MICHAEL J. STRAMPFER, M.D.; PAUL E. SCHOCH, Ph.D.; SALVATORE SCOMA, M.D.; BURKE A. CUNHA, M.D.
To the editor: To date, there have been only 12 detailed reports and 10 culture-proven cases of Legionella bozemanii pneumonia (1, 2). These limited data suggest that the clinical manifestations of L. bozemanii infection are similar to those of L. pneumophila and L. micdadei infection. We report the first case of L. bozemanii empyema, which was successfully treated with doxycycline after erythromycin failed.
A 54-year-old obese white woman with leukopenia of undetermined cause was hospitalized with intermittent periods of confusion, fever, chills, dyspnea, cough, and pleuritic chest pain. Examination revealed tachypnea and relative bradycardia. Crackles were heard throughout the right
STRAMPFER MJ, SCHOCH PE, SCOMA S, CUNHA BA. Empyema and Legionella bozemanii. Ann Intern Med. ;105:626. doi: 10.7326/0003-4819-105-4-626_1
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Published: Ann Intern Med. 1986;105(4):626.
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