Brain stem and cerebellar dysfunction with Legionnaires' disease.
A 37-year-old man under treatment for manic-depressive illness developed pneumonia identified as Legionnaires' disease accompanied by a severe neurological disorder with profound dysarthria, ataxia, gaze paralysis, and downbeat nystagmus. At review six months later, he has made only a partial recovery with persisting limb and gait ataxia. Difficulties in diagnosing neurological complications of Legionnaires' disease in a patient with a psychiatric disorder requiring psychotropic medication are discussed.
D000328:Adult; D001927:Brain Diseases / Q000209:etiology* / Q000503:physiopathology; D001933:Brain Stem / Q000503:physiopathology*; D002531:Cerebellum / Q000503:physiopathology*; D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications* / Q000503:physiopathology; D008297:Male