[Second serogroup of Legionella pneumophila isolated from a patient with fulminant pneumonia].
A 67-year-old female was admitted to our hospital, because of high fever and dry cough. She had undergone semiradical hysterectomy and radiation therapy for carcinoma of the uterine cervix one year previously. Her chest roentgenograms on admission showed lobar consolidation of the left upper lobe. Antibiotics were administered but her general condition and pulmonary consolidation did not improve. As Legionellosis was highly suspected, we performed bronchoscopic examinations. Bronchial mucosa was almost normal with no secretion, and Legionella was isolated from the specimen obtained bronchoscopically. Six days later, L. pneumophila serogroup 2 was isolated and identified from an intratracheal aspiration, and serological diagnosis was made by indirect immunofluorescence antibody. We could also detect the bacteria in the BALF by immunofluorescence microscopy and in the tissue of the TBLB specimen with the ABC method.
Tomioka
H
H
Department of Pulmonary Disease, Kobe City General Hospital, Japan.
Hasegawa
T
T
Okazaki
M
M
Katakami
N
N
Sakamoto
H
H
Ishihara
K
K
Iwasaki
H
H
Umeda
B
B
Koide
M
M
Nakai
H
H
D000368:Aged; D005260:Female; D006801:Humans; D007875:Legionella / Q000145:classification*; D007877:Legionnaires' Disease / Q000382:microbiology*; D011014:Pneumonia / Q000382:microbiology*; D012703:Serotyping