[An infection with Legionella pneumophila treated with intravenous ciprofloxacin].
A 60-year-old diabetic man who had had a coronary artery bypass graft operation was admitted to Okaya Enrei Hospital because of coughing, high fever and dyspnea. Chest high-resolution computed tomography scans revealed bilateral pleural effusions and left-sided alveolar shadows and ground glass opacity. These infiltrations in the left lung field showed rapid growth. Legionella pneumonia was diagnosed because of a high titer for Legionella pneumophila antigen in the urine. He was treated with 600 mg per day of parenteral ciprofloxacin for two weeks and 10 mg per day of oral prednisolone for the second week, resulting in improvement of the clinical findings.
Tsukadaira
Akihiro
A
First Department of Internal Medicine, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, Japan.
Okubo
Yoshio
Y
Takashi
Shuji
S
Horie
Shiro
S
Kashiwazaki
Satoshi
S
Hirose
Hiroyuki
H
Hata
Hiroaki
H
Aragaki
Noriko
N
Koide
Michio
M
Saito
Atsushi
A
Kubo
Keishi
K
D000890:Anti-Infective Agents / Q000008:administration & dosage*; D002939:Ciprofloxacin / Q000008:administration & dosage*; D006801:Humans; D016952:Legionella pneumophila; D007877:Legionnaires' Disease / Q000000981:diagnostic imaging / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D000890:Anti-Infective Agents; D002939:Ciprofloxacin