Can we truly rely on the urinary antigen test for the diagnosis? Legionella case report. (13th April 2017)

• Record Type: Journal Article
• Authors: Miyata, Jun; Huh, Ji Young; Ito, Yukiko; Kobuchi, Taketsune; Kusukawa, Kazuko; Hayashi, Hiroyuki
• Is Part Of: Journal of general and family medicine. Volume 18:Number 3(2017)
• Page Start: 139
• Page End: 143
• Publication Date: 2017-04-13
• Subjects: compost -- gardening -- Legionella longbeachae -- Legionella pneumonia -- loop‐mediated isothermal amplification -- urine antigen test; Primary care (Medicine) -- Periodicals; Family medicine -- Periodicals; Family Practice; Primary Health Care; Japan; Periodicals; 610
• DOI: 10.1002/jgf2.16
• Languages: English
• ISSNs: 2189-7948

Abstract

Abstract: It is critical to diagnose and treat Legionella pneumonia (LP) immediately after infection because of the associated high mortality. The urine antigen test (UAT) is often used for the diagnosis of LP; however, it cannot detect the serogroups of all Legionella species. A detained medical history and several clinical findings such as liver enzyme elevation and hyponatremia are useful in diagnosis. Some specific types of Legionella are found in compost. Herein, we report a case of LP in which the patient's medical history and several clinical findings were useful for diagnosis.