Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis

We herein report a case of fulminant Legionnaires' disease with autopsy findings in a patient on maintenance hemodialysis (HD). Chronic kidney disease is a strong risk factor for Legionnaires' disease, although there have been only a few reports in HD patients. Because most patients on HD...

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Autores principales: Kawashima, Akira, Katagiri, Daisuke, Kondo, Isao, Sakamoto, Emi, Suzuki, Minami, Arai, Yohei, Sato, Fumie, Tada, Manami, Hinoshita, Fumihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7474993/
https://www.ncbi.nlm.nih.gov/pubmed/32321897
http://dx.doi.org/10.2169/internalmedicine.4530-20
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author Kawashima, Akira
Katagiri, Daisuke
Kondo, Isao
Sakamoto, Emi
Suzuki, Minami
Arai, Yohei
Sato, Fumie
Tada, Manami
Hinoshita, Fumihiko
author_facet Kawashima, Akira
Katagiri, Daisuke
Kondo, Isao
Sakamoto, Emi
Suzuki, Minami
Arai, Yohei
Sato, Fumie
Tada, Manami
Hinoshita, Fumihiko
author_sort Kawashima, Akira
collection PubMed
description We herein report a case of fulminant Legionnaires' disease with autopsy findings in a patient on maintenance hemodialysis (HD). Chronic kidney disease is a strong risk factor for Legionnaires' disease, although there have been only a few reports in HD patients. Because most patients on HD are anuric, the use of rapid assay kits to detect antigens in urine samples for the diagnosis of Legionnaires' disease is not always feasible. We suggest the use of clinical predictive tools or the loop-mediated isothermal amplification (LAMP) method, which can be applied for anuric patients, such as those on HD, with pneumonia.
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spelling pubmed-74749932020-09-18 Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis Kawashima, Akira Katagiri, Daisuke Kondo, Isao Sakamoto, Emi Suzuki, Minami Arai, Yohei Sato, Fumie Tada, Manami Hinoshita, Fumihiko Intern Med Case Report We herein report a case of fulminant Legionnaires' disease with autopsy findings in a patient on maintenance hemodialysis (HD). Chronic kidney disease is a strong risk factor for Legionnaires' disease, although there have been only a few reports in HD patients. Because most patients on HD are anuric, the use of rapid assay kits to detect antigens in urine samples for the diagnosis of Legionnaires' disease is not always feasible. We suggest the use of clinical predictive tools or the loop-mediated isothermal amplification (LAMP) method, which can be applied for anuric patients, such as those on HD, with pneumonia. The Japanese Society of Internal Medicine 2020-04-23 2020-08-01 /pmc/articles/PMC7474993/ /pubmed/32321897 http://dx.doi.org/10.2169/internalmedicine.4530-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kawashima, Akira
Katagiri, Daisuke
Kondo, Isao
Sakamoto, Emi
Suzuki, Minami
Arai, Yohei
Sato, Fumie
Tada, Manami
Hinoshita, Fumihiko
Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis
title Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis
title_full Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis
title_fullStr Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis
title_full_unstemmed Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis
title_short Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis
title_sort fatal fulminant legionnaires' disease in a patient on maintenance hemodialysis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7474993/
https://www.ncbi.nlm.nih.gov/pubmed/32321897
http://dx.doi.org/10.2169/internalmedicine.4530-20
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