A case of Legionella pneumophila pneumonia followed by invasive aspergillosis.

نویسندگان

  • Tomomi Saijo
  • Koichi Izumikawa
  • Takahiro Takazono
  • Kosuke Kosai
  • Shintaro Kurihara
  • Shigeki Nakamura
  • Yoshifumi Imamura
  • Taiga Miyazaki
  • Masafumi Seki
  • Hiroshi Kakeya
  • Yoshihiro Yamamoto
  • Katsunori Yanagihara
  • Yoshitsugu Miyazaki
  • Kiyoyasu Fukushima
  • Shigeru Kohno
چکیده

We report a rare case of Legionella pneumophila pneumonia followed by invasive aspergillosis (IA). Legionellosis was ameliorated by the administration of ciprofloxacin, erythromycin, and corticosteroid as adjunctive therapy. Although intravenous administration of the corticosteroid was effective at reducing severe inflammation due to legionellosis, IA occurred at 12 days after admission. Combination therapy with micafungin and voriconazole was effective in this case; however, it remains necessary to exercise caution when making decisions regarding indications for corticosteroid use and observation in the treatment of severe pneumonia patients.

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عنوان ژورنال:
  • Japanese journal of infectious diseases

دوره 61 5  شماره 

صفحات  -

تاریخ انتشار 2008