SERGIO RUIZ-SANTANA, M.D.; JOSE M. AGUADO-BOURREY, M.D.; JOSE M. NARVAEZ-BERMEJO, M.D.; GEMA GONZALEZ-MEDIERO, M.D.
RUIZ-SANTANA S, AGUADO-BOURREY JM, NARVAEZ-BERMEJO JM, GONZALEZ-MEDIERO G. Legionella bozemanii Pneumonia and Tetracycline. Ann Intern Med. 1986;105:969-970. doi: 10.7326/0003-4819-105-6-969_2
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Published: Ann Intern Med. 1986;105(6):969-970.
To the editor: Five cases of nosocomial pneumonia (1) and one of empyema (2) due to Legionella bozemanii in immunosuppressed patients have recently been reported. We report a case of a community-acquired pneumonia due to this organism occurring in an immunocompetent patient. After initial unresponsiveness to erythromycin, this patient had a clinically favorable response to the addition of tetracycline therapy.
A 50-year-old fisherman who worked in dirty freshwater pools was hospitalized because of headache, fever, productive cough, and increasing dyspnea of 7 days' duration. On examination he was obtunded and showed severe respiratory distress with cyanosis, rales, and signs of
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