European Journal of Pediatrics

, Volume 141, Issue 3, pp 173–175 | Cite as

Unusual progression of a Legionella pneumophila infection in a young child

  • P. Beyer
  • D. Kahn
  • J. Horbach
  • H. Schmid
  • W. Graf
  • B. Weber
Case Reports


A 2 8/12-year-old boy showed an unusual course of a Legionella pneumophila infection with severe dyspnea, longterm loss of conscience (5 days) and permanent persistence of pulmonary obstruction.

Key words

Legionella pneumophila infection in a child Permanence of severe pulmonary obstruction 


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  1. 1.
    Andersen RD, Lauer BA, Fraser DW, Hayes PS, McIntosh K (1981) Infections with Legionella pneumophila in children. J Infect Dis 143:386–390Google Scholar
  2. 2.
    Bamford JM, Hakin RN (1982) Chorea after Legionnaire's disease. Br Med J 284: 1232–1233Google Scholar
  3. 3.
    Bartlett JG, Gorbach SC, Fimegold SM (1974) The bacteriology of aspiration pneumonia. Am J Med 56:202–207Google Scholar
  4. 4.
    Baur X, Ruckdeschel G, Fruhmann G (1980) Legionärskrankheit—Ursache von Lungenfibrosen und bronchopulmonalen Erkrankungen? Deutsch Med Wochenschr 105:561–566Google Scholar
  5. 5.
    Center for Disease Control (1978) Legionnaires disease: diagnosis and management. Am Intern Med 88:363–365Google Scholar
  6. 6.
    Centers for Disease Control (1980) Legionellosis in a child-Kentucky. Morbidity Mortality. Weekly Rep 29:203–204Google Scholar
  7. 7.
    Cutz E, Thorner PS, Pandu Rao C, et al (1982) Disseminated Legionella pneumophila infection in an infant with severe combined immunodeficiency. J Pediatr 100:760–762Google Scholar
  8. 8.
    Dietrich PA, Johnson RD, Fairbank JT, Walke JS (1978) The chest radiograph in Legionnaire's disease. Radiology 127: 577–582Google Scholar
  9. 9.
    Edelstein PH, McKinney RM, Meyer RD, Edelstein MAC, Krause LJ, Finegold SM (1980) Immunologic diagnosis of Legionnaires' disease: cross reactions with anaerobic and microarophilic organisms and infections caused by them. J Infect Dis 141:652–655Google Scholar
  10. 10.
    Fraser DW, Tsai TR, Ohrenstein W, et al and the field investigations team (1977) Legionnaires' disease. Description of an epidemic pneumonia. N Engl J Med 297: 1189–1197Google Scholar
  11. 11.
    Fumarola D, Brandonisio O, Marcuccio L, Mono R, Longo-Papadia L (1981) Sieroconversione per Legionella pneumophila sierogroupo 1 in un bambino. Prima segnalazione in Italia. Minerva Pediatr 33: 101–104Google Scholar
  12. 12.
    Glick TH, Gregg MB, Berman B, Mallison G, Rhodes Jr WW, Kassanoff J (1978) Pontiac fever. An epidemic of unknown etiology in a health department. Clinical and epidemiologic aspects. Am J Epidemiol 107:149–160Google Scholar
  13. 13.
    Jones GL, Herbert GA (eds) (1979) Legionnaires: The disease, the bacterium and methodology, Atlanta, Centers for Disease ControlGoogle Scholar
  14. 14.
    Lode H, Schäfer M, Ruckdeschel G (1982) Legionärskrankheit. Prospektive Studie zur Häufigkeit, Klinik und Prognose. Disch Med Wochenschr 107:326–331Google Scholar
  15. 15.
    McDade JE, Shepard CC, Fraser DW, et al and the laboratory investigation team (1977) Legionnaires' disease: isolation of a bacterium and demonstration of its role in other respiratory disease. N Engl J Med 297:1197–1203Google Scholar
  16. 16.
    Muldoon RC, Jaecker DC, Kiefer HK (1981) Legionnaires disease in children. Pediatrics 67:329–332Google Scholar
  17. 17.
    Rosenberg DM, Lawrence M, Phillip L (1982) Legionnaires disease. Association with severe bronchospasm and hypoventilation. Chest 82:382–384Google Scholar
  18. 18.
    Ryan ME, Feldman S, Pruitt B, Fraser DW (1979) Legionnaires disease in a child with cancer. Pediatrics 64:951–953Google Scholar
  19. 19.
    Storch G, Hays PS, Hill DL, Baine WB (1979) Prevalence of antibody to Legionella pneumophila in middle-aged and elderly Americans. J Infect Dis 140:784–788Google Scholar
  20. 20.
    Tsai TF, Fraser DW (1978) The diagnosis of Legionnaires' disease. Am Intern Med 89:413–414Google Scholar
  21. 21.
    Wilkinson HW, Fikes BJ, Cruce DD (1979) Indirect immunofluorescence test for serodiagnosis of Legionnaires' disease: evidence for serogroup diversity of Legionnaires' disease bacterial antigens and for multiple specificity of human antibodies. J Clin Microbiol 9:379–383Google Scholar
  22. 22.
    Wilkinson HW, Farshy CE, Fikes BJ, Cruce DD, Yealy LP (1979) Measure of immunoglobulin G-, M-, and A-specific titers against L. pneumophila and inhibition of titers against nonspecific gramnegative bacterial antigens in the indirect immunofluorescence test for legionellosis. J Clin Microbiol 10:685–689Google Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • P. Beyer
    • 1
  • D. Kahn
    • 1
  • J. Horbach
    • 2
  • H. Schmid
    • 1
  • W. Graf
    • 1
  • B. Weber
    • 1
  1. 1.Department of PediatricsFree University of BerlinBerlin 19
  2. 2.Department of BacteriologyRobert-Koch-Institut des BundesgesundheitsamtesBerlin 65

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