NEIL M. AMPEL, M.D.; FREDERICK L. RUBEN, M.D.; CARL W. NORDEN, M.D.
Legionella micdadei is most commonly associated with pulmonary infection in the immunosuppressed patient (1, 2). We report the case of an immunosuppressed patient who developed a cutaneous abscess of the leg from which L. micdadei was the only organism isolated. To our knowledge, no bacteriologically documented extrathoracic infection with this organism has been reported previously.
A 62-year-old woman developed rapidly progressive glomerulonephritis secondary to necrotizing vasculitis in July 1983, necessitating treatment with prednisone and cyclophosphamide. In June 1984 she was hospitalized because of the abrupt development of pain and redness in the right calf. She had continued to take prednisone,
AMPEL NM, RUBEN FL, NORDEN CW. Cutaneous Abscess Caused by Legionella micdadei in an Immunosuppressed Patient. Ann Intern Med. ;102:630–632. doi: 10.7326/0003-4819-102-5-630
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Published: Ann Intern Med. 1985;102(5):630-632.
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