Cerebellar involvement that occurred during treatment of Legionella pneumonia: A case report

Yıl 2013, Cilt: 3 Sayı: 02, 83 - 85, 01.06.2013

Özlem Alıcı Canan Ağalar

https://doi.org/10.5799/ahinjs.02.2013.02.0086

Öz

Özlem Alıcı, Canan Ağalar Legionnaires\' disease can appear with different levels of severity. A case of a previously healthy lady with community-acquired pneumonia who progressed to severe acute respiratory distress syndrome and developed cerebellar dysfunc­tion is reported. In patients presenting with neurological symptoms after an episode of pneumonia, Legionella infection should be considered.

Anahtar Kelimeler

Legionella

Cerebellar involvement that occurred during treatment of Legionella pneumonia: A case report

Öz

Lejyoner hastalığı farklı klinik tablolar ile karşımıza çıkabilmektedir. Bu vakada toplumdan kazanılmış Lejyonella pnömonisi tedavisi görmekte olan sağlıklı bir kadın hastanın, tedavisi sırasında ciddi akut solunum sıkıntısı sendromu ve serebellar fonksiyon bozukluğu gelişmesi bildirilmiştir. Pnömoni ile birlikte nörolojik semptomların görülmesi Lejyonella enfeksiyonunu akla getirmelidir

Anahtar Kelimeler

Lejyonella, sebellar tutulum, dizartri, ataksi

Kaynakça

• Edelstein PH, Ciancioti NP. Legionella. In: Mandell GL, Ben- nett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th edn. Philadelphia, PA: Elsevier Churchill-Liv- ingstone. 2009:2969-2983.
• Cunha BA. Severe Legionella pneumonia: rapid presump- tive clinical diagnosis with Winthrop-University Hospital’s weighted point score system (modified). Heart Lung 2008; 37:311-320.
• Shelburne SA, Kielhofner MA, Tiwari PS. Cerebellar involve- ment in legionellosis. Southern Med J 2004; 97:61-64.
• Kassha K, Abuanza I, Hadi SA, Hilton R. Severe Legionnaires disease complicated by multi-organ dysfunction in a previ- ously healthy patient: a case report. Cases J 2009;2:9151.
• Basani SR, Ahmed SM, Habte-Gabr E. Legionnaires’ disease with facial nerve palsy. Case Rep Med 2011:4.
• de Lau LM, Siepman DA, Remmers MJ, Terwindt GM, Hintzen RQ. Acute disseminating encephalomyelitis following legion- naires’ disease. Arch Neurol 2010; 67:623-626.
• Weir AI, Bone I, Kennedy DH. Neurological involvement in legionellosis. J Neurol Neurosurg Psychiatry 1982; 45:603- 608.
• Morgan JC, Cavaliere R, Juel VC. Reversible corpus callosum lesion in legionnaires’ disease. J Neurol Neurosurg Psychia- try 2004;75:651-654.
• Baker PC, Price TR, Allen CD. Brain stem and cerebellar dysfunction with Legionnaires’ disease. J Neurol Neurosurg Psychiatry 1981;44:1054-1056.
• Maskill MR, Jordan EC. Pronounced cerebellar fea- tures in Legionnaires’ disease. Br Med J (Clin Res Ed) 1981;283(6286):276.
• Morgan DJ, Gawler J. Severe peripheral neuropathy com- plicating Legionnaires’ disease. Br Med J (Clin Res Ed) 1981;283:1577-1578.
• Shetty KR, Cilyo CL, Starr BD, Harter DH. Legionnaires’ disease with profound cerebellar involvement. Arch Neurol 1980;37:379-380.
• Bernardini DL, Lerrick KS, Hoffman K, Lange M. Neurogenic bladder. New clinical finding in Legionnaires’ disease. Am J Med 1985;78(6 Pt 1):1045-1046.
• Johnson JD, Raff MJ, Van Arsdall JA. Neurologic mani- festations of Legionnaires’ disease. Medicine (Baltimore) 1984;63:303-310.
• Plaschke M, Ströhle A, Then Bergh F, Backmund H, Trenk- walder C. Neurologic and psychiatric symptoms of Legionella infection. Case report and overview of the clinical spectrum. Nervenarzt. 1997;68:342-325. (Article in German).
• Imai N, Yagi N, Konishi T, Serizawa M, Kobari M. Legion- naires’ disease with hypoperfusion in the cerebellum and frontal lobe on single photon emission computed tomogra- phy. Intern Med 20.