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Case Reports
. 2019 Oct 1;58(19):2831-2834.
doi: 10.2169/internalmedicine.2825-19. Epub 2019 Jun 27.

Legionella Pneumonia Following the Heavy Rain Event of July 2018 in Japan

Naohiro Oda  1 , Tomoaki Hirahara  1 , Yusuke Fujioka  1 , Reo Mitani  1 , Ichiro Takata  1
Affiliations
Case Reports

Legionella Pneumonia Following the Heavy Rain Event of July 2018 in Japan

Naohiro Oda et al. Intern Med. .

Abstract

We herein report the case of a 62-year-old man diagnosed with Legionella pneumonia while engaged in recovery work in a flooded area after the Heavy Rain Event of July 2018 in Japan. The patient was intubated and maintained on mechanical ventilation and continuous hemodiafiltration. He was also administered antimicrobial therapy with ciprofloxacin and azithromycin. After 53 days in the hospital, he was discharged. It is important to recognize the risk of Legionella infection and to take measures to prevent it during recovery work that involves exposure to water and soil after a flood disaster.

Keywords: Legionella; disaster; flood; heavy rain; pneumonia.

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Conflict of interest statement

The authors state that they have no Conflict of Interest (COI).

Figures

Figure 1.
Figure 1.
Chest X-ray showed consolidation in the right lung field (A). Computed tomography revealed consolidation with an air bronchogram in the right upper and middle lobes (B).
Figure 2.
Figure 2.
The clinical course. WBC: white blood cell count, CRP: C-reactive protein, CRBSI: catheter-related bloodstream infection, HAP: hospital-acquired pneumonia, CPFX: ciprofloxacin, LVFX: levofloxacin, AZM: azithromycin, CTRX: ceftriaxone, MEPM: meropenem, CHDF: continuous hemodiafiltration
See this image and copyright information in PMC

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