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Legionella sainthelensi Pneumonia with Abdominal Symptoms as Prominent Manifestations

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TLDR
In this article , an immunocompromised patient with cavitary pneumonia caused by Legionella sainthelensi had abdominal distension and liver function impairment, and the timely administration of moxifloxacin provided clinical improvement and resolution of symptoms.
Abstract
Few studies have reported Legionella sainthelensi infection. This infection primarily presents with respiratory manifestations. Here, we report an immunocompromised patient with cavitary pneumonia caused by L. sainthelensi who mainly had abdominal symptoms. The timely administration of moxifloxacin provided clinical improvement and resolution of symptoms. To our knowledge, this is one of the rare cases of L. sainthelensi infection presenting uniquely with abdominal distension and liver function impairment but without obvious respiratory symptoms.

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Journal ArticleDOI

Legionella and Legionnaires' Disease: 25 Years of Investigation

TL;DR: There is optimism that newly developed guidelines and water treatment practices can greatly reduce the incidence of this preventable illness, and there is a critical need for surveillance for travel-related legionellosis in the United States.
Journal ArticleDOI

Delay in appropriate therapy of Legionella pneumonia associated with increased mortality.

TL;DR: It is recommended that erythromycin be included early in the empiric therapy of severe community-acquired pneumonia, as well as clinical and laboratory factors predictive of mortality, to examine whether an association exists between delayed therapy and prognosis.
Journal ArticleDOI

Understanding and overcoming the pitfalls and biases of next-generation sequencing (NGS) methods for use in the routine clinical microbiological diagnostic laboratory.

TL;DR: The authors provide a general introduction to the most widely used NGS methods currently available and a novel diagnostic microbiota profiling platform (‘MYcrobiota’) is introduced, which was developed by the authors by taking into consideration the pitfalls, biases, and solutions explained in this article.
Journal ArticleDOI

Nosocomial legionellosis: a review of pulmonary and extrapulmonary syndromes.

TL;DR: A large percentage of extrapulmonary Legionella infections may result from direct topical exposure of susceptible tissue to contaminated tap water, and use of tap water must be carefully monitored, particularly in dressing changes and bathing of surgical patients.
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