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J Med Microbiol 57 (2008), 384-387; DOI: 10.1099/jmm.0.47556-0
© 2008 Society for General Microbiology
ISSN 1473-5644

Case Report

Legionnaires' disease in immunocompromised patients: a case report of Legionella longbeachae pneumonia and review of the literature

Philipp Kümpers1, Andreas Tiede1, Philip Kirschner2, Jutta Girke1, Arnold Ganser1 and Dietrich Peest1

1 Department of Internal Medicine, Hannover Medical School, Hannover, Germany

2 Department of Medical Microbiology, Hannover Medical School, Hannover, Germany

Correspondence
Philipp Kümpers
kuempers.philipp{at}mh-hannover.de

Received 3 August 2007
Accepted 24 October 2007

In addition to Legionella pneumophila, about 20 Legionella species have been documented as human pathogens. The majority of infections by non-pneumophila Legionella species occur in immunocompromised and splenectomized patients. Here, we report a case of ‘classical’ lobar pneumonia caused by Legionella longbeachae in a splenectomized patient receiving corticosteroids for chronic immune thrombocytopenia. Tests for Legionella antigen were negative. L. longbeachae was immediately detected in bronchoalveolar fluid by PCR and subsequently confirmed by culture on legionella-selective media. The features of Legionnaires' disease in immunocompromised patients with special emphasis on significance and detection of non-pneumophila species are reviewed.

Abbreviations: BAL, bronchoalveolar lavage.




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I. Gobin, M. Susa, G. Begic, E. L. Hartland, and M. Doric
Experimental Legionella longbeachae infection in intratracheally inoculated mice
J. Med. Microbiol., June 1, 2009; 58(6): 723 - 730.
[Abstract] [Full Text] [PDF]


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