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Chapter 39 : Legionnaires’ Disease Associated with Death after Near Drowning in Lake Water

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Legionnaires’ Disease Associated with Death after Near Drowning in Lake Water, Page 1 of 2

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Abstract:

Direct aspiration of water during submersion has caused Legionnaires’ disease (LD) cases. This chapter presents one such case caused by 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 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 sg 10 and sg 13.

Citation: Kusnetsov J, Pastila S, Mentula S, S. J. Lindsay D. 2006. Legionnaires’ Disease Associated with Death after Near Drowning in Lake Water, p 146-148. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch39

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Acute Respiratory Distress Syndrome
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References

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1. Bozeman, F. M.,, J. W. Humphries, and, J. M. Campbell. 1968.A new group of Rickettsia-like agents recovered from guinea pigs. Acta Virol. 12:8793.
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8. Lindsay, D. S.,, W. Abraham,, G. Edwards, and, R.W. Girdwood. 2002. Detection of Legionella-specific DNA in serum, p. 216220. In R. Marre,, Y. Abu Kwaik,, C. Bartlett,, N. P. Cianciotto,, B. S. Fields,, M. Frosch,, J. Hacker, and P. C. Lück (ed.). Legionella. ASM Press, Washington, D.C.
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10. Yabuuchi, E.,, H. Miyamoto,, S. Yoshida,, R. Shiota, and, K. Yamamoto. 1996. Determination of hot spring spa water as the source of infection in a case of acute pneumonia due to Legionella pneumophila serogroup 3, p. 99101. In B. Berdal (ed.). Legionella Infections and Atypical Pneumonias. Proceedings of the 11th Meeting of the European Working Group on Legionella Infections. The Norwegian Defence Microbiological Laboratory, Oslo.

Tables

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TABLE 1

General vital functions of patient immediately after the near-drowning incident

Citation: Kusnetsov J, Pastila S, Mentula S, S. J. Lindsay D. 2006. Legionnaires’ Disease Associated with Death after Near Drowning in Lake Water, p 146-148. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch39

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