[Encephalitis in Legionella bozemanii pneumonia].
A 44-year-old man, a known alcoholic and heavy smoker, was hospitalized with high fever and respiratory failure which a few hours later required intubation and artificial ventilation, although the chest x-ray had been unremarkable. Later serial chest x-ray films showed intrapulmonary infiltrations, while Legionella Bozemanii was demonstrated by direct immunofluorescence. Cranial computed tomography was unremarkable, despite the onset of tetraparesis and a severe midbrain syndrome. Cerebrospinal fluid contained merely mild lymphocytic pleocytosis. However, magnetic resonance imaging revealed symmetrical demyelinization foci in the brainstem as a sign of encephalitis. The neurological deficits regressed almost completely after several weeks of antibiotic treatment and rehabilitation measures over several months.
Platzeck
C
C
Medizinische Klinik III mit Poliklinik, Universität Erlangen-Nürnberg.
Foerster
E C
EC
Schneider
M U
MU
Lang
C
C
Ehret
W
W
Arenander
H
H
Rödl
W
W
Domschke
W
W
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D002555:Cerebrospinal Fluid / Q000166:cytology; D004660:Encephalitis / Q000175:diagnosis / Q000209:etiology*; D005455:Fluorescent Antibody Technique; D006801:Humans; D007875:Legionella / Q000302:isolation & purification; D007876:Legionellosis / Q000150:complications* / Q000175:diagnosis; D008168:Lung / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D011014:Pneumonia / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000382:microbiology
Enzephalitis bei Legionella-Bozemanii-Pneumonie.