RESUMO
We present an interesting case of Legionnaires' disease masquerading as acute pyelonephritis, with complete absence of respiratory symptoms on admission. A 45-year-old man was diagnosed with Legionnaires' disease 2â days after presenting to hospital with dysuria and right loin pain. He became critically unwell during the hospital admission, with headache, uncontrolled fever, breathlessness, decreasing oxygen saturations and increasing oxygen requirements. A CT pulmonary angiography demonstrated right upper lobar consolidation and Legionella urinary antigen was positive. He was treated with ciprofloxacin and rifampicin and made a full recovery.
Assuntos
Doença dos Legionários/diagnóstico , Pielonefrite/diagnóstico , Antibacterianos/uso terapêutico , Antígenos de Bactérias/urina , Ciprofloxacina/uso terapêutico , Infecções Comunitárias Adquiridas/diagnóstico , Diagnóstico Diferencial , Disuria/microbiologia , Dor no Flanco/microbiologia , Humanos , Doença dos Legionários/tratamento farmacológico , Doença dos Legionários/imunologia , Masculino , Pessoa de Meia-Idade , Pneumonia/diagnóstico , Rifampina/uso terapêuticoRESUMO
We present a case where initiation of antidepressant therapy was associated with an episode of unresponsiveness. Providing the opportunity to examine the possible pitfalls in geriatric prescribing.
