Walsh J J, Kelley J
Department of Medicine, University of Vermont College of Medicine, Burlington.
Chest. 1991 Oct;100(4):1170-2. doi: 10.1378/chest.100.4.1170.
We report a case of severe Legionella pneumonia in which the histopathologic features of an open lung biopsy specimen were characterized by a monotypic plasma cell infiltrate and absence of granulocytes or other acute inflammatory cells. The clinical course was otherwise typical for a severe case of Legionella pneumonia with complete functional and roentgenographic recovery following a prolonged convalescence. We speculate on possible reasons for this patient's unusual histopathologic features.