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Article

Legionella Pneumonia in Neutropenic Hairy Cell Leukemia: A Case Report

1Department of Internal Medicine, Hemet Valley Medical Center, Hemet, California, USA

2Department of Leukemia, University of Texas MD Anderson Cancer Center, Houston TX, USA


American Journal of Medical Case Reports. 2020, Vol. 8 No. 8, 250-252
DOI: 10.12691/ajmcr-8-8-10
Copyright © 2020 Science and Education Publishing

Cite this paper:
Chukwuemeka A. Umeh, Mohammad A. Yousuf, Hycienth Ahaneku. Legionella Pneumonia in Neutropenic Hairy Cell Leukemia: A Case Report. American Journal of Medical Case Reports. 2020; 8(8):250-252. doi: 10.12691/ajmcr-8-8-10.

Correspondence to: Chukwuemeka  A. Umeh, Department of Internal Medicine, Hemet Valley Medical Center, Hemet, California, USA. Email: emmyumeh@yahoo.com

Abstract

Immunocompromised patients, especially those with cell-mediated immune deficiency are susceptible to legionella infection. We report the case of a hairy cell leukemia patient with legionella pneumonia and neutropenic fever. Patient was diagnosed with legionella pneumonia after two weeks of antimicrobial treatment for non-responding pneumonia and neutropenic fever. This case highlights the importance of high suspicion for legionella in immunocompromised pneumonia patients with neutropenic fever and the need for empiric coverage of atypical microbes in treatment of pneumonia in neutropenic immunocompromised patients.

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