Legionnaire's disease associated with acute encephalitis and arrhythmia.
OBJECTIVE
To report an unusual, life-threatening combination of neurologic, cardiac, and gastrointestinal symptoms in the presence of a community-acquired pneumonia.


METHODS
Case report.


METHODS
University hospital.


METHODS
Previously healthy young male.


METHODS
Diagnostic fiberoptic bronchoscopy, lumber puncture, magnetic resonance imaging of the brain, and institution of systemic antibiotics.


RESULTS
Gradual clinical improvement of a multiple-system illness.


CONCLUSIONS
Legionellosis should be considered in the differential diagnosis of patients presenting with neurologic, cardiac, and gastrointestinal symptoms, particularly in the presence of radiographic pneumonia. Furthermore, Legionella meningoencephalitis may present with findings on magnetic resonance imaging previously thought to be characteristic of herpes encephalitis.
Karim
Anita
A
Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Ahmed
Shahid
S
Rossoff
Leonard J
LJ
D000328:Adult; D001145:Arrhythmias, Cardiac / Q000209:etiology*; D004660:Encephalitis / Q000209:etiology*; D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications*; D008297:Male