Legionella micdadei: A Forgotten Etiology of Growing Cavitary Nodules: A Case Report and Literature Review
Joint Authors
Prasad, Paritosh
Lachant, Daniel J.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-09-15
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Legionella micdadei is a Gram negative bacterium that can stain weakly acid fast.
It was first described in 1979 after immunosuppressed patients developed pneumonia at a Pittsburgh VA, initially given the name Pittsburgh Pneumonia Agent.
It is the second most common Legionella species causing infection after pneumophila, and typically infects immunocompromised hosts.
It is not easy to be cultured which makes diagnosing difficult.
Case Presentation.
A 31-year-old female with ulcerative colitis, primary sclerosing cholangitis, and cirrhosis presented with fever, chills, shortness of breath, dry cough, and chest pain for five days after being started on immunosuppression for autoimmune hepatitis two months earlier.
The first chest CT showed small bilateral cavitary nodules.
The nodules continued to grow on subsequent imaging despite what was thought to be appropriate therapy.
A transthoracic biopsy was performed which grew Legionella micdadei and the patient improved after being treated with levofloxacin.
Conclusion.
Legionella micdadei is an atypical pathogen known to cause pneumonia in immunosuppressed patients.
This case highlights a typical presentation of an atypical infection not commonly thought about and should be considered when nodules are growing despite being on broad antimicrobial therapy.
American Psychological Association (APA)
Lachant, Daniel J.& Prasad, Paritosh. 2015. Legionella micdadei: A Forgotten Etiology of Growing Cavitary Nodules: A Case Report and Literature Review. Case Reports in Pulmonology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059880
Modern Language Association (MLA)
Lachant, Daniel J.& Prasad, Paritosh. Legionella micdadei: A Forgotten Etiology of Growing Cavitary Nodules: A Case Report and Literature Review. Case Reports in Pulmonology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1059880
American Medical Association (AMA)
Lachant, Daniel J.& Prasad, Paritosh. Legionella micdadei: A Forgotten Etiology of Growing Cavitary Nodules: A Case Report and Literature Review. Case Reports in Pulmonology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059880
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059880