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An unusual presentation of Legionella pneumonia in a returning traveller
  1. Robert John Shorten1,2,
  2. Jane Norman3 and
  3. Louise C Sweeney4
  1. 1 Microbiology, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK
  2. 2 Centre for Clinical Microbiology, University College London, London, UK
  3. 3 Haematology, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  4. 4 Microbiology, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  1. Correspondence to Dr Robert John Shorten, robert.shorten{at}


A male patient in his mid-60s presented with a severe pneumonia following return to the UK after travel to Crete. He was diagnosed with Legionnaire’s disease (caused by an uncommon serogroup of Legionella pneumophila). He was pancytopenic on admission, and during a long stay on critical care he was diagnosed with a disseminated Aspergillus infection. Bone marrow aspiration revealed an underlying hairy cell leukaemia that undoubtedly contributed to his acute presentation and subsequent invasive fungal infection.

  • infectious diseases
  • pneumonia (infectious disease)
  • intensive care
  • malignant and benign haematology
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  • Contributors RJS, JN and LCS were involved in the diagnosis and management of the patient and have contributed to writing the manuscript. JN is currently caring for the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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