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dc.contributor.authorBell, Harrison
dc.contributor.authorChintalapati, Sai
dc.contributor.authorPatel, Preet
dc.contributor.authorHalim, Ameer
dc.contributor.authorKithas, Andrew
dc.contributor.authorSchmalzle, Sarah A
dc.date.accessioned2021-02-08T20:19:02Z
dc.date.available2021-02-08T20:19:02Z
dc.date.issued2021-01-14
dc.identifier.urihttp://hdl.handle.net/10713/14632
dc.description.abstractLegionella longbeachae pneumonia is much less common than Legionella pneumophila pneumonia in most of the world and may evade timely diagnosis in settings that rely primarily on urine antigen testing, which detects Legionella pnuemophila serogroup 1 only. It is, however, widely recognized in Australia and New Zealand, where it is endemic and associated with exposure to compost and potting soils, rather than contaminated water systems as seen with L. pneumophila. L. longbeachae can cause a similar spectrum and severity of illness as L. pneumophila. Here we present a case of a 47-year-old man with L. longbeacheae necrotizing pneumonia following exposure to possibly contaminated soil from a wastewater treatment facility. Initial presentation included cough, chest pain, and dyspnea, and progressed to hypoxic respiratory failure, tension pneumothorax, and cardiac arrest. L. pneumophila urine antigen was negative, but bronchioalveolar lavage samples grew L. longbeachae on buffered charcoal yeast extract agar. A review of cases reported in the literature in non-endemic regions over a 20-year period identified 38 cases in Europe, 33 in Asia, and 8 in North America. Average age was 65, 65 % were male, and 35 % had potentially relevant environmental exposures. L. longbeachae should be considered in cases of severe community acquired pneumonia, particularly following a consistent environmental exposure or if initial testing for other pathogens is unrevealing. A thorough exposure history including questions about contact with potting soil or compost, and utilization of specialized agar for culture can both be key in identifying this pathogen.en_US
dc.description.urihttps://doi.org/10.1016/j.idcr.2021.e01050en_US
dc.language.isoenen_US
dc.publisherElsevier Ltd.en_US
dc.relation.ispartofIDCasesen_US
dc.rights© 2021 Published by Elsevier Ltd.en_US
dc.subjectGardeningen_US
dc.subjectLegionella longbeachaeen_US
dc.subjectLegionellosisen_US
dc.subjectLegionnaire’s diseaseen_US
dc.subjectPontiac feveren_US
dc.subjectPotting soilen_US
dc.titleLegionella longbeachae pneumonia: Case report and review of reported cases in non-endemic countriesen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.idcr.2021.e01050
dc.identifier.pmid33511033
dc.source.volume23
dc.source.beginpagee01050
dc.source.endpage
dc.source.countryNetherlands


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