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Perirectal Abscess Caused by Legionella pneumophila and Mixed Anaerobic Bacteria

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▸Requests for reprints should be addressed to Paul Arnow, M.D.; Box 415, Department of Medicine, University of Chicago Hospital, 950 E. 59th Street; Chicago, IL 60637.

Department of Medicine, University of Chicago Hospital; Chicago, Illinois

Ann Intern Med. 1983;98(2):184-185. doi:10.7326/0003-4819-98-2-184
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Legionella pneumophila is primarily a pulmonary pathogen that rarely causes infection at other sites. Clinically apparent extrapulmonary lesions have been described in only three patients with Legionnaires' disease and have involved hemodialysis fistula or kidney (1, 2). One additional patient had histologic evidence of focal myocarditis at autopsy (3). We report a patient with a perirectal abscess from which L. pneumophila was isolated. This is the first patient in whom mixed infection of L. pneumophila with anaerobic bacteria has been described.

A 46-year-old woman, hospitalized with idiopathic diffuse proliferative glomerulonephritis, began receiving high-dose corticosteroid therapy on the fifth hospital day.


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