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Fulminant multiorgan failure due to legionella pneumophila. Diagnostic and therapeutic problems in the ICU
Dimitrios Konstantonis, Basilios Papaioannou, Georgios Kouliatsis, Basiliki Theodorou, Grigoris Xidopoulos, Christos Dragoumanis, Anna Petala, Eirini Terzi, Ioannis Pneumatikos
Intensive Care Unit, University Hospital of Alexandroupolis
SUMMARY. We describe a case of severe community-acquired systemic Legionella pneumophila infection which manifested abruptly as pneumonia, septic shock, and acute respiratory distress syndrome (ARDS) severe myocardyopathy and was successfully treated in the Intensive Care Unit. The favorable outcome of this case is based, in part, on some important diagnostic and therapeutic procedures that are explicitly discussed. Pneumon 2007; 20(4):412-417.
Key words: Legionella pneumophila infection, Severe community-acquired pneumonia, Multi-organ failure, Acute respiratory distress syndrome.
Correspondence to: Pneumatikos Ioannis, Intensive Care Unit, Universisty Hospital of Alexandroupolis, 681 00 Alexandroupolis, ิel.: +30 2551-075081, Fax: +30 2551-030423.
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