A case of a previously healthy lady with community-acquired pneumonia who progressed to severe acute respiratory distress syndrome, acute renal failure, disseminated intravascular coagulation and sepsis is reported. Treatment with antibiotics and various modes of mechanical ventilation in the intensive care unit were successful. A urinary legionella antigen test was positive for Legionella pneumophila.
Legionella is a cause of both community and nosocomial pneumonia. A recent study found that it accounted for 2 to 9% of community-acquired pneumonia. Unless anti-Legionella antibiotics are selected, the mortality of legionellosis has been reported to be 60-70%; the use of appropriate antibiotics decreases mortality to 10-20%. We report a case of severe Legionella pneumonia that was successfully treated with antibiotics, corticosteroid and various modes of mechanical ventilation in the intensive care unit.
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