Legionella pneumonia: infection during immunosuppressive therapy for idiopathic pulmonary hemosiderosis.
We report a case of Legionella pneumonia in a 10-year-old girl with idiopathic pulmonary hemosiderosis who was chronically immunosuppressed and had exposure to a hot tub. Prompt diagnosis with bronchoalveolar lavage and subsequent antimicrobial therapy resulted in full recovery. Legionellosis should be included in the differential diagnosis of the immunosuppressed child with respiratory illness. High risk patients should avoid exposure to hot tubs.
Watson
Andrea M
AM
Department of Pediatrics and Adolescent Medicine, Mayo Clinic College of Medicine, Tochester, MN 55905, USA.
Boyce
Thomas G
TG
Wylam
Mark E
ME
D002648:Child; D004359:Drug Therapy, Combination; D005260:Female; D005500:Follow-Up Studies; D006486:Hemosiderosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects* / Q000627:therapeutic use; D007262:Infusions, Intravenous; D007877:Legionnaires' Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D008171:Lung Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D015242:Ofloxacin / Q000008:administration & dosage; D009894:Opportunistic Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013902:Radiography, Thoracic; D012293:Rifampin / Q000008:administration & dosage; D018570:Risk Assessment; D016896:Treatment Outcome
D007166:Immunosuppressive Agents; D015242:Ofloxacin; D012293:Rifampin