A man hospitalized with fever, repetitive falls who were diagnosed with a rare infection related to lake swimming in Iowa

The mysterious symptoms of a 77-year-old man, fever and frequent falls due to the fatigue of doctors were surprised for several days until they diagnosed him with a potentially deadly disease of legionaries associated with his holidays in Lake Iowa.

According to thing Published in CMAJ, an unidentified patient was admitted to the Winnipeg hospital with fever, cough and many sudden falls due to fatigue. The tests showed an increased number of blood cells, indicating an infection with a high level of creatine kinase, which suggests potential kidney damage. Further tests have shown that the patient has developed severe pneumonia.

The patient was initially treated for five days with antibiotics of pipercyline-tazobaktam, antibiotics with a wide spectrum from pneumonia, but his condition did not improve. Then the doctors performed bronchoscopy, but they could not identify specific bacteria from the sample.

Although the doctors initially asked for Legionella tests in bronchial rinsing breeding, the laboratory fell due to a lack of clinical justification. However, after the doctors emphasized the patient’s risk factors, including the last journeys, exposure to water stagnation and pneumonia do not react to standard antibiotics, the laboratory continued the test.

While bronchophaeller rinsing breeding tested a negative, urine test confirmed the presence of Legionella. The result of negative breeding was probably caused by the recent use of antibiotics.

After confirming the Legion’s disease, the doctors prescribed a 10-day course of levofloxacin antibiotics (750 mg per day). On the fourth day of treatment, the patient improved significantly and no longer needed additional oxygen, enabling him to write from the hospital to continue recovery at home.

Legionnaires disease develops within 10 days after exposure to Legionella bacteria, which enter the body by inhaling from water or soil. The explosions were associated with different Water sourcesIn this hot tubs, vortices, cooling towers in air conditioning systems, hot water tanks, radiators, decorative fountains, pools, delivery pools and drinking water.

Initial signs of infection include headache, muscle aches and high fever. Within three days, additional symptoms may appear, including coughing, shortness of breath, chest pain, gastrointestinal problems and confusion. Although it primarily affects the lungs, it can sometimes lead to infection in other parts of the body, such as wounds or heart. If it remains untreated, it can lead to life -threatening complications, including septic shock and lung and kidney failure.

The mild form of infection from the same bacteria causes pontiac fever, with similar symptoms, but does not affect the lungs and generally disappears in a few days.