Acute pancreatitis caused by severe Legionella pneumophila infection

We report three cases of severe community-acquired Legionella pneumophila with acute pancreatitis. Pancreas involvement is unusual. The clinical presentations consisted of painless pancreatitis with only elevation of serum pancreatic enzymes (case 1), tender abdomen with edematous pancreas on comput...

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Bibliographic Details
Published in:Infection 2001-01, Vol.28 (6), p.329-331
Main Authors: Megarbane, B, Montambault, S, Chary, I, Guibert, M, Axler, O, Brivet, F G
Format: Article
Language:English
Subjects:
Legionella pneumophila
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Summary:We report three cases of severe community-acquired Legionella pneumophila with acute pancreatitis. Pancreas involvement is unusual. The clinical presentations consisted of painless pancreatitis with only elevation of serum pancreatic enzymes (case 1), tender abdomen with edematous pancreas on computed tomography scan (case 2) and necrosis (case 3). We discuss the possible mechanisms of L. pneumophila associated acute pancreatitis for which the pathophysiology is still undertermined: infection, toxin release or cytokine secretion.
ISSN:0300-8126