Diagnostic Utility of Splenial Lesions in a Case of Legionnaires' Disease due to Legionella pneumophila Serogroup 2
We herein report the case of a 49-year-old man with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with Legionnaires' disease due to Legionella pneumophila serogroup 2. Past reports suggest that Legionella infection is frequent in cases of MERS-a...
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Veröffentlicht in: | Internal Medicine 2015, Vol.54(23), pp.3079-3082 |
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creator | Tomizawa, Yuji Hoshino, Yasunobu Sasaki, Fuyuko Kurita, Naohide Kawajiri, Sumihiro Noda, Kazuyuki Hattori, Nobutaka Amemura-Maekawa, Junko Kura, Fumiaki Okuma, Yasuyuki |
description | We herein report the case of a 49-year-old man with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with Legionnaires' disease due to Legionella pneumophila serogroup 2. Past reports suggest that Legionella infection is frequent in cases of MERS-associated pneumonia. Obtaining an early diagnosis of legionella infection is a challenge, especially if a Legionella pneumophila serogroup other than serogroup 1 contains the causative agent. In this case, the splenial lesion played an important role in recognizing the legionella infection. We suggest that legionella infection should be considered as a differential diagnosis in cases of splenial lesions associated with pneumonia. |
doi_str_mv | 10.2169/internalmedicine.54.4872 |
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Past reports suggest that Legionella infection is frequent in cases of MERS-associated pneumonia. Obtaining an early diagnosis of legionella infection is a challenge, especially if a Legionella pneumophila serogroup other than serogroup 1 contains the causative agent. In this case, the splenial lesion played an important role in recognizing the legionella infection. We suggest that legionella infection should be considered as a differential diagnosis in cases of splenial lesions associated with pneumonia.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.54.4872</identifier><identifier>PMID: 26631897</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>clinically mild encephalitis/encephalopathy with a reversible splenial lesion ; Corpus Callosum - pathology ; Encephalitis - etiology ; Humans ; Legionella ; Legionella pneumophila - isolation & purification ; Legionella pneumophila serogroup 2 ; Legionnaires' disease ; Legionnaires' Disease - complications ; Legionnaires' Disease - diagnosis ; Legionnaires' Disease - pathology ; Male ; MERS ; Middle Aged</subject><ispartof>Internal Medicine, 2015, Vol.54(23), pp.3079-3082</ispartof><rights>2015 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c584t-523b448f4ed86b0677b439ebf153bbfd5194153bb130adc67a7684230b8dd0f83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,1885,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26631897$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tomizawa, Yuji</creatorcontrib><creatorcontrib>Hoshino, Yasunobu</creatorcontrib><creatorcontrib>Sasaki, Fuyuko</creatorcontrib><creatorcontrib>Kurita, Naohide</creatorcontrib><creatorcontrib>Kawajiri, Sumihiro</creatorcontrib><creatorcontrib>Noda, Kazuyuki</creatorcontrib><creatorcontrib>Hattori, Nobutaka</creatorcontrib><creatorcontrib>Amemura-Maekawa, Junko</creatorcontrib><creatorcontrib>Kura, Fumiaki</creatorcontrib><creatorcontrib>Okuma, Yasuyuki</creatorcontrib><title>Diagnostic Utility of Splenial Lesions in a Case of Legionnaires' Disease due to Legionella pneumophila Serogroup 2</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>We herein report the case of a 49-year-old man with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with Legionnaires' disease due to Legionella pneumophila serogroup 2. Past reports suggest that Legionella infection is frequent in cases of MERS-associated pneumonia. Obtaining an early diagnosis of legionella infection is a challenge, especially if a Legionella pneumophila serogroup other than serogroup 1 contains the causative agent. In this case, the splenial lesion played an important role in recognizing the legionella infection. We suggest that legionella infection should be considered as a differential diagnosis in cases of splenial lesions associated with pneumonia.