Autoimmune Hemolytic Anemia and Legionella pneumophila Pneumonia
Authors: RAYMOND STRIKAS
Journal: Annals of Internal Medicine (1983)

Brief Reports1 September 1983Autoimmune Hemolytic Anemia and Legionella pneumophila PneumoniaRAYMOND STRIKAS, M.D., MATTHEW R. SEIFERT, M.D., JOSEPH R. LENTINO, M.D., Ph.D.RAYMOND STRIKAS, M.D., MATTHEW R. SEIFERT, M.D., JOSEPH R. LENTINO, M.D., Ph.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-99-3-345 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOnly one patient has been reported to have an unexplained hemolytic anemia in the presence of Legionella pneumophila infection (1). We report a case of autoimmune hemolytic anemia consequent to L. pneumophila pneumonitis.A 44-year-old man presented on 15 November 1981 with a temperature of 40°C, chills, myalgia, and productive cough of 6 days' duration. He had been treated with cephalexin, triprolidine hydrochloride and pseudoephedrine hydrochloride, and acetaminophen without improvement. Findings on physical examination included a rectal temperature of 37.4°C, mild scleral icterus and decreased breath sounds in the right base with dullness to percussion, egophony, whispered pectoriloquy, and rales...References1. TSAIFINNPLIKAYTISMCCAULEYMARTINFRASER TDBWSD. Legionnaire's disease: clinical features of the epidemic in Philadelphia. Ann Intern Med. 1979;90:509-17. LinkGoogle Scholar2. PIROFSKY B. Autoimmunization and the Autoimmune Hemolytic Anemias. Baltimore: Williams & Wilkins; 1969. Google Scholar3. NETER E. Bacterial hemagglutination and hemolysis. Bact Rev. 1956;20:166-88. CrossrefMedlineGoogle Scholar4. BAINERASHEEDMACAKAUFMANN WJHA. Hemolytic activity of plasma and urine from rabbits experimentally infected with Legionella pneumophila. Rev Infect Dis. 1979;1:912-7. CrossrefMedlineGoogle Scholar5. JUDDSTEINERCOCHRAN WER. Paraben-associated autoanti-Jka antibodies: three examples detected using commercially prepared low-ionic-strength saline containing parabens. Transfusion. 1982;22:31-5. CrossrefMedlineGoogle Scholar6. VAN LOGHEMVAN DER JHM. Varieties of specific auto-antibodies in acquired haemolytic anaemia. Vox Sang. 1954;4:2-11. Google Scholar7. TISDALEKLATSKINKINSELLA WGE. The significance of the direct-reacting fraction of serum bilirubin in hemolytic jaundice. Am J Med. 1959;26:214-27. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Veterans Administration Hospital Hines, Illinois PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPositive direct antiglobulin test in COVID-19 patients: Decision-making processComplement-mediated autoimmune haemolytic anaemia as an initial presentation of Legionnaires' diseaseKidd Blood Group SystemSpecificity of AutoantibodiesLegionellosis in the Compromised HostDie LegionelleninfektionLegionellosis in the Compromised HostHematologic Manifestations of Bacterial and Fungal Infections 1 September 1983Volume 99, Issue 3Page: 345-345KeywordsHemolytic anemiaInfectious diseasesInterleukinsLegionella pneumophilaMyalgiaPneumoniaPneumonitisTemperature Issue Published: 1 September 1983 PDF downloadLoading ...