First Sporadic Cases of Non-pneumonic Legionellosis, Pontiac Fever in Japan
Pontiac fever has rarely been found in sporadic cases. Here, we report the first sporadic cases of non-pneumonic legionellosis, Pontiac fever in Japan. Case 1. A 53-year-old man with spinocerebellar degeneration was presented to our hospital. He had an acute onset of high fever and consciousness dis...
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| Veröffentlicht in: | Internal Medicine 1998, Vol.37(12), pp.1068-1071 |
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| creator | SAKAI, Tetsuo KOBAYASHI, Yasutaka MISAWA, Toshihiro TAKABATAKE, Manabu SHIMADA, Masanori TOTANI, Yoshitaka ISHIZAKI, Takeshi MIYAMORI, Isamu SAITO, Atsushi |
| description | Pontiac fever has rarely been found in sporadic cases. Here, we report the first sporadic cases of non-pneumonic legionellosis, Pontiac fever in Japan. Case 1. A 53-year-old man with spinocerebellar degeneration was presented to our hospital. He had an acute onset of high fever and consciousness disturbance. A chest X-ray film on admission was normal, but transient bilateral pleural effusions were revealed on hospital day 14. Case 2. A 77-year-old woman with gastric ulcer was presented to our hospital. She had an acute onset of high fever. A chest X-ray film on admission was normal, but transient bilateral pleural effusions were revealed on hospital day 7. High fever, resistant to β-lactam antibiotics, continued in both cases. Both had serologic confirmation of legionellosis by indirect fluorescent antibody assay for Legionella pneumophila without seroconversion for Mycoplasma pneumoniae, and Chlamydia pneumoniae, and had a good prognosis. Both were thought to be sporadic community-acquired cases rather than epidemics. (Internal Medicine 37: 1068-1071, 1998) |
| doi_str_mv | 10.2169/internalmedicine.37.1068 |
| format | Article |
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Here, we report the first sporadic cases of non-pneumonic legionellosis, Pontiac fever in Japan. Case 1. A 53-year-old man with spinocerebellar degeneration was presented to our hospital. He had an acute onset of high fever and consciousness disturbance. A chest X-ray film on admission was normal, but transient bilateral pleural effusions were revealed on hospital day 14. Case 2. A 77-year-old woman with gastric ulcer was presented to our hospital. She had an acute onset of high fever. A chest X-ray film on admission was normal, but transient bilateral pleural effusions were revealed on hospital day 7. High fever, resistant to β-lactam antibiotics, continued in both cases. Both had serologic confirmation of legionellosis by indirect fluorescent antibody assay for Legionella pneumophila without seroconversion for Mycoplasma pneumoniae, and Chlamydia pneumoniae, and had a good prognosis. Both were thought to be sporadic community-acquired cases rather than epidemics. 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Med.</addtitle><description>Pontiac fever has rarely been found in sporadic cases. Here, we report the first sporadic cases of non-pneumonic legionellosis, Pontiac fever in Japan. Case 1. A 53-year-old man with spinocerebellar degeneration was presented to our hospital. He had an acute onset of high fever and consciousness disturbance. A chest X-ray film on admission was normal, but transient bilateral pleural effusions were revealed on hospital day 14. Case 2. A 77-year-old woman with gastric ulcer was presented to our hospital. She had an acute onset of high fever. A chest X-ray film on admission was normal, but transient bilateral pleural effusions were revealed on hospital day 7. High fever, resistant to β-lactam antibiotics, continued in both cases. Both had serologic confirmation of legionellosis by indirect fluorescent antibody assay for Legionella pneumophila without seroconversion for Mycoplasma pneumoniae, and Chlamydia pneumoniae, and had a good prognosis. Both were thought to be sporadic community-acquired cases rather than epidemics. (Internal Medicine 37: 1068-1071, 1998)</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibodies, Bacterial - analysis</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the respiratory system</subject><subject>Biological and medical sciences</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Fever - diagnosis</subject><subject>Fever - drug therapy</subject><subject>Fever - epidemiology</subject><subject>Fever - microbiology</subject><subject>Fluorescent Antibody Technique, Indirect</subject><subject>high fever</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Injections, Intravenous</subject><subject>Japan - epidemiology</subject><subject>Lactams</subject><subject>Legionella - immunology</subject><subject>Legionella pneumophila</subject><subject>Legionellosis - diagnosis</subject><subject>Legionellosis - drug therapy</subject><subject>Legionellosis - epidemiology</subject><subject>Legionellosis - microbiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pleural Effusion - diagnosis</subject><subject>Pleural Effusion - drug therapy</subject><subject>Pleural Effusion - microbiology</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkEFvEzEQhS1EVULhJyD5UHFiU3u9u_Ycq4gAbQRIhbPldcbF1cbe2huk_vs6JKRSexlLft-8eXqEUM7mNe_gwocJUzDDBtfe-oBzIeecdeoVmXHRQCVr0b4mMwZcVXUZb8jbnO8YE0pCfUpOAUTdNc2MXC99yhO9GWMyxYouTMZMo6PfY6jGgNtNDOV7hbc-BhyGmH3-RH_GMHlj6RL_YqI-0CszmvCOnDgzZHx_eM_I7-XnX4uv1erHl2-Ly1VlW6WmquFc9k1rWd8q2VsumVs7lOuGOeh5g6zFvlPWCeilcEVHRMXBwrpz3EAvzsjHve-Y4v0W86Q3PtsSzgSM26w74C1AWxdQ7UGbYs4JnR6T35j0oDnTux718x61kHrXY1n9cLix7Yt4XDwUV_Tzg26yNYNLJlifn_wlV8B32M0eu8uTucWjbtLk7YAv7nOA-l-G_3MX5kjbPyZpDOIRrBWfLQ</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>SAKAI, Tetsuo</creator><creator>KOBAYASHI, Yasutaka</creator><creator>MISAWA, Toshihiro</creator><creator>TAKABATAKE, Manabu</creator><creator>SHIMADA, Masanori</creator><creator>TOTANI, Yoshitaka</creator><creator>ISHIZAKI, Takeshi</creator><creator>MIYAMORI, Isamu</creator><creator>SAITO, Atsushi</creator><general>The