Reminder of important clinical lesson
A patient with Legionnaires’ disease transferred after a traffic accident
1 Kyoto University, Department of Public Health, Yoshidakonoecho, Sakyoku, Kyoto, 606–8501, Japan
2 Toho University School of Medicine, Department of Microbiology and Infectious Diseases, 5-21-16, Omorinishi, Ohtaku, Tokyo, 143-0015, Japan
3 Ujitokushukai Hospital, 86, Kasugamori, Oguracho, Uji, 611-0042, Japan
4 Research Institute for Humanity and Nature, 457–4, Motoyama, Kamigamo, Kitaku, Kyoto, 606–8047, Japan
Correspondence to:
Ryota Sakamoto, sakamoto65{at}chikyu.ac.jp
Legionnaires’ disease (LD) ranks among the three most common causes of severe pneumonia, but is often not specifically diagnosed. Among patients with LD, 40% to 50% of the patients develop neuromuscular signs and symptoms. A patient with LD transferred to our department after a traffic accident. When the patient arrived at our hospital, his respiratory rate was 27 breaths per min. His pulse was 148 beats per min and blood pressure was 116/57 mm Hg. Temperature was 39.6°C. He had copious watery diarrhoea and had been diagnosed as having acute gastroenteritis. The patient had urinary incontinence, gait disturbance, mild headache, fatigue and excessive decrease in spontaneous speech. A urinary antigen test for Legionella pneumophila turned out to be positive. LD commonly involves the neuromuscular system. Although this may be an atypical case of LD, it implies the need for awareness of LD.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full text of all Editor's Choice articles and summaries of every article are free without registration
The full text of Images in ... articles are free to registered users
Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource
Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog
