Chest CT Findings and Clinical Features in Mild Legionella Pneumonia
Objective To evaluate mild Legionella pneumonia (LP) by chest CT, and clinical features. Patients In June 2000, an outbreak of LP occurred in Japan. Eight patients with mild LP (seven men, one woman; mean age 55.9 years) had fevers of more than 38°C, but respiratory symptoms were observed only in fo...
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| Veröffentlicht in: | Internal Medicine 2003, Vol.42(6), pp.477-482 |
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| container_title | Internal Medicine |
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| creator | YAGYU, Hisanaga NAKAMURA, Hiroyuki TSUCHIDA, Fumihiro SUDOU, Akihiko KISHI, Koji OH-ISHI, Shuuji MATSUOKA, Takeshi |
| description | Objective To evaluate mild Legionella pneumonia (LP) by chest CT, and clinical features. Patients In June 2000, an outbreak of LP occurred in Japan. Eight patients with mild LP (seven men, one woman; mean age 55.9 years) had fevers of more than 38°C, but respiratory symptoms were observed only in four. Chest CT was performed before starting an appropriate treatment. Measurement CT images were assessed by the distribution of ground-glass opacity (GGO), consolidation, and the existence of pleural effusion. Results Chest CT findings: multiple segments were affected in all of the patients, (pleural effusion in three, peripheral lung consolidation in seven, and GGO in seven). GGO was located around the consolidation in six patients. Conclusion Mild LP may present as fever without respiratory symptoms. Chest CT findings of mild LP are bilateral, multiple affected segments and peripheral lung consolidation with GGO. (Internal Medicine 42: 477-482, 2003) |
| doi_str_mv | 10.2169/internalmedicine.42.477 |
| format | Article |
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Patients In June 2000, an outbreak of LP occurred in Japan. Eight patients with mild LP (seven men, one woman; mean age 55.9 years) had fevers of more than 38°C, but respiratory symptoms were observed only in four. Chest CT was performed before starting an appropriate treatment. Measurement CT images were assessed by the distribution of ground-glass opacity (GGO), consolidation, and the existence of pleural effusion. Results Chest CT findings: multiple segments were affected in all of the patients, (pleural effusion in three, peripheral lung consolidation in seven, and GGO in seven). GGO was located around the consolidation in six patients. Conclusion Mild LP may present as fever without respiratory symptoms. Chest CT findings of mild LP are bilateral, multiple affected segments and peripheral lung consolidation with GGO. (Internal Medicine 42: 477-482, 2003)</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.42.477</identifier><identifier>PMID: 12857044</identifier><language>eng</language><publisher>Tokyo: The Japanese Society of Internal Medicine</publisher><subject>Adult ; Aged ; Bacterial diseases ; Bacterial diseases of the respiratory system ; Biological and medical sciences ; Cohort Studies ; Disease Outbreaks ; DNA, Bacterial - analysis ; Female ; Human bacterial diseases ; Humans ; Incidence ; Infectious diseases ; Japan - epidemiology ; Legionella - isolation & purification ; Legionnaires' Disease - diagnostic imaging ; Legionnaires' Disease - epidemiology ; Male ; Medical sciences ; Middle Aged ; outbreak ; peripheral lung consolidation ; Pleural Effusion - diagnostic imaging ; Polymerase Chain Reaction ; Risk Assessment ; Sensitivity and Specificity ; Severity of Illness Index ; symptoms ; Tomography, X-Ray Computed ; Urban Population</subject><ispartof>Internal Medicine, 2003, Vol.42(6), pp.477-482</ispartof><rights>The Japanese Society of Internal Medicine</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c608t-88d58158f5798a1c2ea37594d6f8bfcece5ff05f9dc3e3540f419d7c8e1675a13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1877,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15088897$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12857044$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YAGYU, Hisanaga</creatorcontrib><creatorcontrib>NAKAMURA, Hiroyuki</creatorcontrib><creatorcontrib>TSUCHIDA, Fumihiro</creatorcontrib><creatorcontrib>SUDOU, Akihiko</creatorcontrib><creatorcontrib>KISHI, Koji</creatorcontrib><creatorcontrib>OH-ISHI, Shuuji</creatorcontrib><creatorcontrib>MATSUOKA, Takeshi</creatorcontrib><title>Chest CT Findings and Clinical Features in Mild Legionella Pneumonia</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>Objective To evaluate mild Legionella pneumonia (LP) by chest CT, and clinical features. Patients In June 2000, an outbreak of LP occurred in Japan. Eight patients with mild LP (seven men, one woman; mean age 55.9 years) had fevers of more than 38°C, but respiratory symptoms were observed only in four. Chest CT was performed before starting an appropriate treatment. Measurement CT images were assessed by the distribution of ground-glass opacity (GGO), consolidation, and the existence of pleural effusion. Results Chest CT findings: multiple segments were affected in all of the patients, (pleural effusion in three, peripheral lung consolidation in seven, and GGO in seven). GGO was located around the consolidation in six patients. Conclusion Mild LP may present as fever without respiratory symptoms. Chest CT findings of mild LP are bilateral, multiple affected segments and peripheral lung consolidation with GGO. (Internal Medicine 42: 477-482, 2003)</description><subject>Adult</subject><subject>Aged</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the