セキ　マサフミ   SEK Masafumi   関　雅文    所属   埼玉医科大学  医学部 国際医療センター　感染症科・感染制御科    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	A case of Legionella pneumophila pneumonia followed by invasive aspergillosis.
掲載誌名	正式名：Japanese journal of infectious diseases ISSNコード：13446304
巻・号・頁	61(5),379-81頁
著者・共著者	Tomomi Saijo,Koichi Izumikawa,Takahiro Takazono,Kosuke Kosai,Shintaro Kurihara,Shigeki Nakamura,Yoshifumi Imamura,Taiga Miyazaki,Masafumi Seki,Hiroshi Kakeya,Yoshihiro Yamamoto,Katsunori Yanagihara,Yoshitsugu Miyazaki,Kiyoyasu Fukushima,Shigeru Kohno
発行年月	2008/09
概要	We report a rare case of Legionella pneumophila pneumonia followed by invasive aspergillosis (IA). Legionellosis was ameliorated by the administration of ciprofloxacin, erythromycin, and corticosteroid as adjunctive therapy. Although intravenous administration of the corticosteroid was effective at reducing severe inflammation due to legionellosis, IA occurred at 12 days after admission. Combination therapy with micafungin and voriconazole was effective in this case; however, it remains necessary to exercise caution when making decisions regarding indications for corticosteroid use and observation in the treatment of severe pneumonia patients.
PMID	18806346