Legionnaires' Disease with Facial Nerve Palsy
Joint Authors
Habte-Gabr, Eyassu
Ahmed, Salwa Mohamed
Basani, Shailesh R.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-03-10
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Legionnaires' disease is primarily a pneumonic process caused by Legionella pneumophilia, a gram-negative aerobic bacillus but also has multiple system involvement.
The most common manifestation is encephalopathy suggesting a generalized brain dysfunction but focal neurological manifestations have been reported.
We report a patient with Legionella pneumonia associated with cerebellar dysfunction and unilateral facial nerve weakness.
51-year-old previously healthy male presented with shortness of breath, cough, slurred speech, and unsteadiness on feet associated with malaise, fevers and myalgias.
Patient's family reported facial asymmetry for 2 days.
Patient had no significant medical history and was not on any medication.
He denied smoking, alcohol or illicit drug use.
Chest X-ray showed bilateral lower lobe infiltrates.
Urinary antigen assay for Legionella pneumophilia serogroup 1 was positive.
Patient was started on intravenous moxifloxacin.
On day 5 the patient was discharged home and continued oral moxifloxacin for two weeks.
After the two weeks, his respiratory symptoms, gait ataxia and dysarthria resolved.
We report the first case of Legionnaires' disease with cerebellar dysfunction and seventh nerve palsy.
Legionnaires' disease should be considered in patients with any neurological symptoms in the setting of pneumonia.
Failure to recognize and treat the infection may lead to poor outcomes.
American Psychological Association (APA)
Basani, Shailesh R.& Ahmed, Salwa Mohamed& Habte-Gabr, Eyassu. 2011. Legionnaires' Disease with Facial Nerve Palsy. Case Reports in Medicine،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-507896
Modern Language Association (MLA)
Basani, Shailesh R.…[et al.]. Legionnaires' Disease with Facial Nerve Palsy. Case Reports in Medicine No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-507896
American Medical Association (AMA)
Basani, Shailesh R.& Ahmed, Salwa Mohamed& Habte-Gabr, Eyassu. Legionnaires' Disease with Facial Nerve Palsy. Case Reports in Medicine. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-507896
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-507896