title: [Legionnaires' disease with mediastinal lymph nodes swelling, diagnosed by open lung biopsy--a case report].
abstract: Legionnaires' disease in a 37-year-old male who had had silicosis was reported. He was admitted because of dyspnea. The chest X-ray film and CT scan showed infiltrative shadow and swelling of mediastinal lymph nodes. Open lung biopsy was done and Legionella pneumohila was detected. REP and EM were started and infiltrative shadow of X-ray was disappeared. Pleuro-pneumonectomy and thoracoplasty were performed because of hemoptysis and postoperative empyema. The patient is now well.
authors.affiliation: Department of Thoracic Surgery, Kitasato University, School of Medicine, Kanagawa, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Shinada
authors.forename: H
authors.initials: H
authors.lastname: Yoshimura
authors.forename: S
authors.initials: S
authors.lastname: Hirai
authors.forename: A
authors.initials: A
authors.lastname: Ishihara
mesh_terms: D000328:Adult; D001706:Biopsy; D006801:Humans; D007877:Legionnaires' Disease / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008168:Lung / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology*; D008297:Male; D008482:Mediastinum