Cutaneous Abscess Caused by Legionella micdadei in an Immunosuppressed Patient
Authors: Neil M. Ampel, Frederick L. Ruben, Carl W. Norden
Journal: Annals of Internal Medicine (1985)

Brief Reports1 May 1985Cutaneous Abscess Caused by Legionella micdadei in an Immunosuppressed PatientNEIL M. AMPEL, M.D., FREDERICK L. RUBEN, M.D., CARL W. NORDEN, M.D.NEIL M. AMPEL, M.D.Search for more papers by this author, FREDERICK L. RUBEN, M.D.Search for more papers by this author, CARL W. NORDEN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-102-5-630 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLegionella micdadei is most commonly associated with pulmonary infection in the immunosuppressed patient (1, 2). We report the case of an immunosuppressed patient who developed a cutaneous abscess of the leg from which L. micdadei was the only organism isolated. To our knowledge, no bacteriologically documented extrathoracic infection with this organism has been reported previously.A 62-year-old woman developed rapidly progressive glomerulonephritis secondary to necrotizing vasculitis in July 1983, necessitating treatment with prednisone and cyclophosphamide. In June 1984 she was hospitalized because of the abrupt development of pain and redness in the right calf. She had continued to take prednisone,...References1. MUDERYUZURAVLEFF RVJ. Pneumonia due to the Pittsburgh pneumonia agent: new clinical perspective with a review of the literature. Medicine. 1983;62:120-8. CrossrefMedlineGoogle Scholar2. RUDINWING JE. A comparative study of Legionella micdadei and other nosocomial acquired pneumonia. Chest. 1984;86:675-80. CrossrefMedlineGoogle Scholar3. DOWLINGMCDEVITTPASCULLE JDA. Disk diffusion antimicrobial susceptibility testing of members of the family Legionellaceae including erythromycin-resistant variants of Legionella micdadei. J Clin Microbiol. 1984;19:723-9. CrossrefMedlineGoogle Scholar4. KNUDSENNIELSENHANSEN FAK. Legionella micdadei (Pittsburgh pneumonia agent) may cause non-pneumonic legionellosis [Letter]. Lancet. 1983;1:708. CrossrefMedlineGoogle Scholar5. ARNOWBOYKOFRIEDMAN PEE. Perirectal abscess caused by Legionella pneumophila and mixed anaerobic bacteria. Ann Intern Med. 1983;98:184-5. LinkGoogle Scholar6. BRABENDERHINTHORNASHERLINDSEYLIU WDMNC. Legionella pneumophila wound infection. JAMA. 1983;250:3091-2. CrossrefMedlineGoogle Scholar7. MCCABEBALDWINMCGREGORMILLERVOSTI RJCDK. Prosthetic valve endocarditis caused by Legionella pneumophila. Ann Intern Med. 1984;100:525-7. LinkGoogle Scholar8. MAYLOCKSKALEKOHLER RBR. Legionella pneumophila pericarditis proved by culture of pericardial fluid. Am J Med. 1983;75:534-6. CrossrefMedlineGoogle Scholar9. KALWEITWINNROCCOGIROD WWTJ. Hemodialysis fistula infections caused by Legionella pneumophila. Ann Intern Med. 1982;96:173-5. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByMistaken identity: Legionella micdadei appearing as acid-fast bacilli on lung biopsy of a hematopoietic stem cell transplant patientLegionnaires' Disease and Pontiac FeverCutaneous legionellosis: case report and review of the medical literatureLegionella micdadei Brain AbscessGram-Negative BacteriaLegionellaOther Legionella SpeciesDisseminated Legionella pneumophila infection in an immunocompromised patient treated with tigecyclineLegionella maceachernii Soft Tissue InfectionOne-year surveillance of legionellosis in burned patients and Legionella environmental monitoringLegionella pneumophila Serogroup 4 Isolated from Joint TissueExtrapulmonary Legionella micdadei infection in a previously healthy childInfection Due to Legionella Species Other Than L. pneumophilaRecurrent Soft Tissue Abscesses Caused by Legionella cincinnatiensisManifestations extra-pulmonaires des légionellosesLegionellosis in the Compromised HostNosocomial legionellosis: A review of pulmonary and extrapulmonary syndromesDie LegionelleninfektionThe Genus LegionellaNecrotizing cellulitis caused by Legionella micdadeiLegionella in hospitals: a reviewA Cluster of Legionella Sternal-Wound Infections Due to Postoperative Topical Exposure to Contaminated Tap WaterLegionella pheumophila isolated in pure culture from the ascites of a patient with systemic lupus erythematosusMicrobiology of recreational and therapeutic whirlpoolsLegionellosisLegionellosis in the Compromised HostLegionnaires disease: historical perspectiveLaboratory diagnosis of infections caused by Legionellae 1 May 1985Volume 102, Issue 5Page: 630-632KeywordsAbscessesAntimicrobialsBiopsyCyclophosphamideGlomerulonephritisHospital medicineLegionellaPulmonary diseasesStainingVasculitis Issue Published: 1 May 1985 PDF DownloadLoading ...