Open AccessCan we truly rely on the urinary antigen test for the diagnosis? Legionella case report
Author(s) -
Miyata Jun,
Huh Ji Young,
Ito Yukiko,
Kobuchi Taketsune,
Kusukawa Kazuko,
Hayashi Hiroyuki
Publication year - 2017
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.16
Subject(s) - legionella , medicine , hyponatremia , pneumonia , clinical diagnosis , intensive care medicine , medical history , urinary system , antigen , immunology , bacteria , genetics , biology
It is critical to diagnose and treat Legionella pneumonia ( LP ) immediately after infection because of the associated high mortality. The urine antigen test ( UAT ) is often used for the diagnosis of LP ; however, it cannot detect the serogroups of all Legionella species. A detained medical history and several clinical findings such as liver enzyme elevation and hyponatremia are useful in diagnosis. Some specific types of Legionella are found in compost. Herein, we report a case of LP in which the patient's medical history and several clinical findings were useful for diagnosis.