Legionella maceachernii pneumonia in a patient with HIV infection.
We report a case of fatal Legionella maceachernii pneumonia in a 49 year-old man with HIV infection and review the 3 previous reported cases, all of which occurred in individuals with underlying immune defects. Infection with L. maceachernii was attributable to the deaths of all cases. Issues related to the clinical aspects, laboratory identification of this unusual species, and detection of Legionnaires' diseases are discussed.
Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Kimberly
K
Dumoff
Paul C
PC
McGovern
Paul H
PH
Edelstein
Irving
I
Nachamkin
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000628:therapy*; D000900:Anti-Bacterial Agents; D003131:Combined Modality Therapy; D018450:Disease Progression; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D017809:Fatal Outcome; D006801:Humans; D007875:Legionella / Q000145:classification*; D007877:Legionnaires' Disease / Q000175:diagnosis* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D018570:Risk Assessment; D012720:Severity of Illness Index
D000900:Anti-Bacterial Agents