title: Severe non-type-1 Legionella pneumophila infection without pneumonia.
abstract: We present a patient with myalgia and ongoing fever without respiratory symptoms caused by a Legionella pneumophilia infection. We conclude that in patients with fever of unknown origin legionellosis should be considered, even in the absence of pulmonary symptoms. When considering legionellosis, diagnostic tests should include the urinary antigen test.
authors.affiliation: Department of Internal Medicine, Ikazia Hospital, Rotterdam, the Netherlands. a.deweerd@erasmusmc.nl
authors.forename: A
authors.initials: A
authors.lastname: de Weerd
authors.forename: M
authors.initials: M
authors.lastname: van Rijn
authors.forename: R
authors.initials: R
authors.lastname: Baggen
authors.forename: A
authors.initials: A
authors.lastname: Dees
mesh_terms: D005335:Fever of Unknown Origin / Q000209:etiology* / Q000382:microbiology / Q000652:urine; D006801:Humans; D016952:Legionella pneumophila / Q000302:isolation & purification*; D007876:Legionellosis / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000652:urine; D008297:Male; D008875:Middle Aged