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Article in Japanese
Abstract
Case Report
A case of Legionella longbeachae pneumonia with gait disorder in which potting soil was considered as the infection source
Ikumi Fujisaki Noboru Takayanagi Takashi Ishiguro Naho Kagiyama Tsutomu Yanagisawa Yutaka Sugita
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
ABSTRACT
A 78-year-old man consulted the orthopedic and neurosurgery departments of another hospital complaining of falling and unsteady gait, but no abnormalities were detected on neurological imaging. He later developed fever, cough, and gait disorder and was admitted to our hospital. His chest X-ray showed infiltration in the left lower lung field. Legionella pneumonia was suspected because of his history of using potting soil and his coexisting abnormal neurological symptoms, although his urinary antigen test for Legionella was negative. Legionella longbeachae was cultured from bronchoalveolar lavage fluid, and appropriate antibiotic treatment resolved his pneumonia and gait disorder. Legionella pneumonia should be considered in patients with pneumonia who present with neurological symptoms or with a history of using potting soil.
KEYWORDS
Legionella longbeachae Potting soil Bronchoalveolar lavage Gimenez stain Pneumonia
Received 4 Jun 2014 ／ Accepted 7 Oct 2014
AJRS, 4(1): 101-105, 2015
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