Case report: 38-year-old female patient with severe legionellosis but no source of infection
We report about a 38-year-old female patient with an extremely severe case of legionellosis. The patient had to be treated in the intensive care unit for more than a month. Extracorporeal membrane oxygenation (ECMO) had to be established in order to save the patient’s life. The patient did not belon...
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doaj-78b04ce593a04ab89775011e572075ae2020-11-25T02:04:19ZdeuGerman Medical Science GMS Publishing HouseGMS Hygiene and Infection Control2196-52262019-10-0114Doc1310.3205/dgkh000329Case report: 38-year-old female patient with severe legionellosis but no source of infectionLampl, Benedikt M. J.0Strigl, Werner1Winner, Dieter2Pawlik, Michael T.3Public Health Department Regensburg, GermanyPublic Health Department Regensburg, GermanyCaritas-Krankenhaus St. Josef, Department of Anesthesiology, Regensburg, GermanyCaritas-Krankenhaus St. Josef, Department of Anesthesiology, Regensburg, GermanyWe report about a 38-year-old female patient with an extremely severe case of legionellosis. The patient had to be treated in the intensive care unit for more than a month. Extracorporeal membrane oxygenation (ECMO) had to be established in order to save the patient’s life. The patient did not belong to any risk group (i.e., age >50, smoker, immunosuppression, chronic disease, male sex). Infection control investigations carried out by the Public Health Department could not reveal concrete exposures likely to cause the infection. The serotypes in the patient material ( serotype 2–14) and in the samples taken from the showerhead in the patient’s apartment ( serotype 1) were not identical. Results of the examination performed according to the German Drinking Water Ordinance (Trinkwasserverordnung, TrinkwV) carried out in 2017 in the patient’s apartment, showed that the technical measures limit (Technischer Maßnahmenwert, TMW) was not exceeded. The patient has survived through the extensive use and efforts of intensive care measures. In general, a concrete exposure to Legionella is often not ascertainable, as in the case presented. This raises the question of how and whether such cases of legionellosis are preventable.http://www.egms.de/static/en/journals/dgkh/2019-14/dgkh000329.shtmllegionellosisrisk factorsinfection preventionexposureECMO |
collection |
DOAJ |
language |
deu |
format |
Article |
sources |
DOAJ |
author |
Lampl, Benedikt M. J. Strigl, Werner Winner, Dieter Pawlik, Michael T. |
spellingShingle |
Lampl, Benedikt M. J. Strigl, Werner Winner, Dieter Pawlik, Michael T. Case report: 38-year-old female patient with severe legionellosis but no source of infection GMS Hygiene and Infection Control legionellosis risk factors infection prevention exposure ECMO |
author_facet |
Lampl, Benedikt M. J. Strigl, Werner Winner, Dieter Pawlik, Michael T. |
author_sort |
Lampl, Benedikt M. J. |
title |
Case report: 38-year-old female patient with severe legionellosis but no source of infection |
title_short |
Case report: 38-year-old female patient with severe legionellosis but no source of infection |
title_full |
Case report: 38-year-old female patient with severe legionellosis but no source of infection |
title_fullStr |
Case report: 38-year-old female patient with severe legionellosis but no source of infection |
title_full_unstemmed |
Case report: 38-year-old female patient with severe legionellosis but no source of infection |
title_sort |
case report: 38-year-old female patient with severe legionellosis but no source of infection |
publisher |
German Medical Science GMS Publishing House |
series |
GMS Hygiene and Infection Control |
issn |
2196-5226 |
publishDate |
2019-10-01 |
description |
We report about a 38-year-old female patient with an extremely severe case of legionellosis. The patient had to be treated in the intensive care unit for more than a month. Extracorporeal membrane oxygenation (ECMO) had to be established in order to save the patient’s life. The patient did not belong to any risk group (i.e., age >50, smoker, immunosuppression, chronic disease, male sex). Infection control investigations carried out by the Public Health Department could not reveal concrete exposures likely to cause the infection. The serotypes in the patient material ( serotype 2–14) and in the samples taken from the showerhead in the patient’s apartment ( serotype 1) were not identical. Results of the examination performed according to the German Drinking Water Ordinance (Trinkwasserverordnung, TrinkwV) carried out in 2017 in the patient’s apartment, showed that the technical measures limit (Technischer Maßnahmenwert, TMW) was not exceeded. The patient has survived through the extensive use and efforts of intensive care measures. In general, a concrete exposure to Legionella is often not ascertainable, as in the case presented. This raises the question of how and whether such cases of legionellosis are preventable. |
topic |
legionellosis risk factors infection prevention exposure ECMO |
url |
http://www.egms.de/static/en/journals/dgkh/2019-14/dgkh000329.shtml |
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