Legionnaires' disease with acute renal failure caused by Legionella pneumophilla serogroup 4

A 77-year-old man who had fever and chest pain was admitted to a neighboring hospital on a diagnosis of pneumonia. Chest X-ray film finding deteriorated despite treatment with 2 g cefotaxime per day. Because of accompanying acute renal failure, he was transferred to our hospital. Hemodialysis with i...

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Published inNihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society Vol. 43; no. 11; p. 678
Main Authors Hase, Isano, Chibana, Kazuyuki, Ohara, Tetsuya, Takizawa, Hidenori, Furihata, Tomoe, Yamada, Issei, Fukushima, Yasutugu, Ishii, Yoshiki, Fukuda, Takeshi, Koide, Michio, Saitou, Atsushi
Format Journal Article
LanguageJapanese
Published Japan 01.11.2005
Subjects
Acute Kidney Injury - complications
Aged
Humans
Legionella pneumophila - classification
Legionella pneumophila - isolation & purification
Legionnaires' Disease - complications
Legionnaires' Disease - diagnostic imaging
Male
Radiography
Serotyping
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Summary:A 77-year-old man who had fever and chest pain was admitted to a neighboring hospital on a diagnosis of pneumonia. Chest X-ray film finding deteriorated despite treatment with 2 g cefotaxime per day. Because of accompanying acute renal failure, he was transferred to our hospital. Hemodialysis with intravenous administration of erythromycin and meropenem resulted in recovery from acute renal failure, and his general condition improved. Because of liver dysfunction, erythromycin was changed to pazufloxacin. Although he was negative for Legionella urinary antigen determined with a rapid assay kit, Binax NOW, his serum titer for Legionella pneumophila serogroup 4 was elevated. Finally, a diagnosis of Legionnaires' disease caused by Legionella pneumophila serogroup 4 was established.
ISSN:1343-3490