Legionella micdadei lung abscess in a patient with hiv-associated nephropathy

A patient with end-stage renal disease due to human immunodeficiency-associated nephropathy developed fever, cough and chest pain over a week's duration. He was diagnosed with lung abscess and started on antibiotic coverage. He underwent bronchoscopy because of progression of his illness and pe...

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Bibliographic Details
Published in:	Journal of the National Medical Association Vol. 93; no. 6; pp. 220 - 223
Main Authors:	NZERUE, Chike, GOWDA, Anupama
Format:	Journal Article
Language:	English
Published:	Thorofare, NJ Slack 01-06-2001 Elsevier Limited National Medical Association
Subjects:	AIDS-Associated Nephropathy - complications Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Human bacterial diseases Humans Infectious diseases Kidney Failure, Chronic - complications Legionella - isolation & purification Legionellosis - complications Legionellosis - diagnosis Lung Abscess - complications Lung Abscess - microbiology Male Medical sciences Middle Aged HIV-1 virus Lung Male Legionella Association Bacteria Adult Complication Human Kidney disease Lung disease Urinary system disease Legionellaceae Respiratory disease Abscess Retroviridae Terminal stage Lentivirus Infection Virus Case study Antibiotic Chemotherapy Treatment Viral disease Renal failure Bacteriosis Human immunodeficiency virus Antibacterial agent
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Summary:	A patient with end-stage renal disease due to human immunodeficiency-associated nephropathy developed fever, cough and chest pain over a week's duration. He was diagnosed with lung abscess and started on antibiotic coverage. He underwent bronchoscopy because of progression of his illness and persistent fever and bronchoalveolar lavage culture isolated Legionella micdadei. In spite of appropriate antibiotic therapy, the patient remained febrile for 10 days, necessitating chest tube drainage. After a 6-week course of antibiotics and drainage, the patient made an uneventful recovery. Infections due to L. micdadei may be hard to diagnose because of difficulties in isolating this bacteria.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0027-9684 1943-4693