Legionella pneumophila Pneumonia Successfully Treated with Intravenous Ciprofloxacin.
- 1 January 2002
- journal article
- case report
- Published by Japanese Society of Internal Medicine in Internal Medicine
- Vol. 41 (11) , 1024-1028
- https://doi.org/10.2169/internalmedicine.41.1024
Abstract
A 69-year-old man developed a cough and fever during treatment with corticosteroid (p.o. and external use) for erythroderma. Chest X-ray films revealed a consolidation shadow in the right upper lung field. Initial treatment with sulbactam sodium/ampicillin followed by imipenem/cilastatin was not effective. A urinary antigen test for Legionella was positive, making for a diagnosis of Legionella pneumonia. Intravenous treatment with ciprofloxacin (CPFX) was remarkably effective. His symptoms, chest X-ray and laboratory data rapidly improved after its initiation. Our findings strongly suggest that intravenous treatment with fluoroquinolones including CPFX should also be a first choice for Legionella pneumonia in Japan.Keywords
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