Enzephalitis bei Legionella-Bozemanii-Pneumonie

Autor:	Ernst Foerster, Lang C, Wolfram Domschke, Rödl W, Schneider Mu, Ehret W, Platzeck C, Arenander H
Rok vydání:	2008
Předmět:	Artificial ventilation Pathology medicine.medical_specialty business.industry medicine.medical_treatment Lymphocytic pleocytosis Tetraparesis General Medicine medicine.disease Pneumonia Cerebrospinal fluid Respiratory failure Medicine Legionnaires' disease business Encephalitis
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 115:1956-1959
ISSN:	1439-4413 0012-0472
DOI:	10.1055/s-2008-1065249
Popis:	A 44-year-old man, a known alcoholic and heavy smoker, was hospitalized with high fever and respiratory failure which a few hours later required intubation and artificial ventilation, although the chest x-ray had been unremarkable. Later serial chest x-ray films showed intrapulmonary infiltrations, while Legionella Bozemanii was demonstrated by direct immunofluorescence. Cranial computed tomography was unremarkable, despite the onset of tetraparesis and a severe midbrain syndrome. Cerebrospinal fluid contained merely mild lymphocytic pleocytosis. However, magnetic resonance imaging revealed symmetrical demyelinization foci in the brainstem as a sign of encephalitis. The neurological deficits regressed almost completely after several weeks of antibiotic treatment and rehabilitation measures over several months.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::edd254c2d6f9d29c205c7b463a93930d https://doi.org/10.1055/s-2008-1065249 Zobrazit plný text záznamu