Pneumonia Caused by <I>Legionella micdadei</I> in a Fatal Case and its Bacteriological Characteristics

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  • KOIDE Michio
    Department of Bacteriology, Public Health Research Institute of Kobe City
  • MINAMIDE Masayuki
    Department of Bacteriology, Public Health Research Institute of Kobe City
  • NUKINA Masafumi
    Department of Bacteriology, Public Health Research Institute of Kobe City
  • NAKANISHI Hisao
    Department of Bacteriology, Public Health Research Institute of Kobe City
  • KAMIKI Teruo
    Department of Bacteriology, Public Health Research Institute of Kobe City
  • ISHIKAWA Takayuki
    Department of Internal Medicine, Kobe Central Municipal Hospital
  • NAGAI Kennichi
    Department of Internal Medicine, Kobe Central Municipal Hospital
  • UMEDA Fumiichi
    Department of Internal Medicine, Kobe Central Municipal Hospital
  • SHIRANE Hirofumi
    Department of Clinical Pathology, Kobe Central Municipal Hospital
  • SAITOH Atsushi
    First Department of Internal Medicine, Ryukyu University School of Medicine

Bibliographic Information

Other Title
  • <I>Legionella micdadei</I>による致命的肺炎症例と分離菌の細菌学的性状
  • Legionella micdadeiによる致命的肺炎症例と分離菌の細菌学的性状
  • Legionella micdadei ニ ヨル チメイテキ ハイエン ショウ
  • Pneumonia Caused by Legionella micdadei in a Fatal Case and its Bacteriological Characteristics

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Description

This is the first case with Legionella micdadei isolated from a patient of fatal pneumonia in Japan. The patient was 61 years old male, and had myeloma as the underlying disease. He admitted a clinic for high fever and headache on September 11, 1986. After 8 days, he admitted Kobe Central Municipal Hospital as an emergency case for respiratory distress, cyanosis and hypoxemia. Chest X-ray showed homogenous shadow in all the lung fields without right middle and lower lobe. Despite of treatment with latamoxef, dibekacin and erythromycin, he died with DIC and pulmonary bleeding on Sept. 25. Legionella colonies were observed in pure culture on BCYEα agar plate from both lungs taken out during the autopsy. Fatty acid profile, biochemical and serological characteristics of the organism isolated was all identical with L. micdadei.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 62 (1), 1-6, 1988

    The Japanese Association for Infectious Diseases

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