[Legionellosis as a polyvalent disease picture].
This article reports on the course of four cases of legionellosis confirmed by a positive fluorescence titre of 1:128. The dramatic course was characterized by severe pneumonia in only a single case. Common features of all four patients were alcohol abuse, cholestatic hepatitis, progressive azotaemia and leukocytosis above 30 x 10(9)/l, or an ESR above 110 (Westergren). In view of the doubtful prognosis of the disease, the care-providing physician should bot wait for a significant increase in titres before starting treatment with tetracyclines or erythromycins.
Dundalek
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St. Vincenz Krankenhaus, Innere Abteilung, Menden.
D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications / Q000000981:diagnostic imaging*; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000000981:diagnostic imaging; D011859:Radiography; D012008:Recurrence
Die Legionellose als polyvalentes Krankheitsbild.