respiratory system</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Disease Outbreaks</subject><subject>DNA, Bacterial - analysis</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infectious diseases</subject><subject>Japan - epidemiology</subject><subject>Legionella - isolation & purification</subject><subject>Legionnaires' Disease - diagnostic imaging</subject><subject>Legionnaires' Disease - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>outbreak</subject><subject>peripheral lung consolidation</subject><subject>Pleural Effusion - diagnostic imaging</subject><subject>Polymerase Chain Reaction</subject><subject>Risk Assessment</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>symptoms</subject><subject>Tomography, X-Ray Computed</subject><subject>Urban Population</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkE1P3DAQhq2Kqmxp_0Lxhd6y9WdsH1Fg20pblQM9W8YZL0ZZB-zkwL-vVxuBBJfxYZ6Zef0gdE7JmtHW_IhpgpzcsIc--phgLdhaKPUBrSgXplGMyxO0IobqhtVyij6X8kAI18qwT-iUMi0VEWKFrrp7KBPubvEmpj6mXcEu9bgbYoreDXgDbpozFBwT_hOHHm9hF8cEw-DwTYJ5P6bovqCPwQ0Fvi7vGfq3ub7tfjXbvz9_d5fbxrdET43WvdRU6iCV0Y56Bo4raUTfBn0XPHiQIRAZTO85cClIENT0ymugrZKO8jP0_bj3MY9Pc81t97H4Q5YE41ys4qLV9W8VVEfQ57GUDME-5rh3-dlSYg8C7VuBVjBbBdbJb8uJ-a72XucWYxW4WABXqqCQXfKxvHKSaK3NYdHNkXsok9vBC-DyFP0A7wJQY9ghRLsUpV5Qf--yhcT_A3E6m2c</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>YAGYU, Hisanaga</creator><creator>NAKAMURA, Hiroyuki</creator><creator>TSUCHIDA, Fumihiro</creator><creator>SUDOU, Akihiko</creator><creator>KISHI, Koji</creator><creator>OH-ISHI, Shuuji</creator><creator>MATSUOKA, Takeshi</creator><general>The Japanese Society of Internal Medicine</general><general>Japanese Society of Internal Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030601</creationdate><title>Chest CT Findings and Clinical Features in Mild Legionella Pneumonia</title><author>YAGYU, Hisanaga ; NAKAMURA, Hiroyuki ; TSUCHIDA, Fumihiro ; SUDOU, Akihiko ; KISHI, Koji ; OH-ISHI, Shuuji ; MATSUOKA, Takeshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c608t-88d58158f5798a1c2ea37594d6f8bfcece5ff05f9dc3e3540f419d7c8e1675a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the respiratory system</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Disease Outbreaks</topic><topic>DNA, Bacterial - analysis</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infectious diseases</topic><topic>Japan - epidemiology</topic><topic>Legionella - isolation & purification</topic><topic>Legionnaires' Disease - diagnostic imaging</topic><topic>Legionnaires' Disease - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>outbreak</topic><topic>peripheral lung consolidation</topic><topic>Pleural Effusion - diagnostic imaging</topic><topic>Polymerase Chain Reaction</topic><topic>Risk Assessment</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>symptoms</topic><topic>Tomography, X-Ray Computed</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YAGYU, Hisanaga</creatorcontrib><creatorcontrib>NAKAMURA, Hiroyuki</creatorcontrib><creatorcontrib>TSUCHIDA, Fumihiro</creatorcontrib><creatorcontrib>SUDOU, Akihiko</creatorcontrib><creatorcontrib>KISHI, Koji</creatorcontrib><creatorcontrib>OH-ISHI, Shuuji</creatorcontrib><creatorcontrib>MATSUOKA, Takeshi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YAGYU, Hisanaga</au><au>NAKAMURA, Hiroyuki</au><au>TSUCHIDA, Fumihiro</au><au>SUDOU, Akihiko</au><au>KISHI, Koji</au><au>OH-ISHI, Shuuji</au><au>MATSUOKA, Takeshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chest CT Findings and Clinical Features in Mild Legionella Pneumonia</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>42</volume><issue>6</issue><spage>477</spage><epage>482</epage><pages>477-482</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Objective To evaluate mild Legionella pneumonia (LP) by chest CT, and clinical features. Patients In June 2000, an outbreak of LP occurred in Japan. Eight patients with mild LP (seven men, one woman; mean age 55.9 years) had fevers of more than 38°C, but respiratory symptoms were observed only in four. Chest CT was performed before starting an appropriate treatment. Measurement CT images were assessed by the distribution of ground-glass opacity (GGO), consolidation, and the existence of pleural effusion. Results Chest CT findings: multiple segments were affected in all of the patients, (pleural effusion in three, peripheral lung consolidation in seven, and GGO in seven). GGO was located around the consolidation in six patients. Conclusion Mild LP may present as fever without respiratory symptoms. Chest CT findings of mild LP are bilateral, multiple affected segments and peripheral lung consolidation with GGO. (Internal Medicine 42: 477-482, 2003)</abstract><cop>Tokyo</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>12857044</pmid><doi>10.2169/internalmedicine.42.477</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Cohort Studies Disease Outbreaks DNA, Bacterial - analysis Female Human bacterial diseases Humans Incidence Infectious diseases Japan - epidemiology Legionella - isolation & purification Legionnaires' Disease - diagnostic imaging Legionnaires' Disease - epidemiology Male Medical sciences Middle Aged outbreak peripheral lung consolidation Pleural Effusion - diagnostic imaging Polymerase Chain Reaction Risk Assessment Sensitivity and Specificity Severity of Illness Index symptoms Tomography, X-Ray Computed Urban Population |
| title | Chest CT Findings and Clinical Features in Mild Legionella Pneumonia |
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