Advertisement

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

Abstract

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 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  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

Personalised recommendations