Abstract
We report a case of fatal Legionella maceachernii pneumonia in a 49 year-old man with HIV infection and review the 3 previous reported cases, all of which occurred in individuals with underlying immune defects. Infection with L. maceachernii was attributable to the deaths of all cases. Issues related to the clinical aspects, laboratory identification of this unusual species, and detection of Legionnaires' diseases are discussed.
MeSH terms
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AIDS-Related Opportunistic Infections / diagnosis*
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AIDS-Related Opportunistic Infections / therapy*
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Anti-Bacterial Agents
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Combined Modality Therapy
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Disease Progression
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Drug Therapy, Combination / therapeutic use
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Fatal Outcome
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Humans
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Legionella / classification*
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Legionnaires' Disease / diagnosis*
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Legionnaires' Disease / therapy*
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Male
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Middle Aged
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Respiration, Artificial
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Risk Assessment
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Severity of Illness Index