title: [Legionella longbeachae pneumonia infection from home garden soil].
abstract: A 72-year-old critically ill and intubated man was transferred to our hospital, because of worsening pneumonia unresponsive to Cefazolin and Meropenem, from the hospital where he had been admitted 8 days before to start maintenance hemodialysis for chronic renal failure but had fever from admission. In a few days his critical condition rapidly subsided with the initiation of Ciprofloxacin and his sputum culture on GVPC medium indicated Legionellosis, which was afterwards identified as L. longbeachae by PCR and DNA-DNA hybridization. After recovery he said that he had been fond of gardening and had been gardening immediately before the initial admission. Moreover, several reports from Australia suggested inhalation of aerosolized potting soil as the route of L. longbeacachae infection; therefore, we examined the soil of his home garden and identified it. Thus, we present this case as the first of L. longbeachae pneumonia in Japan, proved to be infected via inhalation of aerosolized home garden soil.
authors.affiliation: Department of Respiratory Medicine, Kobe City General Hospital.
authors.forename: Mio
authors.initials: M
authors.lastname: Kubota
authors.forename: Keisuke
authors.initials: K
authors.lastname: Tomii
authors.forename: Ryo
authors.initials: R
authors.lastname: Tachikawa
authors.forename: Yuka
authors.initials: Y
authors.lastname: Harada
authors.forename: Ryutaro
authors.initials: R
authors.lastname: Seo
authors.forename: Reiko
authors.initials: R
authors.lastname: Kaji
authors.forename: Yoshimi
authors.initials: Y
authors.lastname: Takeshima
authors.forename: Michio
authors.initials: M
authors.lastname: Hayashi
authors.forename: Takashi
authors.initials: T
authors.lastname: Nishimura
authors.forename: Kyousuke
authors.initials: K
authors.lastname: Ishihara
mesh_terms: D000336:Aerosols; D000368:Aged; D004269:DNA, Bacterial / Q000235:genetics; D006801:Humans; D044128:Legionella longbeachae / Q000235:genetics / Q000302:isolation & purification*; D007876:Legionellosis / Q000209:etiology*; D008297:Male; D009693:Nucleic Acid Hybridization; D018410:Pneumonia, Bacterial / Q000209:etiology*; D012988:Soil Microbiology
chemical_list: D000336:Aerosols; D004269:DNA, Bacterial