Brainstem Involvement in Legionnaires’ Disease

Abstract

Objective:

To report a case of Legionella pneumonia with unusual neurologic involvement.

Intervention:

Chest X-ray, lumbar puncture, magnetic imaging of the brain, electroencephalography, audiometry, brainstem acustic evoked potentials and institution of oral antibiotics and steroids.

Main Result:

Gradual clinical improvement of neurologic and pulmonary illness within 4 weeks.

Conclusion:

Legionellosis should be considered in the differential diagnosis of neurologic involvement in the setting of pneumonia.