Moran A, Otero Espinal DE, Parilla M, Beavis KG, Mullane KM, Tesic V. Expect the unexpected: endocarditis caused by Legionella feeleii.
Lab Med 2024:lmae029. [PMID:
38780098 DOI:
10.1093/labmed/lmae029]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2024] Open
Abstract
We report a fatal case of Legionella feeleii endocarditis in a post-lung transplant patient. The diagnosis was delayed, as routine microbiological testing of nonrespiratory specimens does not account for extrapulmonary Legionella, and urine antigen testing only reliably detects Legionella pneumophila serogroup 1. This case also illustrates the utility of molecular sequencing for blood culture-negative endocarditis.
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