Necrotizing cellulitis caused by Legionella micdadei.
Legionella micdadei is primarily considered a pathogen of the pulmonary tract of immunocompromised patients, the majority of whom have been renal transplant recipients. We report the case of a necrotizing soft tissue infection in a cadaveric renal transplant recipient resulting in amputation of the left arm. Only one other extrathoracic bacteriologically documented L. micdadei infection has been reported in the literature.
Kilborn
J A
JA
Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan.
Manz
L A
LA
O'Brien
M
M
Douglass
M C
MC
Horst
H M
HM
Kupin
W
W
Fisher
E J
EJ
D000328:Adult; D001132:Arm; D002481:Cellulitis / Q000382:microbiology* / Q000473:pathology; D005260:Female; D006225:Hand; D006801:Humans; D007876:Legionellosis / Q000473:pathology; D009336:Necrosis