Legionella longbeachae wound infection : case report and review of reported Legionella wound infections
Frostadottir, Drifa LU ; Wasserstrom, Lisa LU ; Lundén, Karolin LU
and Dahlin, Lars B.
LU
(2023)
In Frontiers in cellular and infection microbiology
13.
- Abstract
Extrapulmonary manifestations of infection with Legionella species, of which 24 may cause disease in humans, are very rare. Here, we describe a case of a 61-year-old woman with no history of immunosuppression presenting with pain and swelling of her index finger after a prick by rose thorns during gardening. Clinical examination showed fusiform swelling of the finger with mild redness, warmth, and fever. The blood sample revealed a normal white blood cell count and a slight increase in C-reactive protein. Intraoperative observation showed extensive infectious destruction of the tendon sheath, while the flexor tendons were spared. Conventional cultures were negative, while 16S rRNA PCR analysis identified Legionella longbeachae that also... (More)
Extrapulmonary manifestations of infection with Legionella species, of which 24 may cause disease in humans, are very rare. Here, we describe a case of a 61-year-old woman with no history of immunosuppression presenting with pain and swelling of her index finger after a prick by rose thorns during gardening. Clinical examination showed fusiform swelling of the finger with mild redness, warmth, and fever. The blood sample revealed a normal white blood cell count and a slight increase in C-reactive protein. Intraoperative observation showed extensive infectious destruction of the tendon sheath, while the flexor tendons were spared. Conventional cultures were negative, while 16S rRNA PCR analysis identified Legionella longbeachae that also could be isolated on buffered charcoal yeast extract media. The patient was treated with oral levofloxacin for 13 days, and the infection healed quickly. The present case report, with a review of the literature, indicates that Legionella species wound infections may be underdiagnosed due to the requirement for specific media and diagnostic methods. It emphasizes the need for heightened awareness of these infections during history taking and clinical examination of patients presenting with cutaneous infections.
(Less)
- author
- Frostadottir, Drifa
LU
; Wasserstrom, Lisa
LU
; Lundén, Karolin
LU
and Dahlin, Lars B.
LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- bacteria, cutaneous, extrapulmonary manifestation, infection, legionella, Legionella longbeachae
- in
- Frontiers in cellular and infection microbiology
- volume
- 13
- article number
- 1178130
- publisher
- Frontiers Media S. A.
- external identifiers
-
- pmid:37180442
- scopus:85158993603
- ISSN
- 2235-2988
- DOI
- 10.3389/fcimb.2023.1178130
- language
- English
- LU publication?
- yes
- id
- ea0f2d3c-c23d-44c3-9cb2-d682ea836e02
- date added to LUP
- 2023-08-15 12:52:36
- date last changed
- 2024-04-20 00:38:57
@article{ea0f2d3c-c23d-44c3-9cb2-d682ea836e02,
abstract = {{<p>Extrapulmonary manifestations of infection with Legionella species, of which 24 may cause disease in humans, are very rare. Here, we describe a case of a 61-year-old woman with no history of immunosuppression presenting with pain and swelling of her index finger after a prick by rose thorns during gardening. Clinical examination showed fusiform swelling of the finger with mild redness, warmth, and fever. The blood sample revealed a normal white blood cell count and a slight increase in C-reactive protein. Intraoperative observation showed extensive infectious destruction of the tendon sheath, while the flexor tendons were spared. Conventional cultures were negative, while 16S rRNA PCR analysis identified Legionella longbeachae that also could be isolated on buffered charcoal yeast extract media. The patient was treated with oral levofloxacin for 13 days, and the infection healed quickly. The present case report, with a review of the literature, indicates that Legionella species wound infections may be underdiagnosed due to the requirement for specific media and diagnostic methods. It emphasizes the need for heightened awareness of these infections during history taking and clinical examination of patients presenting with cutaneous infections.</p>}},
author = {{Frostadottir, Drifa and Wasserstrom, Lisa and Lundén, Karolin and Dahlin, Lars B.}},
issn = {{2235-2988}},
keywords = {{bacteria; cutaneous; extrapulmonary manifestation; infection; legionella; Legionella longbeachae}},
language = {{eng}},
publisher = {{Frontiers Media S. A.}},
series = {{Frontiers in cellular and infection microbiology}},
title = {{Legionella longbeachae wound infection : case report and review of reported Legionella wound infections}},
url = {{http://dx.doi.org/10.3389/fcimb.2023.1178130}},
doi = {{10.3389/fcimb.2023.1178130}},
volume = {{13}},
year = {{2023}},
}