RSS Feeds
Cutaneous Abscess Caused by Legionella micdadei in an Immunosuppressed Patient
- NEIL M. AMPEL, M.D.;
- FREDERICK L. RUBEN, M.D.; and
- CARL W. NORDEN, M.D.
Excerpt
Legionella micdadei is most commonly associated with pulmonary infection in the immunosuppressed patient (1, 2). We report the case of an immunosuppressed patient who developed a cutaneous abscess of the leg from which L. micdadei was the only organism isolated. To our knowledge, no bacteriologically documented extrathoracic infection with this organism has been reported previously.
A 62-year-old woman developed rapidly progressive glomerulonephritis secondary to necrotizing vasculitis in July 1983, necessitating treatment with prednisone and cyclophosphamide. In June 1984 she was hospitalized because of the abrupt development of pain and redness in the right calf. She had continued to take prednisone,
This 100-word excerpt has been provided in the absence of an abstract.
Acknowledgments
ACKNOWLEDGMENTS: The authors thank Dr. John Dowling for invitro antimicrobial susceptibility testing on the organism, Dr. Dennis Borochovitz for direct fluorescent antibody staining of the biopsy specimen, and Miriam Timm for preparation of the manuscript.
Article and Author Information
-
▸Requests for reprints should be addressed to Frederick L. Ruben, M.D.; Department of Medicine, Montefiore Hospital, 3459 Fifth Avenue; Pittsburgh, PA 15213.
