Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis
Open Access
- 1 August 2020
- journal article
- research article
- Published by Japanese Society of Internal Medicine in Internal Medicine
- Vol. 59 (15), 1913-1918
- https://doi.org/10.2169/internalmedicine.4530-20
Abstract
We herein report a case of fulminant Legionnaires' disease with autopsy findings in a patient on maintenance hemodialysis (HD). Chronic kidney disease is a strong risk factor for Legionnaires' disease, although there have been only a few reports in HD patients. Because most patients on HD are anuric, the use of rapid assay kits to detect antigens in urine samples for the diagnosis of Legionnaires' disease is not always feasible. We suggest the use of clinical predictive tools or the loop-mediated isothermal amplification (LAMP) method, which can be applied for anuric patients, such as those on HD, with pneumonia.Keywords
This publication has 26 references indexed in Scilit:
- Severity of illness scoring systems in community-acquired Legionella pneumoniaCritical Care, 2010
- Clinical predictors for Legionella in patients presenting with community-acquired pneumonia to the emergency departmentBMC Pulmonary Medicine, 2009
- December consultation # 2Journal of Cataract & Refractive Surgery, 2008
- Fluoroquinolones vs Macrolides in the Treatment of Legionnaires DiseaseSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2005
- Clinical Outcomes for Hospitalized Patients with Legionella Pneumonia in the Antigenuria Era: The Influence of Levofloxacin TherapyClinical Infectious Diseases, 2005
- Antimicrobial Chemotherapy for Legionnaires Disease: Levofloxacin versus MacrolidesClinical Infectious Diseases, 2005
- Clinical Diagnosis of Legionella Pneumonia Revisited: Evaluation of the Community-Based Pneumonia Incidence Study Group Scoring SystemClinical Infectious Diseases, 2003
- Comparative Study of the Clinical Presentation of Legionella Pneumonia and Other Community-Acquired PneumoniasSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 1998
- Surveillance for Legionnaires' disease. Risk factors for morbidity and mortalityArchives of Internal Medicine, 1994
- Cytomegalovirus and legionella species as the cause of liver enzyme elevations in haemodialysis patientsJournal of Hospital Infection, 1989