Article

[Pneumonia due to Legionella pneumophila in an immunocompromised child].

Afd. Algemene Pediatrie en Infectieziekten, Universitair Medisch Centrum, Wilhelmina Kinderziekenhuis, Postbus 85.090, 3508 GA Utrecht.
Nederlands tijdschrift voor geneeskunde 08/2002; 146(30):1420-3. pp.1420-3
Source: PubMed

ABSTRACT A one-year-and-seven-months-old boy was hospitalised because of fever, cough and general malaise. A diagnosed tonsillitis and pneumonia were treated with intravenous antibiotics. His clinical condition worsened despite antibiotic therapy. After immunologic investigations revealed both a cellular and a humoral immune disorder, a broncho-alveolar lavage was performed. The culture revealed Legionella pneumophila. Antibiotic treatment was then changed to erythromycin in combination with rifampicin, with a good response. Although rarely described in childhood, one should consider L. pneumophila as a possible pathogen in immunocompromised children presenting with pneumonia.

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Keywords

antibiotic therapy
 
Antibiotic treatment
 
broncho-alveolar lavage
 
cellular
 
clinical condition
 
general malaise
 
humoral immune disorder
 
immunocompromised children
 
immunologic investigations
 
intravenous antibiotics
 
one-year-and-seven-months-old boy