Fulminant Hepatitis During Legionella Pneumophila Infection

Mofredj, Ali; Bahloul, H.; Mrabet, Affef; Gineyt, G.; Rousselier, P.

doi:10.1097/ipc.0b013e31818ec244

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“…La Scola et al 26 isolated Legionella from multiple liver abscesses in a 7-year-old girl with acute lymphoblastic leukaemia. Mofredj et al 27 reported a fatal case of probable Legionellosis with severe hepatitis, as evidenced by a positive Legionella urinary antigen. Postmortem liver examination showed hepatic necrosis and centrilobular cytolysis with inflammation.…”

Section: Discussionmentioning

confidence: 99%

AcuteLegionella pneumophilainfection masquerading as acute alcoholic hepatitis

et al. 2013

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A middle-aged man had deteriorated rapidly in hospital after being misdiagnosed with acute alcoholic hepatitis. Acute Legionnaires disease (Legionellosis) was subsequently diagnosed on rapid antigen urinary testing and further confirmed serologically. This led to appropriate antibiotic treatment and complete clinical resolution. Physicians caring for patients with alcohol-related liver disease should considerLegionella pneumophilain their differential diagnosis even with a paucity of respiratory symptoms.

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Section: Discussionmentioning

confidence: 99%