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  • Title: Diagnostic Utility of Splenial Lesions in a Case of Legionnaires' Disease due to Legionella pneumophila Serogroup 2.
    Author: Tomizawa Y, Hoshino Y, Sasaki F, Kurita N, Kawajiri S, Noda K, Hattori N, Amemura-Maekawa J, Kura F, Okuma Y.
    Journal: Intern Med; 2015; 54(23):3079-82. PubMed ID: 26631897.
    Abstract:
    We herein report the case of a 49-year-old man with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with Legionnaires' disease due to Legionella pneumophila serogroup 2. Past reports suggest that Legionella infection is frequent in cases of MERS-associated pneumonia. Obtaining an early diagnosis of legionella infection is a challenge, especially if a Legionella pneumophila serogroup other than serogroup 1 contains the causative agent. In this case, the splenial lesion played an important role in recognizing the legionella infection. We suggest that legionella infection should be considered as a differential diagnosis in cases of splenial lesions associated with pneumonia.
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