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Neurological involvement in legionellosis

A I Weir, I Bone, D H Kennedy

    Journal of Neurology, Neurosurgery, and Psychiatry
    |July 1, 1982
    PubMed
    Summary
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    Legionellosis can affect the nervous system, causing confusion and cerebellar issues. Patients often show elevated muscle enzymes and subclinical peripheral neuropathy.

    Area of Science:

    • Neurology
    • Infectious Diseases
    • Biochemistry

    Background:

    • Legionellosis is a severe bacterial pneumonia.
    • Neurological complications of legionellosis are not well-characterized.

    Purpose of the Study:

    • To investigate the clinical, electrophysiological, and biochemical features of nervous system involvement in legionellosis.

    Main Methods:

    • Study included 16 patients diagnosed with legionellosis.
    • Clinical assessment, electrophysiological tests, and biochemical analyses were performed.

    Main Results:

    • Central nervous system involvement was evident in most patients, presenting as confusion disproportionate to metabolic status.
    • Cerebellar dysfunction (anterior midline) and markedly elevated skeletal muscle creatinine kinase were observed.

    Related Experiment Videos

  • Subclinical peripheral neuropathy was detected in a significant number of patients.

    • Conclusions:

    • Legionellosis frequently impacts both central and peripheral nervous systems.
    • Neurological manifestations include cognitive impairment, cerebellar signs, and peripheral neuropathy.
    • Elevated creatinine kinase suggests skeletal muscle damage secondary to legionellosis.