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[Cerebellar dysfunction due to pneumonia caused by Legionella pneumophila].
Ned Tijdschr Geneeskd. 2013; 157(20):A5643.NT

Abstract

BACKGROUND

Legionnaires' disease is frequently complicated by extrapulmonary symptoms such as neurological abnormalities. Cerebellar disorders are rare, but can be long-lasting and disabling.

CASE DESCRIPTION

A 57-year-old male developed severe cerebellar disorders such as dysarthria and ataxia after being hospitalized for pneumonia. Despite an extensive diagnostic work-up, no explanation for the cerebellar symptoms could be found. The patient was transferred to a rehabilitation facility. Repeated serological tests revealed infection with Legionella, which was most probably the cause of the cerebellar dysfunction.

CONCLUSION

Cerebellar disorders are a rare complication of Legionnaires' disease. The pathogenesis is unknown. There is no diagnostic test that proves or excludes cerebellar involvement in an infection caused by Legionella. The treatment is supportive and recovery can take months or even years.

Authors+Show Affiliations

Rijnstate ziekenhuis, Afd. Interne Geneeskunde, Arnhem, the Netherlands. m3kramer@rijnstate.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

dut

PubMed ID

23676128

Citation

Kramer, Matthijs, et al. "[Cerebellar Dysfunction Due to Pneumonia Caused By Legionella Pneumophila]." Nederlands Tijdschrift Voor Geneeskunde, vol. 157, no. 20, 2013, pp. A5643.
Kramer M, van Oostrom JC, Richter C, et al. [Cerebellar dysfunction due to pneumonia caused by Legionella pneumophila]. Ned Tijdschr Geneeskd. 2013;157(20):A5643.
Kramer, M., van Oostrom, J. C., Richter, C., & Gisolf, J. E. (2013). [Cerebellar dysfunction due to pneumonia caused by Legionella pneumophila]. Nederlands Tijdschrift Voor Geneeskunde, 157(20), A5643.
Kramer M, et al. [Cerebellar Dysfunction Due to Pneumonia Caused By Legionella Pneumophila]. Ned Tijdschr Geneeskd. 2013;157(20):A5643. PubMed PMID: 23676128.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Cerebellar dysfunction due to pneumonia caused by Legionella pneumophila]. AU - Kramer,Matthijs, AU - van Oostrom,Joost C H, AU - Richter,Clemens, AU - Gisolf,Jet E H, PY - 2013/5/17/entrez PY - 2013/5/17/pubmed PY - 2013/7/19/medline SP - A5643 EP - A5643 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 157 IS - 20 N2 - BACKGROUND: Legionnaires' disease is frequently complicated by extrapulmonary symptoms such as neurological abnormalities. Cerebellar disorders are rare, but can be long-lasting and disabling. CASE DESCRIPTION: A 57-year-old male developed severe cerebellar disorders such as dysarthria and ataxia after being hospitalized for pneumonia. Despite an extensive diagnostic work-up, no explanation for the cerebellar symptoms could be found. The patient was transferred to a rehabilitation facility. Repeated serological tests revealed infection with Legionella, which was most probably the cause of the cerebellar dysfunction. CONCLUSION: Cerebellar disorders are a rare complication of Legionnaires' disease. The pathogenesis is unknown. There is no diagnostic test that proves or excludes cerebellar involvement in an infection caused by Legionella. The treatment is supportive and recovery can take months or even years. SN - 1876-8784 UR - https://www.unboundmedicine.com/medline/citation/23676128/[Cerebellar_dysfunction_due_to_pneumonia_caused_by_Legionella_pneumophila]_ L2 - https://www.ntvg.nl/A5643 DB - PRIME DP - Unbound Medicine ER -