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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
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Atraumatic Splenic Rupture in Legionella pneumophila Pneumonia.

Elliott Worku1, Dominic Adam Worku2,3

  • 1Adult Intensive Care Services, The Prince Charles Hospital, Chermside, Queensland, Australia.

Case Reports in Infectious Diseases
|June 16, 2023
PubMed
Summary

A rare case of spontaneous splenic rupture occurred in a patient with Legionella pneumophila pneumonia. This exceptional association highlights a potential complication of this bacterial infection.

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Area of Science:

  • Infectious Diseases
  • Emergency Medicine
  • Pathology

Background:

  • Community-acquired pneumonia can present with atypical symptoms.
  • Splenic rupture is a rare but serious complication of infections.
  • Legionella pneumophila is a known cause of pneumonia.

Observation:

  • A previously healthy 46-year-old male presented with pneumonia symptoms and epigastric pain.
  • The patient experienced hemodynamic deterioration requiring intensive care unit admission.
  • Abdominal CT revealed splenic rupture and hematoma without trauma.

Findings:

  • Urinary antigen testing confirmed Legionella pneumophila serotype 1 pneumonia.
  • Emergency splenectomy was performed; histopathology was unremarkable.
  • This case represents the eighth documented instance of Legionella-associated splenic rupture.

Implications:

  • Atraumatic splenic rupture, though rare, can be a complication of Legionella pneumonia.
  • Early recognition and management are crucial for patient outcomes.
  • This case expands the known spectrum of Legionella infection complications.