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Acute Legionella pneumophila infection masquerading as acute alcoholic hepatitis
Jonathan Michael Hunter1, Julian Chan, Angeline Louise Reid
1Department of Medicine, Redcliffe Hospital, Brisbane, Queensland, Australia. jonhunter@live.com.au
Abstract:
A middle-aged man had deteriorated rapidly in hospital after being misdiagnosed with acute alcoholic hepatitis. Acute Legionnaires disease (Legionellosis) was subsequently diagnosed on rapid antigen urinary testing and further confirmed serologically. This led to appropriate antibiotic treatment and complete clinical resolution. Physicians caring for patients with alcohol-related liver disease should consider Legionella pneumophila in their differential diagnosis even with a paucity of respiratory symptoms.
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