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Lethal Legionella infection in an immunocompromised child: first reported case in the Middle East.

Abstract

Legionnaires disease continues to be underreported in the Middle East--a reflection of underdiagnosis, both clinically and by laboratory investigations. We draw the attention to this unusual cause of occasionally fatal, yet severe, pneumonia by reporting an immunocompromised infant who succumbed to Legionella pneumophila pneumonia. The urinary test for Legionella antigen was positive, and this was then confirmed by a bronchoalveolar fluid culture. Moreover we have reviewed the incidence, pathophysiology, association with immunodeficiency, diagnostic tools, and treatment in this case report.

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  • Authors

    Taha SA, Al-Ayed TM, Al-Haider SA, Frayha HH

    Institution

    Department of Pediatrics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. tayaed@kfshrc.edu.sa

    Source

    Annals of Saudi medicine 32:4 pg 430-2

    MeSH

    Antigens, Bacterial
    Bronchoalveolar Lavage Fluid
    Fatal Outcome
    Female
    Humans
    Immunocompromised Host
    Infant
    Legionella pneumophila
    Legionnaires' Disease
    Pneumonia, Bacterial
    Saudi Arabia
    Severity of Illness Index

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    22705619