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A Case of Pulmonary-Renal Syndrome Leading to the Diagnosis of Legionnaires’ Disease
Joint Authors
Stylianou, Konstantinos
Sabani, Erasmia
Sarafidis, Pantelis A.
Lazaridis, Antonios
Kouloukourgiotou, Theodora
Pantzaki, Afroditi
Efstratiadis, Georgios
Papagianni, Aikaterini
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-23
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We report a case of a 51-year-old Caucasian man referred at our department due to acute renal failure (ARF) complicating respiratory failure during hospitalization in a regional hospital.
The patient was previously started on steroids due to the suspicion of rapidly progressive glomerulonephritis (RPGN) in the context of Goodpasture syndrome.
However, clinical and laboratory findings did not support this diagnosis; instead a careful evaluation limited differential diagnosis of the renal insult to acute tubular necrosis or acute interstitial nephritis (AIN) following respiratory infection.
With lung function fully improved but renal function not recovering, a renal biopsy revealed AIN, a finding leading to further diagnostic testing and finally to the diagnosis of Legionnaires’ disease as a cause of this patient’s pulmonary-renal syndrome.
The management consisted of progressive tapering of oral steroids associated with full recovery of the patient’s renal function.
This is a rare case of Legionnaires’ disease causing immune-mediated AIN and highlights the possibility of Legionella infection as a cause of pulmonary-renal syndrome.
American Psychological Association (APA)
Sabani, Erasmia& Sarafidis, Pantelis A.& Lazaridis, Antonios& Kouloukourgiotou, Theodora& Stylianou, Konstantinos& Pantzaki, Afroditi…[et al.]. 2016. A Case of Pulmonary-Renal Syndrome Leading to the Diagnosis of Legionnaires’ Disease. Case Reports in Nephrology،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101221
Modern Language Association (MLA)
Sabani, Erasmia…[et al.]. A Case of Pulmonary-Renal Syndrome Leading to the Diagnosis of Legionnaires’ Disease. Case Reports in Nephrology No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1101221
American Medical Association (AMA)
Sabani, Erasmia& Sarafidis, Pantelis A.& Lazaridis, Antonios& Kouloukourgiotou, Theodora& Stylianou, Konstantinos& Pantzaki, Afroditi…[et al.]. A Case of Pulmonary-Renal Syndrome Leading to the Diagnosis of Legionnaires’ Disease. Case Reports in Nephrology. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101221
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101221