Can we truly rely on the urinary antigen test for the diagnosis? Legionella case report

It is critical to diagnose and treat Legionella pneumonia (LP) immediately after infection because of the associated high mortality. The urine antigen test (UAT) is often used for the diagnosis of LP; however, it cannot detect the serogroups of all Legionella species. A detained medical history and...

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Detalles Bibliográficos
Autores principales: Miyata, Jun, Huh, Ji Young, Ito, Yukiko, Kobuchi, Taketsune, Kusukawa, Kazuko, Hayashi, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5689406/
https://www.ncbi.nlm.nih.gov/pubmed/29264010
http://dx.doi.org/10.1002/jgf2.16
Descripción
Sumario:It is critical to diagnose and treat Legionella pneumonia (LP) immediately after infection because of the associated high mortality. The urine antigen test (UAT) is often used for the diagnosis of LP; however, it cannot detect the serogroups of all Legionella species. A detained medical history and several clinical findings such as liver enzyme elevation and hyponatremia are useful in diagnosis. Some specific types of Legionella are found in compost. Herein, we report a case of LP in which the patient's medical history and several clinical findings were useful for diagnosis.

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