Legionnaires' disease in a patient with polymyositis.
A 29 year old woman with polymyositis treated with azathioprine presented with pneumonia. Rising serum antibody titres have confirmed a diagnosis of legionnaires' disease. Infection with Legionella pneumophila must now be considered in New Zealand when patients present with pneumonia and severe pyrexia, especially if they show known risk factors.
D000328:Adult; D000907:Antibodies, Bacterial / Q000032:analysis; D001379:Azathioprine / Q000627:therapeutic use; D004338:Drug Combinations / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D009220:Myositis / Q000150:complications* / Q000188:drug therapy; D011014:Pneumonia / Q000150:complications / Q000175:diagnosis; D013420:Sulfamethoxazole / Q000627:therapeutic use; D014295:Trimethoprim / Q000627:therapeutic use; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
D000907:Antibodies, Bacterial; D004338:Drug Combinations; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D014295:Trimethoprim; D013420:Sulfamethoxazole; D001379:Azathioprine