Adult human metapneumonovirus (hMPV) pneumonia mimicking Legionnaire's disease

Heart Lung. 2016 May-Jun;45(3):270-2. doi: 10.1016/j.hrtlng.2016.02.006. Epub 2016 Mar 15.

Abstract

In adults hospitalized with viral pneumonias the main differential diagnostic consideration is influenza pneumonia. The respiratory viruses causing viral influenza like illnesses (ILIs), e.g., RSV may closely resemble influenza. Rarely, extrapulmonary findings of some ILIs may resemble Legionnaire's disease (LD), e.g., adenovirus, human parainfluenza virus (HPIV-3). We present a most unusual case of human metapneumonovirus pneumonia (hMPV) with some characteristic extrapulmonary findings characteristic of LD, e.g., relative bradycardia, as well as mildly elevated serum transaminases and hyphosphatemia. We believe this is the first reported case of hMPV pneumonia in a hospitalized adult that had some features of LD.

Keywords: Elevated serum transaminases; Hyponatremia; Hypophosphatemia; Legionnaire's disease mimics; Relative bradycardia; Viral pneumonias.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antibodies, Viral / analysis*
  • Diagnosis, Differential
  • Female
  • Humans
  • Legionnaires' Disease / diagnosis*
  • Male
  • Metapneumovirus / immunology*
  • Paramyxoviridae Infections / diagnosis*
  • Paramyxoviridae Infections / virology
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / virology

Substances

  • Antibodies, Viral