Severe community-acquired pneumonia due to Legionella pneumophila Serogroup 6

Journal of the Formosan Medical Association = Taiwan Yi Zhi
Chung-Yu ChenPan-Chyr Yang

Abstract

Legionella pneumophila is a common cause of sporadic community-acquired pneumonia, but culture-proven legionellosis is rarely diagnosed. There is no laboratory test for Legionnaires' disease that can detect all patients with the disease. Culture is the standard diagnostic method and should be initiated as soon as possible in suspected cases. We describe a rare case of community-acquired pneumonia caused by L. pneumophila serogroup 6. A 77-year-old man was admitted to a tertiary care hospital because of high fever, productive cough, and progressive dyspnea. Chest radiography showed bilateral pneumonia, which led to respiratory failure necessitating mechanical ventilatory support. Despite antibiotic therapy, his condition continued to deteriorate and acute renal failure also developed. Urine was negative for L. pneumophila. Culture of the sputum yielded L. pneumophila serogroup 6, although there was no elevation of the serum antibody titer. Pneumonia resolved gradually and he was extubated after treatment with levofloxacin followed by erythromycin. L. pneumophila other than serogroup 1 should be included in the differential diagnosis of patients with suspected atypical community-acquired pneumonia.

References

Dec 1, 1985·The Journal of Applied Bacteriology·D G GroothuisH L Dijkstra
Jan 25, 1985·JAMA : the Journal of the American Medical Association·E J MangioneC V Broome
May 1, 1995·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J F PlouffeB S Fields
Oct 6, 1997·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·P S GramanJ A Rank
Nov 14, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lionel A MandellUNKNOWN Infectious Diseases Society of America

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Citations

Apr 6, 2012·Journal of Medical Case Reports·Aurélie DaumasNoémie Jourde-Chiche
Oct 29, 2020·Curēus·Nimit DalalLove Shah

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