title: Legionella pneumophila pneumonia successfully treated with intravenous ciprofloxacin.
abstract: A 69-year-old man developed a cough and fever during treatment with corticosteroid (p.o. and external use) for erythroderma. Chest X-ray films revealed a consolidation shadow in the right upper lung field. Initial treatment with sulbactam sodium/ampicillin followed by imipenem/cilastatin was not effective. A urinary antigen test for Legionella was positive, making for a diagnosis of Legionella pneumonia. Intravenous treatment with ciprofloxacin (CPFX) was remarkably effective. His symptoms, chest X-ray and laboratory data rapidly improved after its initiation. Our findings strongly suggest that intravenous treatment with fluoroquinolones including CPFX should also be a first choice for Legionella pneumonia in Japan.
authors.affiliation: First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus, Nakagami-gun, Okinawa.
authors.forename: Shusaku
authors.initials: S
authors.lastname: Haranaga
authors.forename: Masato
authors.initials: M
authors.lastname: Toyama
authors.forename: Noriko
authors.initials: N
authors.lastname: Arakaki
authors.forename: Takayuki
authors.initials: T
authors.lastname: Miyara
authors.forename: Takashi
authors.initials: T
authors.lastname: Shinzato
authors.forename: Michio
authors.initials: M
authors.lastname: Koide
authors.forename: Futoshi
authors.initials: F
authors.lastname: Higa
authors.forename: Masao
authors.initials: M
authors.lastname: Tateyama
authors.forename: Atsushi
authors.initials: A
authors.lastname: Saito
mesh_terms: D000368:Aged; D000890:Anti-Infective Agents / Q000008:administration & dosage*; D002939:Ciprofloxacin / Q000008:administration & dosage*; D006801:Humans; D007275:Injections, Intravenous; D007877:Legionnaires' Disease / Q000188:drug therapy*; D008297:Male; D012074:Remission Induction
chemical_list: D000890:Anti-Infective Agents; D002939:Ciprofloxacin