SANDY A. DORMAN, M.D.; NICHOLAS J. HARDIN, M.D.; WASHINGTON C. WINN Jr., M.D.
A patient with bladder carcinoma metastatic to lung and brain died of pneumonia. Autopsy examination showed a confluent bronchopneumonia with several small abscesses and acute pyelonephritis with abscess formation. Legionella pneumophila, serogroup 4, was isolated in pure culture from lung tissue postmortem and was also shown by direct immunofluorescence in the kidney and spleen. In the kidney, the organism was noted in areas of acute pyelonephritis. This represents the first case of an extrathoracic inflammatory lesion associated with L. pneumophila.
DORMAN SA, HARDIN NJ, WINN WC. Pyelonephritis Associated with Legionella pneumophila, Serogroup 4. Ann Intern Med. ;93:835–837. doi: 10.7326/0003-4819-93-6-835
Download citation file:
Published: Ann Intern Med. 1980;93(6):835-837.
Infectious Disease, Nephrology, Urinary Tract Infection.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use