title: [Legionnaires' disease with acute renal failure caused by Legionella pneumophilla serogroup 4].
abstract: A 77-year-old man who had fever and chest pain was admitted to a neighboring hospital on a diagnosis of pneumonia. Chest X-ray film finding deteriorated despite treatment with 2 g cefotaxime per day. Because of accompanying acute renal failure, he was transferred to our hospital. Hemodialysis with intravenous administration of erythromycin and meropenem resulted in recovery from acute renal failure, and his general condition improved. Because of liver dysfunction, erythromycin was changed to pazufloxacin. Although he was negative for Legionella urinary antigen determined with a rapid assay kit, Binax NOW, his serum titer for Legionella pneumophila serogroup 4 was elevated. Finally, a diagnosis of Legionnaires' disease caused by Legionella pneumophila serogroup 4 was established.
authors.affiliation: Pulmonary Medicine and Clinical Immunology Dokkyo University School of Medicine, Division of Infetious Disease, Department of Internal Medicine.
authors.forename: Isano
authors.initials: I
authors.lastname: Hase
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Chibana
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ohara
authors.forename: Hidenori
authors.initials: H
authors.lastname: Takizawa
authors.forename: Tomoe
authors.initials: T
authors.lastname: Furihata
authors.forename: Issei
authors.initials: I
authors.lastname: Yamada
authors.forename: Yasutugu
authors.initials: Y
authors.lastname: Fukushima
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Ishii
authors.forename: Takeshi
authors.initials: T
authors.lastname: Fukuda
authors.forename: Michio
authors.initials: M
authors.lastname: Koide
authors.forename: Atsushi
authors.initials: A
authors.lastname: Saitou
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications*; D000368:Aged; D006801:Humans; D016952:Legionella pneumophila / Q000145:classification* / Q000302:isolation & purification; D007877:Legionnaires' Disease / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography; D012703:Serotyping