We report a rare case of Legionella pneumophila pneumonia followed by invasive aspergillosis (IA). Legionellosis was ameliorated by the administration of ciprofloxacin, erythromycin, and corticosteroid as adjunctive therapy. Although intravenous administration of the corticosteroid was effective at reducing severe inflammation due to legionellosis, IA occurred at 12 days after admission. Combination therapy with micafungin and voriconazole was effective in this case; however, it remains necessary to exercise caution when making decisions regarding indications for corticosteroid use and observation in the treatment of severe pneumonia patients.
雑誌名
Japanese journal of infectious diseases
巻
61
号
5
ページ
379 - 381
発行年
2008-09
出版者
National Institute of Infectious Diseases
ISSN
13446304
書誌レコードID
AA1132885X
PubMed番号
18806346
著者版フラグ
publisher
引用
Japanese Journal of Infectious Diseases, 61(5), pp.379-381; 2008