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Legionellosis presenting as singultus and external ophthalmoplegia

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Abstract

We report a 71-year-old man with legionellosis, who presented with abducens nerve palsy, singultus, confusion, memory impairment, ataxia, and hyporeflexia. Legionella pneumonia was diagnosed on the basis of detection of Legionella pneumophila antigen in the urine. The cerebrospinal fluid was negative for the antigen and antibody, but an oligoclonal band was detected, and the IgG index was elevated. It was speculated that an undetermined immune-mediated mechanism had contributed to the development of the neurological manifestations.

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Authors and Affiliations

  1. Division of Neurology, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo, 153-8515, Japan

    Shingo Konno, Hisao Kitazono, Mayumi Murata, Hiroshi Nakazora, Nobuatsu Nomoto, Hideki Sugimoto & Toshiki Fujioka

  2. Division of Respiratory, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo, 153-8515, Japan

    Haruhi Kono & Ken Sanno

Authors
  1. Shingo Konno
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  2. Haruhi Kono
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  3. Hisao Kitazono
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  4. Mayumi Murata
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  5. Hiroshi Nakazora
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  6. Nobuatsu Nomoto
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  7. Hideki Sugimoto
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  8. Ken Sanno
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  9. Toshiki Fujioka
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Corresponding author

Correspondence to Shingo Konno.

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Konno, S., Kono, H., Kitazono, H. et al. Legionellosis presenting as singultus and external ophthalmoplegia. Neurol Sci 33, 1435–1437 (2012). https://doi.org/10.1007/s10072-011-0927-3

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  • DOI: https://doi.org/10.1007/s10072-011-0927-3

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