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Necrotizing cellulitis caused by Legionella micdadei.

J A Kilborn1, L A Manz, M O'Brien

  • 1Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan.

The American Journal of Medicine
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Legionella micdadei typically infects the lungs, but this case shows a rare necrotizing soft tissue infection in a renal transplant recipient. This extrathoracic infection led to arm amputation, highlighting unusual Legionella micdadei manifestations.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Transplantation Immunology

Background:

  • Legionella micdadei is recognized as a pulmonary pathogen, predominantly affecting immunocompromised individuals, especially renal transplant recipients.
  • Extrathoracic infections caused by Legionella micdadei are exceptionally rare in medical literature.

Observation:

  • A case of severe necrotizing soft tissue infection involving the left arm is presented.
  • The patient was a recipient of a cadaveric renal transplant, indicating a compromised immune system.

Findings:

  • Bacteriological documentation confirmed Legionella micdadei as the causative agent of the soft tissue infection.
  • The infection necessitated the amputation of the affected limb.

Implications:

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  • This case expands the known spectrum of Legionella micdadei disease beyond pulmonary infections.
  • It underscores the importance of considering unusual pathogens in severe infections among transplant recipients.
  • Further research into extrathoracic Legionella micdadei infections may be warranted.