A case of Legionella pneumophila pneumonia complicated by miliary tuberculosis

A 47‐year‐old woman was admitted to hospital with severe Legionella pneumonia. The respiratory symptoms improved dramatically and the X‐rays revealed a decrease in the diffuse chest infiltrates after treatment with erythromycin and rifampicin. However, chest CT scans showed that the reticulonodular...

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Bibliographic Details
Published in:Respirology (Carlton, Vic.) Vic.), 2003-06, Vol.8 (2), p.249-251
Main Authors: UCHIDA, Kou, AOIKE, Nozomi, YOSHIDA, Kanako, KOYA, Ai, TAKAI, Yujiro, TATEDA, Kazuhiro, YAMAGUCHI, Keizo
Format: Article
Language:English
Subjects:
Diagnosis, Differential
Female
Humans
Legionella pneumophila
Legionnaires' Disease - complications
Legionnaires' Disease - diagnosis
Lung - diagnostic imaging
Middle Aged
miliary tuberculosis
Mycobacterium tuberculosis
polymerase chain reaction
Tomography, X-Ray Computed
Tuberculosis, Miliary - complications
Tuberculosis, Miliary - diagnosis
urinary Legionella antigen
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Summary:A 47‐year‐old woman was admitted to hospital with severe Legionella pneumonia. The respiratory symptoms improved dramatically and the X‐rays revealed a decrease in the diffuse chest infiltrates after treatment with erythromycin and rifampicin. However, chest CT scans showed that the reticulonodular opacities persisted for several weeks after the onset of pneumonia. Two months after admission, the chest X‐rays showed the progression of small nodules in both lungs and there was increasing respiratory distress. A diagnosis of miliary tuberculosis was confirmed. The present case should alert physicians to this potentially confusing combination of respiratory pathogens.
ISSN:1323-7799
1440-1843
DOI:10.1046/j.1440-1843.2003.00440.x