella infection was proved by the indirect fluorescent antibody test on paired sera. After erythromycin treatment, both patients survived. One patient required long-term maintenance hemodialysis, and the other recovered to only mild azotemia after a follow-up period of 5 months. Including our cases, only 55 patients have been reported to have Legionella-induced acute renal failure. This is a rare and serious complication of Legionnaires' disease. Early recognition and treatment is mandatory. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029113720&partnerID=40&md5=fc04d04202aa811673abd18fbc3981e4 https://scholars.lib.ntu.edu.tw/handle/123456789/540413 |
ISSN: | 0929-6646 | SDG/關鍵字: | ceftazidime; cotrimoxazole; erythromycin; adult; article; case report; hemodialysis; human; kidney failure; kidney tubule necrosis; legionella; legionnaire disease; male; nephritis; Case Report; Human; Kidney Failure, Acute; Legionnaires' Disease; Male; Middle Age; Support, Non-U.S. Gov't |
顯示於: | 醫學系 |
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