title: Legionella pneumophila lung abscess associated with immune suppression.
abstract: Legionella species are a common cause of community-acquired pneumonia, infrequently complicated by cavitary disease. We describe Legionella pneumophila pneumonia and abscess formation in an immunosuppressed patient receiving corticosteroid therapy for metastatic breast carcinoma. The predisposing role of corticosteroids is discussed and the management of this complication is reviewed.
authors.affiliation: Department of Infectious Diseases, Western Health, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. stephen.guy@wh.org.au
authors.forename: S D
authors.initials: SD
authors.lastname: Guy
authors.forename: L J
authors.initials: LJ
authors.lastname: Worth
authors.forename: K A
authors.initials: KA
authors.lastname: Thursky
authors.forename: P A
authors.initials: PA
authors.lastname: Francis
authors.forename: M A
authors.initials: MA
authors.lastname: Slavin
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use; D001315:Australia / Q000453:epidemiology; D017963:Azithromycin / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000556:secondary; D001943:Breast Neoplasms / Q000150:complications / Q000188:drug therapy / Q000276:immunology; D002443:Ceftriaxone / Q000627:therapeutic use; D003131:Combined Modality Therapy; D016371:Cranial Irradiation; D003907:Dexamethasone / Q000009:adverse effects / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D016952:Legionella pneumophila / Q000276:immunology / Q000302:isolation & purification*; D007877:Legionnaires' Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000453:epidemiology / Q000276:immunology* / Q000601:surgery; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000276:immunology / Q000382:microbiology* / Q000601:surgery; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary; D008795:Metronidazole / Q000627:therapeutic use; D015575:Roxithromycin / Q000627:therapeutic use; D020775:Thoracic Surgery, Video-Assisted; D013907:Thoracostomy; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D008795:Metronidazole; D015575:Roxithromycin; D002443:Ceftriaxone; D003907:Dexamethasone; D017963:Azithromycin