Legionnaires' disease. Report of a case with unusual manifestations

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Abstract
The multisystem involvement in Legionnaires'' disease [in humans] commonly includes pulmonary, renal, hepatic, gastrointestinal tract and neurologic manifestations, but except for the lung the mechanism of disease has not been defined. Circulating toxins are most commonly implicated. A nonfatal case is reported here that had unusual renal and neurologic findings. The renal failure was associated with urinary findings indicative of a glomerulitis, and the major neurologic manifestation was a polyneuropathy. The complications in this case suggest an immunologic mechanism for the extrapulmonary manifestations of Legionnaires'' disease.

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