Legionella pneumophila pneumonia successfully treated with intravenous ciprofloxacin.
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.
Haranaga
Shusaku
S
First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus, Nakagami-gun, Okinawa.
Toyama
Masato
M
Arakaki
Noriko
N
Miyara
Takayuki
T
Shinzato
Takashi
T
Koide
Michio
M
Higa
Futoshi
F
Tateyama
Masao
M
Saito
Atsushi
A
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
D000890:Anti-Infective Agents; D002939:Ciprofloxacin