Atypical Presentation of Legionnaires' Disease

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Authors

Hassan Eidy, Beaumont Health Resident
Barbara Senger, Beaumont Health Resident
Joshua Steele, Beaumont Health Fellow
Jolian Kathawa, Beaumont Health

Description

Legionnaires’ disease or Legionellosis is a subtype of pneumonia caused by the gram negative bacilli, Legionella pneumophila.

L. pneumophila serogroup 1 accounts for 50-80% of Legionnaires’ disease.

Patients commonly present with fevers, chills, myalgia, cough and less commonly with confusion, nausea, vomiting, diarrhea, and/or anorexia.

Treatment primarily consists of antibiotics with supportive measures.

Renal and hepatic extrapulmonary manifestations from Legionella are rare, and often present with multisystem involvement when they do occur.

This case highlights a unique, and rare, presentation of Legionnaires’ disease mimicking alcoholic hepatitis with 2:1 AST/ALT transaminitis and physical exam findings.

Publication Date

5-4-2023

Disciplines

Gastroenterology | Internal Medicine

Recommended Citation

Eidy H, Senger B, Steele J, Kathawa J. Atypical presentation of Legionnaires' disease. Presented at Beaumont Hospital Farmington Hills 2023 Alvin Yarrows Research Day; 2023 May 4; Farmington Hills, MI.

Comments

2023 Alvin Yarrows Research Day at Beaumont Hospital Farmington Hills, Farmington Hills, MI, May 4, 2023.