FatalLegionella longbeachae infection following heart transplantation
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A case of fatalLegionella longbeachae infection following heart transplantation is described. Gram stains of respiratory secretions on day 17 posttransplant revealed leucocytes and gram-negative bacilli, but there was no growth on routine bacterial culture.Legionella longbeachae serogroup 1 was isolated from respiratory specimens, blood, and postmortem lung tissue.Legionella longbeachae is a common cause of legionellosis in Australia, and infection has been associated with exposure to potting mixes. Specific culture forLegionella spp. should be performed for any patient who develops pneumonia following organ transplantation.
- Ampel NM, Wing EJ:Legionella infection in transplant patients. Seminars in Respiratory Infections 1990; 5: 30–37.
- Patel R, Paya CV: Infections in solid-organ transplant recipients. Clinical Microbiology Reviews 1997, 10: 86–124.
- Jernigan DB, Sanders LI, Waites KB, Brookings ES, Benson RF, Pappas PG: Pulmonary infection due toLegionella cincinnatiensis in renal transplant recipients: two cases and implications for laboratory diagnosis. Clinical Infectious Disease 1994, 18: 385–389.
- Rhomberg PR, Bale MJ, Jones RN: Application of the E test to antimicrobial susceptibility testing ofLegionella spp. Diagnostic Microbiology and Infectious Disease 1994, 19: 175–178.
- McKinney RM, Porschen RK, Edelstein PH, Bissett ML, Harris PP, Bondell SP, Steigerwalt AG, Weaver RE, Ein ME, Lindquist DS, Kops RS, Brenner DJ:Legionella longbeachae species nova, another etiological agent of human pneumonia. Annals of Internal Medicine 1981, 94: 739–743.
- Communicable Diseases Surveillance: Legionellosis. Communicable Diseases Intelligence 1997, 21: 137.
- Steele TW, Lanser J, Sangster N: Isolation ofLegionella longbeachae serogroup 1 from potting mixes. Applied and Environmental Microbiology 1990, 56: 49–53.
- Cameron S, Roder D, Walker C, Felheim J: Epidemiological characteristics ofLegionella infection in South Australia: implications for disease control. Australia and New Zealand Journal of Medicine 1991, 21: 65–70.
- Marrie TJ, Berzanson G, Haldane DJM, Burbridge S: Colonisation of the respiratory tract withLegionella pneumophila for 63 days before the onset of pneumonia. Journal of Infection 1992, 24: 81–86.
- Bridge JA, Edelstein PH: Oropharyngeal colonization withLegionella pneumophila. Journal of Clinical Microbiology 1983, 18: 1108–1112.
- Weeratna R, Marrie TJ, Logan SM, Hoskin D, Hoffman PS, Yates L, Burbridge S, Haldane D, Bezanson G: Legionnaires' disease in cardiac transplant patients: a cell-mediated response develops despite cyclosporine therapy. Journal of Infectious Diseases 1993, 168: 521–522.
- Winslow WE, Steele TW: Indirect immunofluorescent antibody tests withLegionella longbeachae serogroup 1 antigen in confirmed infections. In: Barbaree JM, Breiman RF, Dufour AF (ed).Legionella. Current status and emerging perspectives. American Society for Microbiology, Washington DC, 1993, p. 17–19.
- Nimmo G, Bull LZ: Comparative susceptibility ofLegionella pneumophila andLegionella longbeachae to 12 antimicrobial agents. Journal of Antimicrobial Chemotherapy 1995, 36: 219–223.
- Edelstein PH: Antimicrobial chemotherapy for Legionnaires' disease: a review. Clinical Infectious Diseases 1995, 21, Supplement 3: 265–276.
- FatalLegionella longbeachae infection following heart transplantation
European Journal of Clinical Microbiology and Infectious Diseases
Volume 17, Issue 1 , pp 53-55
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- 1. Department of Microbiology and Infectious Disease, Alfred Hospital, Inner and Eastern Health Care Network, 3181, Prahran, Victoria, Australia
- 2. Department of Microbiology, Monash University, 3168, Clayton, Victoria, Australia
- 3. Department of Cardiology, Alfred Hospital, Inner and Eastern Health Care Network, 3181, Prahran, Victoria, Australia