THIS report describes a fatal case of Legionnaires' disease and concomitant Mycoplasma pneumonia complicated by disseminated intravascular coagulation.
Report of a Case
A 55-year-old man had shaking chills, a temperature of 39.4 °C, a nonproductive cough, slight sore throat, but no rhinitis or myalgia two weeks before admission to his local hospital on May 7, 1978. Two days before admission he experienced anorexia, nausea, vomiting, and diarrhea without cramping. He smoked two packs of cigarettes daily.At the time of his admission to the hospital, his oral temperature was 40.1 °C; blood pressure, 158/74 mm Hg; respirations, 28/min; and pulse rate, 104 beats per minute. Cyanosis was not noted. The lungs were clear. There was no cardiac murmur or gallop. Chest x-ray film on May 8 showed a pneumonic infiltrate in the posterior basilar segment of the right lower lobe and the superior segment of the left lingula.
Oldenburger D, Carson JP, Gundlach WJ, Ghaly FI, Wright WH. Legionnaires' Disease: Association With Mycoplasma Pneumonia and Disseminated Intravascular Coagulation. JAMA. 1979;241(12):1269–1270. doi:10.1001/jama.1979.03290380045028
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