Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease
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...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2016/3519396 |
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| _version_ | 1849304281296928768 |
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| author | Ricardo Coentre Amílcar Silva-dos-Santos Miguel Cotrim Talina |
| author_facet | Ricardo Coentre Amílcar Silva-dos-Santos Miguel Cotrim Talina |
| author_sort | Ricardo Coentre |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-19a5787b0cf1431ebdda5d5bcfe37f58 |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-19a5787b0cf1431ebdda5d5bcfe37f582025-08-20T03:55:47ZengWileyCase Reports in Psychiatry2090-682X2090-68382016-01-01201610.1155/2016/35193963519396Acute Psychosis as Major Clinical Presentation of Legionnaires’ DiseaseRicardo Coentre0Amílcar Silva-dos-Santos1Miguel Cotrim Talina2Department of Psychiatry, Hospital Vila Franca de Xira, Estrada Nacional N1, 2600-009 Vila Franca de Xira, PortugalDepartment of Psychiatry, Hospital Vila Franca de Xira, Estrada Nacional N1, 2600-009 Vila Franca de Xira, PortugalDepartment of Psychiatry, Hospital Vila Franca de Xira, Estrada Nacional N1, 2600-009 Vila Franca de Xira, PortugalWe 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.http://dx.doi.org/10.1155/2016/3519396 |
| spellingShingle | Ricardo Coentre Amílcar Silva-dos-Santos Miguel Cotrim Talina Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease Case Reports in Psychiatry |
| title | 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_short | Acute Psychosis as Major Clinical Presentation of Legionnaires’ Disease |
| title_sort | acute psychosis as major clinical presentation of legionnaires disease |
| url | http://dx.doi.org/10.1155/2016/3519396 |
| work_keys_str_mv | AT ricardocoentre acutepsychosisasmajorclinicalpresentationoflegionnairesdisease AT amilcarsilvadossantos acutepsychosisasmajorclinicalpresentationoflegionnairesdisease AT miguelcotrimtalina acutepsychosisasmajorclinicalpresentationoflegionnairesdisease |