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Multiple pulmonary abscesses caused by Legionella pneumophila infection in an infant with croup

Catherine Myers1, Regula Corbelli, Jacques Schrenzel

  • 1Hôpitaux Universitaires de Genève, Department of Pediatrics. catherine.myers@hcuge.ch

The Pediatric Infectious Disease Journal
|July 29, 2006
PubMed

Insights

Legionella pneumophila infections are rare in children. Prolonged corticosteroid use for severe croup in an infant led to multiple lung abscesses, highlighting the need for caution with immunosuppression.

Area of Science:

  • Pediatric infectious diseases
  • Pulmonology
  • Immunology

Background:

  • Legionella infections are typically rare in pediatric populations.
  • Severe croup often requires intensive management, including potential immunosuppressive therapies.

Observation:

  • An infant with severe croup received prolonged high-dose corticosteroid treatment.
  • The infant subsequently developed multiple pulmonary abscesses.

Findings:

  • The pulmonary abscesses were diagnosed as Legionella pneumophila pneumonia.
  • Immunosuppression due to corticosteroids was not initially considered, delaying diagnosis.

Implications:

  • This case underscores the importance of considering Legionella in children with respiratory infections, especially those on prolonged corticosteroid therapy.
  • Clinicians should exercise caution when administering high-dose corticosteroids to pediatric patients with respiratory conditions due to increased infection risk.

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