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Published on: November 22, 2013
Cavitary Legionella pneumonia in a patient with immunodeficiency due to Hyper-IgE syndrome
Fabio Di Stefano1, Nicola Verna, Mario Di Gioacchino
1Department of Internal Medicine, Respiratory Medicine Unit, Immunology and Allergology Unit, University G. d'Annunzio, Chieti, Italy. f.distefano@aliceposta.it <f.distefano@aliceposta.it>
Abstract:
We report about a 35-year-old man with a cavitary legionella pneumonia who had a history of chronic eczematoid lesions since infancy, recurrent skin and lung infections and a very high total IgE level. We carried out further investigations and made a diagnosis of a primary immunodeficiency classified in the Hyper-IgE syndromes. Cavitation of legionella pneumonia may become fairly common in immunocompromised patients, while is found rarely among immunocompetent hosts.
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