Two cases of Legionnaires' disease diagnosed by antigen detection in urine.

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  • Kobayashi Takao
    Respiratory Oncology and Molecular Medicine, Institute of Developing, Aging, and Cancer, Tohoku University
  • Miki Makoto
    Respiratory Oncology and Molecular Medicine, Institute of Developing, Aging, and Cancer, Tohoku University
  • Kikuchi Toshiaki
    Respiratory Oncology and Molecular Medicine, Institute of Developing, Aging, and Cancer, Tohoku University
  • Takahashi Hiroshi
    Respiratory Oncology and Molecular Medicine, Institute of Developing, Aging, and Cancer, Tohoku University
  • Hagiwara Koichi
    Respiratory Oncology and Molecular Medicine, Institute of Developing, Aging, and Cancer, Tohoku University
  • Watanabe Akira
    Respiratory Oncology and Molecular Medicine, Institute of Developing, Aging, and Cancer, Tohoku University
  • Nukiwa Toshihiro
    Respiratory Oncology and Molecular Medicine, Institute of Developing, Aging, and Cancer, Tohoku University
  • Uchiyama Bine
    Department of Respiratory Medicine, Katuta general hospital
  • Tateda Kazuhiro
    Department of Microbiology, Toho University School of Medicine
  • Yamaguchi Keizo
    Department of Microbiology, Toho University School of Medicine

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  • 尿中抗原の検出により確定診断に至ったレジオネラ肺炎の２例
  • コンゲツ ノ ショウレイ ニョウチュウ コウゲン ノ ケンシュツ ニ ヨリ カクテイ シンダン ニ イタッタ レジオネラ ハイエン ノ 2レイ

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Abstract

レジオネラ肺炎は市中肺炎や院内肺炎の一因となり急速に進行することもあるが,特異的症状・検査所見に乏しく,検査には技術と設備を必要とし,早期診断は容易ではない.今回我々は2名の肺炎患者について尿中の抗原の検出から確定診断に至り,うち1名では胸水からも抗原が検出されたので報告する.

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