Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease

Detalhes bibliográficos
Autor(a) principal: Coentre, Ricardo
Data de Publicação: 2016
Outros Autores: Silva-dos-Santos, A, Cotrim-Talina, M
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.26/14434
Resumo: We report a case of a 61-year-old woman who presented with acute psychosis as a major manifestation of Legionnaires’ disease in the absence of other neuropsychiatric symptoms. Clinical history revealed dry cough and nausea. Observation showed fever and auscultation crackles in the lower lobe of the right lung. Laboratory testing demonstrated elevated C-reactive protein and lung chest radiograph showed patchy peribronchial and right lower lobe consolidation. Soon after admission, she started producing purulent sputum. Epidemiological data suggested Legionella pneumophila as possible cause of the clinical picture that was confirmed by urinary antigen detection and polymerase chain reaction of the sputum. She was treated with levofloxacin 750 mg/day for 10 days with complete remission of pulmonary and psychiatric symptoms. She has not had further psychotic symptoms.
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spelling Acute Psychosis as Major Clinical Presentation of Legionnaires’ DiseaseLegionella pneumophilaDoença dos LegionáriosTranstornos PsicóticosDoença AgudaWe report a case of a 61-year-old woman who presented with acute psychosis as a major manifestation of Legionnaires’ disease in the absence of other neuropsychiatric symptoms. Clinical history revealed dry cough and nausea. Observation showed fever and auscultation crackles in the lower lobe of the right lung. Laboratory testing demonstrated elevated C-reactive protein and lung chest radiograph showed patchy peribronchial and right lower lobe consolidation. Soon after admission, she started producing purulent sputum. Epidemiological data suggested Legionella pneumophila as possible cause of the clinical picture that was confirmed by urinary antigen detection and polymerase chain reaction of the sputum. She was treated with levofloxacin 750 mg/day for 10 days with complete remission of pulmonary and psychiatric symptoms. She has not had further psychotic symptoms.Repositório ComumCoentre, RicardoSilva-dos-Santos, ACotrim-Talina, M2016-08-09T21:12:51Z20162016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/14434engCase Rep Psychiatry. 2016; 351939610.1155/2016/3519396info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-10T05:01:32Zoai:comum.rcaap.pt:10400.26/14434Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:35:35.229898Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease
title Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease
spellingShingle Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease
Coentre, Ricardo
Legionella pneumophila
Doença dos Legionários
Transtornos Psicóticos
Doença Aguda
title_short Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease
title_full Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease
title_fullStr Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease
title_full_unstemmed Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease
title_sort Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease
author Coentre, Ricardo
author_facet Coentre, Ricardo
Silva-dos-Santos, A
Cotrim-Talina, M
author_role author
author2 Silva-dos-Santos, A
Cotrim-Talina, M
author2_role author
author
dc.contributor.none.fl_str_mv Repositório Comum
dc.contributor.author.fl_str_mv Coentre, Ricardo
Silva-dos-Santos, A
Cotrim-Talina, M
dc.subject.por.fl_str_mv Legionella pneumophila
Doença dos Legionários
Transtornos Psicóticos
Doença Aguda
topic Legionella pneumophila
Doença dos Legionários
Transtornos Psicóticos
Doença Aguda
description We report a case of a 61-year-old woman who presented with acute psychosis as a major manifestation of Legionnaires’ disease in the absence of other neuropsychiatric symptoms. Clinical history revealed dry cough and nausea. Observation showed fever and auscultation crackles in the lower lobe of the right lung. Laboratory testing demonstrated elevated C-reactive protein and lung chest radiograph showed patchy peribronchial and right lower lobe consolidation. Soon after admission, she started producing purulent sputum. Epidemiological data suggested Legionella pneumophila as possible cause of the clinical picture that was confirmed by urinary antigen detection and polymerase chain reaction of the sputum. She was treated with levofloxacin 750 mg/day for 10 days with complete remission of pulmonary and psychiatric symptoms. She has not had further psychotic symptoms.
publishDate 2016
dc.date.none.fl_str_mv 2016-08-09T21:12:51Z
2016
2016-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.26/14434
url http://hdl.handle.net/10400.26/14434
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Case Rep Psychiatry. 2016; 3519396
10.1155/2016/3519396
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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