title: [Pleuropericarditis as the only manifestation of Legionella pneumophila infection].
abstract: Pleural effusion caused by Legionella is seen fairly frequently but is hardly ever of great clinical significance. Pericardial involvement has been described only rarely. We present a case of pleuropericarditis as the only sign of infection by Legionella pneumophila in a 66-years-old man with no prior history of disease. The patient came to the hospital with chest pain suggestive of pleurisy, low-grade fever, dry cough and dyspnea. The etiology was not suspected and the diagnosis was made retrospectively based on indirect immunofluorescence. After 3 weeks of treatment with high dose of erythromycin the patient recovered and remains asymptomatic to date. We conclude that infection by Legionella pneumophila should be suspected in patients with pleurisy or pericarditis of unknown cause.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Granada.
authors.forename: D
authors.initials: D
authors.lastname: Torrús Tendero
authors.forename: J
authors.initials: J
authors.lastname: Gutiérrez Fernández
authors.forename: A
authors.initials: A
authors.lastname: Díez Ruiz
authors.forename: J M
authors.initials: JM
authors.lastname: Bermúdez García
authors.forename: J
authors.initials: J
authors.lastname: Rico Irles
mesh_terms: D000208:Acute Disease; D000368:Aged; D003937:Diagnosis, Differential; D004917:Erythromycin / Q000008:administration & dosage; D006801:Humans; D007262:Infusions, Intravenous; D007877:Legionnaires' Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D010493:Pericarditis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D010996:Pleural Effusion / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology
chemical_list: D004917:Erythromycin
vernacular_title: Pleuropericarditis como manifestación única de infección por Legionella pneumophila.