Japanese Society of Internal Medicine</general><general>Japanese Society of Internal Medicine</general><scope>IQODW</scope><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>1998</creationdate><title>First Sporadic Cases of Non-pneumonic Legionellosis, Pontiac Fever in Japan</title><author>SAKAI, Tetsuo ; KOBAYASHI, Yasutaka ; MISAWA, Toshihiro ; TAKABATAKE, Manabu ; SHIMADA, Masanori ; TOTANI, Yoshitaka ; ISHIZAKI, Takeshi ; MIYAMORI, Isamu ; SAITO, Atsushi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c588t-4117b45c0b587bc170fdfe7d40f9b14e05eb68cf39b73fc17eee819c9d6f1a9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Anti-Bacterial Agents - administration & dosage</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibodies, Bacterial - analysis</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the respiratory system</topic><topic>Biological and medical sciences</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Fever - diagnosis</topic><topic>Fever - drug therapy</topic><topic>Fever - epidemiology</topic><topic>Fever - microbiology</topic><topic>Fluorescent Antibody Technique, Indirect</topic><topic>high fever</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Injections, Intravenous</topic><topic>Japan - epidemiology</topic><topic>Lactams</topic><topic>Legionella - immunology</topic><topic>Legionella pneumophila</topic><topic>Legionellosis - diagnosis</topic><topic>Legionellosis - drug therapy</topic><topic>Legionellosis - epidemiology</topic><topic>Legionellosis - microbiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pleural Effusion - diagnosis</topic><topic>Pleural Effusion - drug therapy</topic><topic>Pleural Effusion - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAKAI, Tetsuo</creatorcontrib><creatorcontrib>KOBAYASHI, Yasutaka</creatorcontrib><creatorcontrib>MISAWA, Toshihiro</creatorcontrib><creatorcontrib>TAKABATAKE, Manabu</creatorcontrib><creatorcontrib>SHIMADA, Masanori</creatorcontrib><creatorcontrib>TOTANI, Yoshitaka</creatorcontrib><creatorcontrib>ISHIZAKI, Takeshi</creatorcontrib><creatorcontrib>MIYAMORI, Isamu</creatorcontrib><creatorcontrib>SAITO, Atsushi</creatorcontrib><collection>Pascal-Francis</collection><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>SAKAI, Tetsuo</au><au>KOBAYASHI, Yasutaka</au><au>MISAWA, Toshihiro</au><au>TAKABATAKE, Manabu</au><au>SHIMADA, Masanori</au><au>TOTANI, Yoshitaka</au><au>ISHIZAKI, Takeshi</au><au>MIYAMORI, Isamu</au><au>SAITO, Atsushi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First Sporadic Cases of Non-pneumonic Legionellosis, Pontiac Fever in Japan</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>1998</date><risdate>1998</risdate><volume>37</volume><issue>12</issue><spage>1068</spage><epage>1071</epage><pages>1068-1071</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Pontiac fever has rarely been found in sporadic cases. Here, we report the first sporadic cases of non-pneumonic legionellosis, Pontiac fever in Japan. Case 1. A 53-year-old man with spinocerebellar degeneration was presented to our hospital. He had an acute onset of high fever and consciousness disturbance. A chest X-ray film on admission was normal, but transient bilateral pleural effusions were revealed on hospital day 14. Case 2. A 77-year-old woman with gastric ulcer was presented to our hospital. She had an acute onset of high fever. A chest X-ray film on admission was normal, but transient bilateral pleural effusions were revealed on hospital day 7. High fever, resistant to β-lactam antibiotics, continued in both cases. Both had serologic confirmation of legionellosis by indirect fluorescent antibody assay for Legionella pneumophila without seroconversion for Mycoplasma pneumoniae, and Chlamydia pneumoniae, and had a good prognosis. Both were thought to be sporadic community-acquired cases rather than epidemics. (Internal Medicine 37: 1068-1071, 1998)</abstract><cop>Tokyo</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>9932644</pmid><doi>10.2169/internalmedicine.37.1068</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Internal Medicine, 1998, Vol.37(12), pp.1068-1071 |
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| language | eng |
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| subjects | Acute Disease Aged Anti-Bacterial Agents - administration & dosage Anti-Bacterial Agents - therapeutic use Antibodies, Bacterial - analysis Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Diagnosis, Differential Female Fever - diagnosis Fever - drug therapy Fever - epidemiology Fever - microbiology Fluorescent Antibody Technique, Indirect high fever Human bacterial diseases Humans Infectious diseases Injections, Intravenous Japan - epidemiology Lactams Legionella - immunology Legionella pneumophila Legionellosis - diagnosis Legionellosis - drug therapy Legionellosis - epidemiology Legionellosis - microbiology Male Medical sciences Middle Aged Pleural Effusion - diagnosis Pleural Effusion - drug therapy Pleural Effusion - microbiology |
| title | First Sporadic Cases of Non-pneumonic Legionellosis, Pontiac Fever in Japan |
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