</description><subject>clinically mild encephalitis/encephalopathy with a reversible splenial lesion</subject><subject>Corpus Callosum - pathology</subject><subject>Encephalitis - etiology</subject><subject>Humans</subject><subject>Legionella</subject><subject>Legionella pneumophila - isolation & purification</subject><subject>Legionella pneumophila serogroup 2</subject><subject>Legionnaires' disease</subject><subject>Legionnaires' Disease - complications</subject><subject>Legionnaires' Disease - diagnosis</subject><subject>Legionnaires' Disease - pathology</subject><subject>Male</subject><subject>MERS</subject><subject>Middle Aged</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE1P4zAQhq0VCArLX1j5BpcUf8V2jqiwsFKlHljOlpNMilFqBzs58O9xtqUHtJex5feZGetBCFOyZFRWt86PEL3td9C6xnlYlmIptGI_0IJyURWK8fIELUhFdcFyOUcXKb0RwrWq2Bk6Z1Jyqiu1QOne2a0PaXQNfhld78YPHDr8PPTgne3xGpILPmHnscUrm2BO17DNj966COka37sEc9BOgMdwCKHvLR48TLswvLp8f4YYtjFMA2Y_0Wln-wRXh_MSvfx--Lt6Ktabxz-ru3XRlFqMRcl4LYTuBLRa1kQqVQteQd3Rktd115a0Ev-ulBPbNlJZJbVgnNS6bUmn-SW62c8dYnifII1m51Iz_8xDmJKhSghZZg0yo3qPNjGkFKEzQ3Q7Gz8MJWZWbr4rN6Uws_Lc-uuwZapzeGz8cpyBzR54S6PdwhGwMUvv4b-TGZ_rYcWRbF5tNOD5J1JdoHY</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Tomizawa, Yuji</creator><creator>Hoshino, Yasunobu</creator><creator>Sasaki, Fuyuko</creator><creator>Kurita, Naohide</creator><creator>Kawajiri, Sumihiro</creator><creator>Noda, Kazuyuki</creator><creator>Hattori, Nobutaka</creator><creator>Amemura-Maekawa, Junko</creator><creator>Kura, Fumiaki</creator><creator>Okuma, Yasuyuki</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>Diagnostic Utility of Splenial Lesions in a Case of Legionnaires' Disease due to Legionella pneumophila Serogroup 2</title><author>Tomizawa, Yuji ; Hoshino, Yasunobu ; Sasaki, Fuyuko ; Kurita, Naohide ; Kawajiri, Sumihiro ; Noda, Kazuyuki ; Hattori, Nobutaka ; Amemura-Maekawa, Junko ; Kura, Fumiaki ; Okuma, Yasuyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c584t-523b448f4ed86b0677b439ebf153bbfd5194153bb130adc67a7684230b8dd0f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>clinically mild encephalitis/encephalopathy with a reversible splenial lesion</topic><topic>Corpus Callosum - pathology</topic><topic>Encephalitis - etiology</topic><topic>Humans</topic><topic>Legionella</topic><topic>Legionella pneumophila - isolation & purification</topic><topic>Legionella pneumophila serogroup 2</topic><topic>Legionnaires' disease</topic><topic>Legionnaires' Disease - complications</topic><topic>Legionnaires' Disease - diagnosis</topic><topic>Legionnaires' Disease - pathology</topic><topic>Male</topic><topic>MERS</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tomizawa, Yuji</creatorcontrib><creatorcontrib>Hoshino, Yasunobu</creatorcontrib><creatorcontrib>Sasaki, Fuyuko</creatorcontrib><creatorcontrib>Kurita, Naohide</creatorcontrib><creatorcontrib>Kawajiri, Sumihiro</creatorcontrib><creatorcontrib>Noda, Kazuyuki</creatorcontrib><creatorcontrib>Hattori, Nobutaka</creatorcontrib><creatorcontrib>Amemura-Maekawa, Junko</creatorcontrib><creatorcontrib>Kura, Fumiaki</creatorcontrib><creatorcontrib>Okuma, Yasuyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tomizawa, Yuji</au><au>Hoshino, Yasunobu</au><au>Sasaki, Fuyuko</au><au>Kurita, Naohide</au><au>Kawajiri, Sumihiro</au><au>Noda, Kazuyuki</au><au>Hattori, Nobutaka</au><au>Amemura-Maekawa, Junko</au><au>Kura, Fumiaki</au><au>Okuma, Yasuyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic Utility of Splenial Lesions in a Case of Legionnaires' Disease due to Legionella pneumophila Serogroup 2</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. 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subjects | clinically mild encephalitis/encephalopathy with a reversible splenial lesion Corpus Callosum - pathology Encephalitis - etiology Humans Legionella Legionella pneumophila - isolation & purification Legionella pneumophila serogroup 2 Legionnaires' disease Legionnaires' Disease - complications Legionnaires' Disease - diagnosis Legionnaires' Disease - pathology Male MERS Middle Aged |
title | Diagnostic Utility of Splenial Lesions in a Case of Legionnaires' Disease due to Legionella pneumophila Serogroup 2 |
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