A Case of Severe <i>Legionella</i> Pneumonia in which Survival was Achieved Without Sequelae with the Use of Extracorporeal Membrane Oxygenation (ECMO)

DOI Web Site 1 Citations 37 References
  • KATO Hirofumi
    Department of Pulmonary Medicine, Tokyo Metropolitan Tama Medical Center Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital
  • MURATA Kengo
    Department of Pulmonary Medicine, Tokyo Metropolitan Tama Medical Center
  • KASHIYAMA Tetsuya
    Department of Emergency Medicine, Tokyo Metropolitan Tama Medical Center
  • OKAMOTO Syoichi
    Department of Pulmonary Medicine, Tokyo Metropolitan Tama Medical Center
  • MIKURA Shinichiro
    Department of Pulmonary Medicine, Tokyo Metropolitan Tama Medical Center
  • TAKAMORI Mikio
    Department of Pulmonary Medicine, Tokyo Metropolitan Tama Medical Center

Bibliographic Information

Other Title
  • ECMO 導入にて後遺症なく救命し得た重症レジオネラ肺炎の 1 例
  • 症例 ECMO導入にて後遺症なく救命し得た重症レジオネラ肺炎の1例
  • ショウレイ ECMO ドウニュウ ニテ コウイショウ ナク キュウメイ シエタ ジュウショウ レジオネラ ハイエン ノ 1レイ

Search this article

Description

A 54-year-old man presented with fever and dyspnea about a week before his admission. We diagnosed Legionella pneumonia from his chest X-ray imaging which showed bilateral lobe consolidation excluding the left upper lobe, and his sputum culture yielded Legionella pneumophilla serogroup 1. Combination therapy with levofloxacin and rifampin was started on admission. However, the patient developed severe acute respiratory distress syndrome (ARDS) and then extracorporeal membrane oxygenation (ECMO) was initiated on the 2nd day. His respiratory status gradually improved after that and he was weaned from ECMO on the 7th day. He was discharged without sequelae on the 36th day. The outcome suggests that use of ECMO should be considered for patients with severe Legionella pneumonia.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 87 (3), 375-379, 2013

    The Japanese Association for Infectious Diseases

Citations (1)*help

See more

References(37)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top