Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis.
Legionella pneumophila
atypical pneumonia
hemodialysis patients
immunocompromised hosts
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
01 Aug 2020
01 Aug 2020
Historique:
pubmed:
24
4
2020
medline:
9
1
2021
entrez:
24
4
2020
Statut:
ppublish
Résumé
We herein report a case of fulminant Legionnaires' disease with autopsy findings in a patient on maintenance hemodialysis (HD). Chronic kidney disease is a strong risk factor for Legionnaires' disease, although there have been only a few reports in HD patients. Because most patients on HD are anuric, the use of rapid assay kits to detect antigens in urine samples for the diagnosis of Legionnaires' disease is not always feasible. We suggest the use of clinical predictive tools or the loop-mediated isothermal amplification (LAMP) method, which can be applied for anuric patients, such as those on HD, with pneumonia.
Identifiants
pubmed: 32321897
doi: 10.2169/internalmedicine.4530-20
pmc: PMC7474993
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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