[A case of Legionella pneumonia successfully treated with roxithromycin].

Abstract

A 56-year-old man was admitted to our hospital because of a high fever. An abnormal shadow was seen on his chest X-ray film. He was treated with piperacillin, isepamycin, and minocycline, but his fever remained and the abnormal shadow got worse. Because he had proteinuria, a severe headache, hyponatremia, and hypophosphatemia, Legionella pneumonia was suspected. A skin test for erythromycin was positive, so roxithromycin was given orally. By the next day the fever had remitted, the appearance of the chest X-ray film had improved, and his symptoms were promptly relieved. This case suggests that roxithromycin can be effective against Legionella pneumonia.

• Authors: U Heki, H Ogawa, M Fujimura, T Matsuda
• Journal: Nihon Kyobu Shikkan Gakkai zasshi (Nihon Kyobu Shikkan Gakkai Zasshi) Vol. 33 Issue 7 Pg. 775-9 (Jul 1995) ISSN: 0301-1542 [Print] Japan
• PMID: 7564007 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Roxithromycin

Topics

• Administration, Oral
• Anti-Bacterial Agents (administration & dosage)
• Humans
• Legionnaires' Disease (drug therapy)
• Male
• Middle Aged
• Roxithromycin (administration & dosage)