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  • Title: Legionnaires' disease in an immunocompetent young adult.
    Author: Tsai HC, Lee SS, Lin WR, Huang CK, Chen YS, Wann SR, Lin HH, Yen MY, Liu YC.
    Journal: Kaohsiung J Med Sci; 2001 Jun; 17(6):331-5. PubMed ID: 11559972.
    Abstract:
    Infection with Legionella pneumophila (LP) is a rare cause of pneumonia in previously healthy young adults. Pleural effusion is relatively common in Legionnaires' disease but is usually clinically insignificant. Herein we describe an immunocompetent, 19-year-old female with LP respiratory infection that presented with pleural effusion and mild interstitial infiltrates in the lower lungs. She received 3 weeks' treatment with erythromycin and rifampin and recovered completely. Diagnosis was based on serology testing with a four-fold rise of the antibody titer in the acute and convalescent phase. Legionnaires' disease should be considered in the differential diagnosis of culture-negative pleural effusion in immunocompetent young adults.
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