title: Legionella pneumonia: infection during immunosuppressive therapy for idiopathic pulmonary hemosiderosis.
abstract: 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.
authors.affiliation: Department of Pediatrics and Adolescent Medicine, Mayo Clinic College of Medicine, Tochester, MN 55905, USA.
authors.forename: Andrea M
authors.initials: AM
authors.lastname: Watson
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Boyce
authors.forename: Mark E
authors.initials: ME
authors.lastname: Wylam
mesh_terms: 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
chemical_list: D007166:Immunosuppressive Agents; D015242:Ofloxacin; D012293:Rifampin