Journal
DIAGNOSTICS
Volume 12, Issue 9, Pages -Publisher
MDPI
DOI: 10.3390/diagnostics12092253
Keywords
lung ultrasound; ventilator-associated pneumonia; Legionella pneumophila; pneumonia; newborn infant; extremely low birth weight
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This paper introduces the typical lung ultrasound findings of Legionella-associated ventilator-associated pneumonia (VAP) in extremely low-birth-weight (ELBW) infants. It provides important reference values for predicting prognosis and shares treatment and management experiences, deepening our understanding of the disease and preventing missed diagnoses.
Ventilator-associated pneumonia (VAP) is a common complication of different severe lung diseases that need to be treated with mechanical ventilation in newborn infants. However, VAP due to Legionella pneumophila infection is rarely reported in the literature, especially in extremely low-birth-weight (ELBW) infants. Lung ultrasound (LUS) has been used in the diagnosis of neonatal pneumonia, but there is no literature on the ultrasound characteristics of Legionella-VAP in ELBW infants. This paper introduced the typical LUS findings of Legionella-VAP in ELBW infants, which mainly includes severe and large-area lung consolidation and atelectasis in the bilateral lungs; whether there is blood supply in the consolidated area has an important reference value for predicting the prognosis. In addition, the treatment and management experience were also introduced together, thereby helping us to deepen the understanding of the disease and avoid missed diagnoses.
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