Cerebellar involvement that occurred during treatment of Legionella pneumonia: A case report

Lejyoner hastalığı farklı klinik tablolar ile karşımıza çıkabilmektedir. Bu vakada toplumdan kazanılmış Lejyonella pnömonisi tedavisi görmekte olan sağlıklı bir kadın hastanın, tedavisi sırasında ciddi akut solunum sıkıntısı sendromu ve serebellar fonksiyon bozukluğu gelişmesi bildirilmiştir. Pnömoni ile birlikte nörolojik semptomların görülmesi Lejyonella enfeksiyonunu akla getirmelidir

Cerebellar involvement that occurred during treatment of Legionella pneumonia: A case report

Özlem Alıcı, Canan Ağalar Legionnaires\' disease can appear with different levels of severity. A case of a previously healthy lady with community-acquired pneumonia who progressed to severe acute respiratory distress syndrome and developed cerebellar dysfunc­tion is reported. In patients presenting with neurological symptoms after an episode of pneumonia, Legionella infection should be considered.
Keywords:

Legionella,

___

  • Edelstein PH, Ciancioti NP. Legionella. In: Mandell GL, Ben- nett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th edn. Philadelphia, PA: Elsevier Churchill-Liv- ingstone. 2009:2969-2983.
  • Cunha BA. Severe Legionella pneumonia: rapid presump- tive clinical diagnosis with Winthrop-University Hospital’s weighted point score system (modified). Heart Lung 2008; 37:311-320.
  • Shelburne SA, Kielhofner MA, Tiwari PS. Cerebellar involve- ment in legionellosis. Southern Med J 2004; 97:61-64.
  • Kassha K, Abuanza I, Hadi SA, Hilton R. Severe Legionnaires disease complicated by multi-organ dysfunction in a previ- ously healthy patient: a case report. Cases J 2009;2:9151.
  • Basani SR, Ahmed SM, Habte-Gabr E. Legionnaires’ disease with facial nerve palsy. Case Rep Med 2011:4.
  • de Lau LM, Siepman DA, Remmers MJ, Terwindt GM, Hintzen RQ. Acute disseminating encephalomyelitis following legion- naires’ disease. Arch Neurol 2010; 67:623-626.
  • Weir AI, Bone I, Kennedy DH. Neurological involvement in legionellosis. J Neurol Neurosurg Psychiatry 1982; 45:603- 608.
  • Morgan JC, Cavaliere R, Juel VC. Reversible corpus callosum lesion in legionnaires’ disease. J Neurol Neurosurg Psychia- try 2004;75:651-654.
  • Baker PC, Price TR, Allen CD. Brain stem and cerebellar dysfunction with Legionnaires’ disease. J Neurol Neurosurg Psychiatry 1981;44:1054-1056.
  • Maskill MR, Jordan EC. Pronounced cerebellar fea- tures in Legionnaires’ disease. Br Med J (Clin Res Ed) 1981;283(6286):276.
  • Morgan DJ, Gawler J. Severe peripheral neuropathy com- plicating Legionnaires’ disease. Br Med J (Clin Res Ed) 1981;283:1577-1578.
  • Shetty KR, Cilyo CL, Starr BD, Harter DH. Legionnaires’ disease with profound cerebellar involvement. Arch Neurol 1980;37:379-380.
  • Bernardini DL, Lerrick KS, Hoffman K, Lange M. Neurogenic bladder. New clinical finding in Legionnaires’ disease. Am J Med 1985;78(6 Pt 1):1045-1046.
  • Johnson JD, Raff MJ, Van Arsdall JA. Neurologic mani- festations of Legionnaires’ disease. Medicine (Baltimore) 1984;63:303-310.
  • Plaschke M, Ströhle A, Then Bergh F, Backmund H, Trenk- walder C. Neurologic and psychiatric symptoms of Legionella infection. Case report and overview of the clinical spectrum. Nervenarzt. 1997;68:342-325. (Article in German).
  • Imai N, Yagi N, Konishi T, Serizawa M, Kobari M. Legion- naires’ disease with hypoperfusion in the cerebellum and frontal lobe on single photon emission computed tomogra- phy. Intern Med 20.
Journal of Microbiology and Infectious Diseases-Cover
  • ISSN: 2146-3158
  • Başlangıç: 2011
  • Yayıncı: Sağlık Araştırmaları Derneği
Sayıdaki Diğer Makaleler

In-vitro susceptibility of multiple drug resistant Pseudomonas aeruginosa to organic acids

Basavraj S NAGOBA, Bharat WADHER, Sohan SELKAR

The effects of snake venom on serum copper, zinc and magnesium levels in patients with snake bite

Cemal USTUN, İbrahim TEGİN, Mehmet Faruk GEYİK

Cerebellar involvement that occurred during treatment of Legionella pneumonia: A case report

Özlem ALICI, Canan AĞALAR

Clonal relation of nasal MRSA carrier status among hospital personnel, hospitalized patients and community

Mehmet Çabalak, Ahmet Kalkan, Nuran Akmirza İnci, Ahmet Çalışkan, Kutbeddin Demirdağ

Extended Spectrum B-lactamases and antimicrobial susceptibility among clinical isolates of Pseudomonas aeruginosa in the West Bank, Palestine

Tamer Essawi, Mohammad A Farraj, Israr Sabri

Toxoplasmosis: The value of molecular methods in diagnosis compared to conventional methods

Zineb TLAMCANİ, Zohra LEMKHENETE, Badre Eddine LMİMOUNİ

Helicobacter pylori in primary gastric lymphoma and gastric cancer: A clinicopathologic and prognostic assessment

Mehmet Kucukoner, Ozan Balakan, Muhammed Ali Kaplan, Ali Inal, Zuhat URAKCİ, Ulas Alabalik, Sinan Dal, Yilmaz Yildiz, Abdurrahman Isikdogan

Bioactive metabolite production by Streptomyces albolongus in favourable environment

Myn UDDİN, Nuruddin MAHMUD, Nural ANWAR, Mohammed Abul MANCHUR

Small colony variant of methicillin-resistant Staphylococcus aureus isolated from an osteomyelitis case

Server YAĞCI, Şükriye KÜRKÇÜOĞLU, Sukriye Kurkcuoglu, Barış Doğan ÖZTÜRK, Fatma Şebnem ERDİNÇ, Necla Eren TULEK

Otogenic meningoencephalitis caused by Streptococcus pneumoniae

Tsetsa Georgieva DOİCHİNOVA, Galya İvanova GANCHEVA, Stefan İvanov MİRCHEV, Nachko İliev TOTSEV