Perirectal Abscess Caused by Legionella pneumophila and Mixed Anaerobic Bacteria
Authors: PAUL M. ARNOW
Journal: Annals of Internal Medicine (1983)

Brief Reports1 February 1983Perirectal Abscess Caused by Legionella pneumophila and Mixed Anaerobic BacteriaPAUL M. ARNOW, M.D., EDWARD J. BOYKO, M.D., ELIOT L. FRIEDMAN, M.D.PAUL M. ARNOW, M.D.Search for more papers by this author, EDWARD J. BOYKO, M.D.Search for more papers by this author, ELIOT L. FRIEDMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-98-2-184 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLegionella pneumophila is primarily a pulmonary pathogen that rarely causes infection at other sites. Clinically apparent extrapulmonary lesions have been described in only three patients with Legionnaires' disease and have involved hemodialysis fistula or kidney (1, 2). One additional patient had histologic evidence of focal myocarditis at autopsy (3). We report a patient with a perirectal abscess from which L. pneumophila was isolated. This is the first patient in whom mixed infection of L. pneumophila with anaerobic bacteria has been described.A 46-year-old woman, hospitalized with idiopathic diffuse proliferative glomerulonephritis, began receiving high-dose corticosteroid therapy on the fifth hospital day....References1. KALWEIT W, WINN W, ROCCO T, and GIROD J. Hemodialysis fistula infections caused by Legionella pneumophila. Ann Intern Med. 1982;96:173-5. LinkGoogle Scholar2. DORMAN S, HARDIN N, and WINN W. Pyelonephritis associated with Legionella pneumophila, serogroup 4. Ann Intern Med. 1980;93:835-7. LinkGoogle Scholar3. WHITE H, FELTON W, and SUN C. Extrapulmonary histopathologic manifestations of Legionnaires' disease: evidence for myocarditis and bacteremia. Arch Pathol Lab Med. 1980;104:287-9. MedlineGoogle Scholar4. PINE L, GEORGE J, REEVES M, and HARRELL W. Physiology: characteristics of the Legionnaires' disease bacterium in semisynthetic and chemically defined liquid media. In: JONES GL, HÉBERT GA, EDS. Legionnaires': the Disease, the Bacterium and Methodology. Atlanta: Centers for Disease Control; 1979:28-40. Google Scholar5. KIRBY B, SNYDER K, MEYER R, and FINEGOLD S. Legionnaires' disease: report of sixty-five nosocomially acquired cases and review of the literature. Medicine. 1980;49:188-205. Google Scholar6. FLESHER A, KASPER D, MODERN P, and MASON E. Legionella pneumophila: growth inhibition by human pharyngeal flora. J Infect Dis. 1980; 142:313-7. CrossrefMedlineGoogle Scholar7. CARRINGTON G. Legionnaires' disease bacillus: inhibition by normal flora [Letter]. Clin Microbiol Newslett. 1979;1:7-8. CrossrefGoogle Scholar8. SCHIMPFF S, WIERNIK P, and BLOCK J. Rectal abscesses in cancer patients. Lancet. 1972;2:844-7. CrossrefMedlineGoogle Scholar9. EDELSTEIN P, MEYER R, and FINEGOLD S. Isolation of Legionella pneumophila from blood. Lancet. 1979;1:750-1. CrossrefMedlineGoogle Scholar10. ARNOW P, CHOU T, WEIL D, SHAPIRO E, and KRETZSCHMAR C. Nosocomial Legionnaires' disease caused by aerosolized tap water from respiratory devices. J Infect Dis. 1982;146:460-7. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: PAUL M. ARNOW, M.D.; EDWARD J. BOYKO, M.D.; ELIOT L. FRIEDMAN, M.D.Affiliations: Department of Medicine University of Chicago Hospital Chicago, Illinois PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byLegionella longbeachae wound infection: case report and review of reported Legionella wound infectionsLegionnaires' Disease and Pontiac FeverCutaneous legionellosis: case report and review of the medical literatureSoft tissue infection caused by Legionella bozemanii in a patient with ongoing immunosuppressive treatmentIdentification of Legionella feeleii CellulitisRelapsing Legionella pneumophila cellulitis: a case report and review of the literatureLegionellaDisseminated Legionella pneumophila infection in an immunocompromised patient treated with tigecyclineANORECTAL ABSCESS AND FISTULALegionella maceachernii Soft Tissue InfectionOne-year surveillance of legionellosis in burned patients and Legionella environmental monitoringRecurrent Soft Tissue Abscesses Caused by Legionella cincinnatiensisSevere LegionellosisManifestations extra-pulmonaires des légionellosesLegionellosis in the Compromised HostNosocomial legionellosis: A review of pulmonary and extrapulmonary syndromesDie LegionelleninfektionThe Genus LegionellaNecrotizing cellulitis caused by Legionella micdadeiA Cluster of Legionella Sternal-Wound Infections Due to Postoperative Topical Exposure to Contaminated Tap WaterLegionellosisLegionella pneumophila peritonitis in a kidney transplant patientLegionella pheumophila isolated in pure culture from the ascites of a patient with systemic lupus erythematosusLegionellosis in the Compromised HostLegionellosis in the Compromised HostLegionnaires disease: historical perspectiveLaboratory diagnosis of infections caused by LegionellaeCutaneous Abscess Caused by Legionella micdadei in an Immunosuppressed PatientNEIL M. AMPEL, M.D., FREDERICK L. RUBEN, M.D., CARL W. NORDEN, M.D.Lower Respiratory InfectionsLegionella and Legionnaires' Disease: A Review with Emphasis on Environmental Studies and Laboratory DiagnosisProsthetic Valve Endocarditis Caused by Legionella pneumophilaROBERT E. McCABE, M.D., JOHN C. BALDWIN, M.D., CHRISTOPHER A. McGREGOR, M.D., D. CRAIG MILLER, M.D., KENNETH L VOSTI, M.D.Legionnaires’ DiseaseCulture Diagnosis of Legionella Infections 1 February 1983Volume 98, Issue 2Page: 184-185KeywordsAbscessesAnaerobic bacteriaHospital medicineInterleukinsLegionella pneumophilaLegionellosisLesionsMyocarditisPulmonary diseasesRenal diseases ePublished: 1 December 2008 Issue Published: 1 February 1983 PDF downloadLoading ...