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  • Title: [Pneumonia due to Legionella pneumophila in an immunocompromised child].
    Author: van Dijk K, Kamphuis S, Geelen SP, Wulffraat NM, van Gestel JP, Wolfs TF.
    Journal: Ned Tijdschr Geneeskd; 2002 Jul 27; 146(30):1420-3. PubMed ID: 12174438.
    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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