Patel Shaorinkumar, Sharma Radhika, Attarha Barrett O, Reddy Pramod
Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.
Cureus. 2021 Jun 15;13(6):e15672. doi: 10.7759/cureus.15672. eCollection 2021 Jun.
Legionnaire's disease is an uncommon pneumonic disease that can carry a mortality rate up to 20%. It commonly presents as an atypical lower respiratory illness. However, it is important to be mindful of the various extra-pulmonic presentations of the infection. Here, we present a case of a 51-year-old female who presented to the emergency department with lethargy, slurred speech, and confusion. Legionella has been reported to present with neurological symptoms but it is not a common occurrence in each hospitalization. These neurological symptoms often lead to an extensive workup and the complexity of the diagnostic workup can significantly influence patient outcome. However, it is crucial that physicians follow a systemic approach to establish a diagnosis in an expedited manner. This case emphasizes the importance of key objective evidence of legionella that can help guide a physician's diagnostic approach.
军团病是一种罕见的肺炎疾病，死亡率可达20%。它通常表现为非典型的下呼吸道疾病。然而，重要的是要注意该感染的各种肺外表现。在此，我们报告一例51岁女性病例，该患者因嗜睡、言语不清和意识模糊就诊于急诊科。据报道，军团菌感染可出现神经症状，但在每次住院患者中并不常见。这些神经症状常常导致广泛的检查，而诊断检查的复杂性会显著影响患者的预后。然而，医生采用系统的方法以快速确立诊断至关重要。本病例强调了军团菌关键客观证据的重要性，这有助于指导医生的诊断方法。
