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A case of Legionella pneumophila pneumonia complicated by miliary tuberculosis
Author(s) -
UCHIDA Kou,
AOIKE Nozomi,
YOSHIDA Kanako,
KOYA Ai,
TAKAI Yujiro,
TATEDA Kazuhiro,
YAMAGUCHI Keizo
Publication year - 2003
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1046/j.1440-1843.2003.00440.x
Subject(s) - medicine , miliary tuberculosis , legionella pneumophila , pneumonia , respiratory distress , legionnaires' disease , erythromycin , rifampicin , tuberculosis , legionella , respiratory system , lung , radiology , intensive care medicine , pathology , antibiotics , microbiology and biotechnology , biology , bacteria , genetics
A 47‐year‐old woman was admitted to hospital with severe Legionella pneumonia. The respiratory symptoms improved dramatically and the X‐rays revealed a decrease in the diffuse chest infiltrates after treatment with erythromycin and rifampicin. However, chest CT scans showed that the reticulonodular opacities persisted for several weeks after the onset of pneumonia. Two months after admission, the chest X‐rays showed the progression of small nodules in both lungs and there was increasing respiratory distress. A diagnosis of miliary tuberculosis was confirmed. The present case should alert physicians to this potentially confusing combination of respiratory pathogens.