Innocent victim of a localised outbreak: legionella endocarditis.
Legionella pneumophila endocarditis is extremely rare. The case of a fit 26 year old man who had previously undergone homograft aortic root replacement is reported. He was admitted with legionella pneumonia during the recent localised outbreak but went on to develop endocarditis. His aortic valve was replaced with a mechanical valve and he made an uneventful recovery. Public health issues and diagnosis in susceptible patients during localised outbreaks are discussed.
Massey
R
R
Department of Cardiothoracic Surgery, Royal Brompton Hospital, Sydney Street, London, UK. rmmassey@yahoo.co.uk
Kumar
P
P
Pepper
J R
JR
D000328:Adult; D001022:Aortic Valve Insufficiency / Q000601:surgery; D004196:Disease Outbreaks; D004697:Endocarditis, Bacterial / Q000382:microbiology* / Q000601:surgery; D004739:England / Q000453:epidemiology; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D016952:Legionella pneumophila; D007877:Legionnaires' Disease / Q000453:epidemiology / Q000382:microbiology*; D008297:Male; D012086:Reoperation