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Journal of Clinical Microbiology, September 2007, p. 3135-3137, Vol. 45, No. 9
0095-1137/07/$08.00+0     doi:10.1128/JCM.02321-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Community-Acquired Lung Abscess Caused by Legionella micdadei in a Myeloma Patient Receiving Thalidomide Treatment{triangledown}

Louis P. Girard1,{dagger} and Daniel B. Gregson1,2*,{dagger}

Department of Medicine,1 Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, Canada2

Received 15 November 2006/ Returned for modification 12 January 2007/ Accepted 4 June 2007

Legionella infection causes 2 to 14% of community-acquired pneumonia (CAP). Legionella micdadei constitutes <1% of these infections. We describe a case of cavitary L. micdadei CAP in a myeloma patient receiving thalidomide treatment. The importance of considering pneumonia and problems in diagnosing pneumonia caused by L. micdadei in this patient population are reviewed.


* Corresponding author. Mailing address: Division of Microbiology, Departments of Pathology and Laboratory Medicine and Medicine, University of Calgary, 9-3535 Research Road NW, Calgary, Alberta, Canada T2L 2K8. Phone: (403) 770-3309. Fax: (403) 880-3347. E-mail: dan.gregson{at}cls.ab.ca

{triangledown} Published ahead of print on 3 July 2007.

{dagger} L.P.G. and D.B.G. both contributed to the concept of this paper. L.G. wrote the initial draft. D.G. and L.G. made subsequent revisions to the manuscript and approved its final version.


Journal of Clinical Microbiology, September 2007, p. 3135-3137, Vol. 45, No. 9
0095-1137/07/$08.00+0     doi:10.1128/JCM.02321-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.