Legionella pneumophila pneumonia: a case report

Authors

DOI:

https://doi.org/10.51481/amc.v65i4.1310

Keywords:

Legionnaires' Disease, Legionella pneumophila, pneumonia, water monitoring

Abstract

We present the case of a 70-year-old male patient, hypertensive and ex-smoker who was hospitalized for dyspnea, malaise, fever and abdominal pain. After the initial approach with nifuroxazide and cefotaxime, he showed no improvement and, upon further study, he was diagnosed with L. pneumophila pneumonia. After the diagnosis and receiving therapy with levofloxacin, he showed improvement and recovered from the initial symptoms, for which he was discharged. Diagnostic and approach difficulties and the national situation for the detection of L. pneumophila in Costa Rica are discussed.

Downloads

Download data is not yet available.

References

Medina MG, Lösch LS, Merino LA. Legionella pneumophila: un patógeno emergente en Argentina. Actual. SIDA. Infectol. 2021; 29:136-143. DOI: 10.52226/revista.v29i107.86

Viasus D, Gaia V, Manzur-Barbur C, Carratalà J. Legionnaires’ disease: update on diagnosis and treatment. Infect. Dis. Ther. 2022; 11:973-986. DOI: 10.1007/s40121-022-00635-7

Iliadi V, Staykova J, Iliadis S, Konstantinidou I, Sivykh P, Romanidou G, et al. Legionella pneumophila: the journey from the environment to the blood. J. Clin. Med. 2022; 11:6126. DOI: 10.3390/jcm11206126

Graham FF, Finn N, White P, Hales S, Baker MG. Global perspective of Legionella infection in community acquired pneumonia: a systematic review and meta-analysis of observational studies. Int. J. Environ. Res. Public Health. 2022; 19:1907. DOI: 10.3390/ijerph19031907

Gonçalves IG, Simões LC, Simões M. Legionella pneumophila. Trends Microbiol. 2021; 29:860-861. DOI: 10.1016/j.tim.2021.04.005

Bai L, Yang W, Li, Y. Clinical and laboratory diagnosis of Legionella pneumophila. Diagnostics. 2023; 13. DOI: 10.3390/diagnostics13020280

Correia AM, Ferreira JS, Borges V, Nunes A, Gomes B, Capucho R, et al. Probable person-to-person transmission of Legionnaires’ disease. N. Eng. J. Med. 2016; 374:497-498. DOI: 10.1056/NEJMc1505356

Jain S, Gautam V, Naseem S. Acute-phase proteins: as diagnostic tool. J. Pharm. Bioallied Sci. 2011; 3:118-127. DOI: 10.4103/0975-7406.76489

Shakeshaft MK, Murdoch MR. Microscopic screening of sputum samples should not be used when testing for Legionella species. Clin. Infect. Dis. 2020; 71:1356-1357. DOI: 10.1093/cid/ciz1148

Woodhead M, Blasi F, Ewig S, Garau J, Huchon G, Leven M, et al. Guidelines for the management of adult lower respiratory tract infections - full version. Clin. Microbiol. Infect. 2011; 17:E1-59. DOI: 10.1111/j.1469-0691.2011.03672.x

Metlay JP, Waterer GW, Long AC, Anzueto A, Brozek J, Crothers K, et al. Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. Am. J. Respir. Crit. Care Med. 2019; 200:e45-e67. DOI: 10.1164/rccm.201908-1581ST

Published

2024-04-20

How to Cite

Legionella pneumophila pneumonia: a case report. (2024). Acta Médica Costarricense , 65(4), 1-4. https://doi.org/10.51481/amc.v65i4.1310