+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Severe Legionella pneumophila pneumonia and non-invasive ventilation: presentation of two cases and brief review of the literature



Severe Legionella pneumophila pneumonia and non-invasive ventilation: presentation of two cases and brief review of the literature



Pneumonologia i Alergologia Polska 81(4): 399-403



Legionella pneumophila is an agent also well known to be frequently responsible for severe community acquired pneumonia. Recent studies regarding severe community-acquired pneumonia have shown that Legionella pneumophila is the second most common cause of admission to ICU, not far behind pneumococcal pneumonia. The mortality of severe Legionella pneumonia is high (30%). We report two cases of severe respiratory failure due to Legionella pneumophila type 1 treated with non-invasive ventilation in the Respiratory Intermediate Care Unit of a Department of Respiratory Medicine with good outcomes. Severe community-acquired pneumonia is the most common cause of ARDS, and it is the primary reason for Intensive Care Unit admission with invasive mechanical ventilation. Delay in ICU admission is probably associated with a poorer outcome. The use of non-invasive ventilation in severe community acquired pneumonia is controversial. However, after recent pandemics, the number of studies reporting good rates of success for NIV has increased. Both our patients were managed in a respiratory intermediate care unit, avoiding invasive ventilation and invasive monitoring, which lowered costs yet was equally effective in providing a good outcome when compared to intubation in the Intensive Care Unit.

(PDF emailed within 1 workday: $29.90)

Accession: 055737441

Download citation: RISBibTeXText

PMID: 23744171


Related references

Community acquired pneumonia. Report of 8 cases of severe pneumonia by serogroup 1 Legionella pneumophila in Chile. Revista Medica de Chile 130(3): 309-313, 2002

Invasive aspergillosis preceded by legionella pneumonia: Report of two cases and literature review. Journal of Histotechnology 20(4): 371-373, 1997

Non-invasive positive pressure ventilation for a severe legionella pneumonia case. Tuberkuloz Ve Toraks 57(3): 348-351, 2010

Pneumonia due to Legionella pneumophila and pneumococcal pneumonia: similarities and differences on presentation. European Respiratory Journal 2(2): 130-134, 1989

Legionella dumoffii and Legionella pneumophila serogroup 5 isolated from 2 cases of fulminant pneumonia. Kansenshogaku Zasshi. Journal of the Japanese Association for Infectious Diseases 63(8): 801-810, 1989

Microbiological investigations on a nosocomial case of Legionella pneumophila pneumonia associated with water birth and review of neonatal cases. Le Infezioni in Medicina 12(1): 69-75, 2004

A case of Legionella pneumophila pneumonia followed by invasive aspergillosis. Japanese Journal of Infectious Diseases 61(5): 379-381, 2008

Typical Presentation of Legionella pneumophila Community-Acquired Pneumonia. Revista Portuguesa de Pneumologia 23(3): 115-116, 2018

Clinical course of a severe Legionella pneumophila pneumonia. Intensivmedizin und Notfallmedizin 30(3): 91-94, 1993

Severe non-type-1 Legionella pneumophila infection without pneumonia. Netherlands Journal of Medicine 68(2): 84-86, 2011

Legionella pneumophila. A cause of severe community-acquired pneumonia. Chest 100(4): 1007-1011, 1991

Severe community-acquired pneumonia due to Legionella pneumophila Serogroup 6. Journal of the Formosan Medical Association 105(3): 256-262, 2006

Severe Legionella pneumophila pneumonia in a patient with iron overload. Scandinavian Journal of Infectious Diseases 34(10): 772-774, 2002

Severe pneumonia caused by Legionella pneumophila serogroup 11, Italy. Emerging Infectious Diseases 18(11): 1911-1913, 2013

Pneumonia by legionella pneumophila report of ten cases. American Review of Respiratory Disease 141(4 PART 2): A608, 1990