American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
Go
American Journal of Medical Case Reports. 2021, 9(9), 464-466
DOI: 10.12691/ajmcr-9-9-7
Open AccessCase Report

A Fatal Fulminant Legionella Pneumonia in Which CT Findings Had Been Negative the Previous Day

Arisa Takada1, Kei Jitsuiki1, Ken-ichi Muramatsu1 and Youichi Yanagawa1,

1Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan

Pub. Date: May 23, 2021

Cite this paper:
Arisa Takada, Kei Jitsuiki, Ken-ichi Muramatsu and Youichi Yanagawa. A Fatal Fulminant Legionella Pneumonia in Which CT Findings Had Been Negative the Previous Day. American Journal of Medical Case Reports. 2021; 9(9):464-466. doi: 10.12691/ajmcr-9-9-7

Abstract

This is a case of fatal fulminant Legionella pneumonia in which the chest computed tomography findings had been negative the previous day. A repeated examination may be necessary to detect new lesions in the lung fields and obtain clues for a correct diagnosis of patients with a compromised status.

Keywords:
Legionella; pneumonia computed tomography compromised host

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Cunha BA, Burillo A, Bouza E. Legionnaires' disease. Lancet. 2016; 387: 376-385.
 
[2]  Chahin A, Opal SM. Severe Pneumonia Caused by Legionella pneumophila: Differential Diagnosis and Therapeutic Considerations. Infect Dis Clin North Am. 2017; 31: 111-121.
 
[3]  de Bruin L, Timmerman CP, Huisman PM, Heidt J. Legionella longbeachae; don't miss it! Neth J Med. 2018; 76: 294-297.
 
[4]  Pierre DM, Baron J, Yu VL, Stout JE. Diagnostic testing for Legionnaires' disease. Ann Clin Microbiol Antimicrob. 2017; 16: 59.
 
[5]  Peci A, Winter AL, Gubbay JB. Evaluation and Comparison of Multiple Test Methods, Including Real-time PCR, for Legionella Detection in Clinical Specimens Front Public Health. 2016; 4: 175.
 
[6]  Gardner DL, Pines A, Stewart SM. Fulminating and fatal pneumonia and septicaemia due to achromobacter antitratus. Br Med J. 1960 Apr 9; 1(5179): 1108-9.
 
[7]  Swenson CE, Sadikot RT. Achromobacter respiratory infections. Ann Am Thorac Soc. 2015 Feb; 12(2): 252-8.
 
[8]  Mittal S, Singh AP, Gold M, Leung AN, Haramati LB, Katz DS. Thoracic imaging features of Legionnaire's disease. Infect Dis Clin North Am. 2017; 31: 43-54.
 
[9]  Kawashima A, Katagiri D, Kondo I, Sakamoto E, Suzuki M, Arai Y, et al. Fatal fulminant legionnaires' disease in a patient on maintenance hemodialysis. Intern Med. 2020; 59: 1913-1918.
 
[10]  Hofmann A, Beaulieu Y, Bernard F, Rico P. Fulminant legionellosis in two patients treated with infliximab for Crohn's disease: case series and literature review. Can J Gastroenterol. 2009; 23: 829-33.
 
[11]  Eisendle K, Fritsch P. Fatal fulminant legionnaires' disease in a patient with severe erythodermic psoriasis treated with infliximab after long-term steroid therapy. Br J Dermatol. 2005; 152: 585-6.
 
[12]  Whelehan DF, Conlon KC, Ridgway PF. Medicine and heuristics: cognitive biases and medical decision-making. Ir J Med Sci. 2020; 189: 1477-1484.