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Chapter 39 : Legionnaires’ Disease Associated with Death after Near Drowning in Lake Water
Direct aspiration of water during submersion has caused Legionnaires’ disease (LD) cases. This chapter presents one such case caused by Legionella pneumophila with a novel source of infection. Appropriate antimicrobial therapy was given once LD was identified, in addition to the antibiotics targeted against other pathogens. The patient suffered from bilateral lung infiltrates, pleural effusion, and cavitation of lung parenchyma, all symptoms of LD. The patient had LD and Pseudomonas aeruginosa and fungal infections. The pulmonary damage led to multiorgan failure, and the secondary or co-infections contributed to his death. LD cases have also occurred in neonates after water births. Immersion in river water has resulted in at least two reported LD cases caused by L. pneumophila sg 10 and sg 13.
Key Concept Ranking
- Acute Respiratory Distress Syndrome