Legionella pneumonia presenting with bilateral flank pain, hyponatraemia and acute renal failure

Legionnaires’ disease (LD) is an often overlooked but a possiblecause of sporadic community acquired pneumonia. High fever,cough and gastrointestinal symptoms are non-specific symptoms.Hyponatremia is more common in LD than pneumonia linkedwith other causes. A definitive diagnosis is usually confirm...

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Bibliographic Details
Published in:Canadian Urological Association journal 2013-04, Vol.5 (6), p.96
Main Authors: Birkin, Celia, Biyani, Chandra Shekhar, Browning, Anthony J.
Format: Article
Language:English
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Summary:Legionnaires’ disease (LD) is an often overlooked but a possiblecause of sporadic community acquired pneumonia. High fever,cough and gastrointestinal symptoms are non-specific symptoms.Hyponatremia is more common in LD than pneumonia linkedwith other causes. A definitive diagnosis is usually confirmed byculture, urinary antigen testing for Legionella species. Macolideor quinolone antibiotic is the treatment of choice. We describe acase of Legionella pneumonia presenting with high fever, bilateralflank pain and oliguria. It is important for clinicians to be awareof this diagnosis when managing patients with flank pain. Thecase highlights the problems in differentiating LD from renal colicand the importance of proper history, physical examination withlaboratory tests for appropriate management.
ISSN:1911-6470
1920-1214
DOI:10.5489/cuaj.738