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A case of legionella pneumonia caused by home use of continuous positive airway pressure

A 67-year-old woman with morbid obesity and severe obstructive sleep apnea presented to the emergency department with 2 days of productive cough, fever, shortness of breath and loose stools. A chest x-ray showed extensive bilateral infiltrates, and she was quickly intubated for acute hypoxic respira...

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Detalles Bibliográficos
Autores principales: Schnirman, Ruby, Nur, Nasifa, Bonitati, Alice, Carino, Gerardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721956/
https://www.ncbi.nlm.nih.gov/pubmed/29238576
http://dx.doi.org/10.1177/2050313X17744981
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author Schnirman, Ruby
Nur, Nasifa
Bonitati, Alice
Carino, Gerardo
author_facet Schnirman, Ruby
Nur, Nasifa
Bonitati, Alice
Carino, Gerardo
author_sort Schnirman, Ruby
collection PubMed
description A 67-year-old woman with morbid obesity and severe obstructive sleep apnea presented to the emergency department with 2 days of productive cough, fever, shortness of breath and loose stools. A chest x-ray showed extensive bilateral infiltrates, and she was quickly intubated for acute hypoxic respiratory failure. A urine legionella antigen test was positive, and she was admitted to the intensive care unit with a diagnosis of severe legionella pneumonia. She improved over the next week with a course of levofloxacin. Once improved, the state health department visited her home and interviewed her husband and determined that she had not been cleaning her continuous positive pressure mask, tubing and humidifier appropriately. They concluded that the legionella likely came from her continuous positive airway pressure equipment. Cases of legionella pneumonia have frequently been reported through infected water supplies and even respiratory equipment. It is crucial that the mask and tubing used with these devices are cleaned appropriately to minimize the risk of infection.
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spelling pubmed-57219562017-12-13 A case of legionella pneumonia caused by home use of continuous positive airway pressure Schnirman, Ruby Nur, Nasifa Bonitati, Alice Carino, Gerardo SAGE Open Med Case Rep Case Report A 67-year-old woman with morbid obesity and severe obstructive sleep apnea presented to the emergency department with 2 days of productive cough, fever, shortness of breath and loose stools. A chest x-ray showed extensive bilateral infiltrates, and she was quickly intubated for acute hypoxic respiratory failure. A urine legionella antigen test was positive, and she was admitted to the intensive care unit with a diagnosis of severe legionella pneumonia. She improved over the next week with a course of levofloxacin. Once improved, the state health department visited her home and interviewed her husband and determined that she had not been cleaning her continuous positive pressure mask, tubing and humidifier appropriately. They concluded that the legionella likely came from her continuous positive airway pressure equipment. Cases of legionella pneumonia have frequently been reported through infected water supplies and even respiratory equipment. It is crucial that the mask and tubing used with these devices are cleaned appropriately to minimize the risk of infection. SAGE Publications 2017-12-05 /pmc/articles/PMC5721956/ /pubmed/29238576 http://dx.doi.org/10.1177/2050313X17744981 Text en © The Author(s) 2017 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Schnirman, Ruby
Nur, Nasifa
Bonitati, Alice
Carino, Gerardo
A case of legionella pneumonia caused by home use of continuous positive airway pressure
title A case of legionella pneumonia caused by home use of continuous positive airway pressure
title_full A case of legionella pneumonia caused by home use of continuous positive airway pressure
title_fullStr A case of legionella pneumonia caused by home use of continuous positive airway pressure
title_full_unstemmed A case of legionella pneumonia caused by home use of continuous positive airway pressure
title_short A case of legionella pneumonia caused by home use of continuous positive airway pressure
title_sort case of legionella pneumonia caused by home use of continuous positive airway pressure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721956/
https://www.ncbi.nlm.nih.gov/pubmed/29238576
http://dx.doi.org/10.1177/2050313X17744981
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