Legionella pneumonia

Case contributed by Dr Henry Knipe

Presentation

Febrile neutropaenia.

Patient Data

Age: 60 years old
Gender: Male
X-ray

Extensive left lower lobe consolidation with obscuration of the left hemidiaphragm silhouette. Right internal jugular central venous line. 

CT

Dense left lower lobe consolidation with patchy right middle and lower lobe consolidation. Right internal jugular CVC. 

Case Discussion

Urinary Legionella antigen was positive and subsequently Legionella pneumophila was isolated from sputum culture. There are no specific features to suggest Legionella infection on x-ray or CT. This patient was immunosuppressed post chemotherapy induction for treatment of a haematological malignancy.  

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Case information

rID: 45780
Case created: 7th Jun 2016
Last edited: 20th Jul 2016
Systems: Chest, Oncology
Inclusion in quiz mode: Included

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