title: A case of Legionella pneumophila pneumonia complicated by miliary tuberculosis.
abstract: A 47-year-old woman was admitted to hospital with severe Legionella pneumonia. The respiratory symptoms improved dramatically and the X-rays revealed a decrease in the diffuse chest infiltrates after treatment with erythromycin and rifampicin. However, chest CT scans showed that the reticulonodular opacities persisted for several weeks after the onset of pneumonia. Two months after admission, the chest X-rays showed the progression of small nodules in both lungs and there was increasing respiratory distress. A diagnosis of miliary tuberculosis was confirmed. The present case should alert physicians to this potentially confusing combination of respiratory pathogens.
authors.affiliation: Second Department of Internal Medicine, Toho University School of Medicine, Tokyo, Japan. uchidak@med.toho-u.ac.jp
authors.forename: Kou
authors.initials: K
authors.lastname: Uchida
authors.forename: Nozomi
authors.initials: N
authors.lastname: Aoike
authors.forename: Kanako
authors.initials: K
authors.lastname: Yoshida
authors.forename: Ai
authors.initials: A
authors.lastname: Koya
authors.forename: Yujiro
authors.initials: Y
authors.lastname: Takai
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Tateda
authors.forename: Keizo
authors.initials: K
authors.lastname: Yamaguchi
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications / Q000175:diagnosis*; D008168:Lung / Q000000981:diagnostic imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014391:Tuberculosis, Miliary / Q000150:complications / Q000175:diagnosis*