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March 23, 1979

Legionnaires' Disease: Association With Mycoplasma Pneumonia and Disseminated Intravascular Coagulation

Author Affiliations

From the University of North Dakota School of Medicine; the Department of Internal Medicine (Dr Oldenburger), Mid Dakota Clinic; the Departments of Infectious Diseases (Dr Carson) and Hematology (Dr Gundlach), Quain and Ramstad Clinic; and the Department of Anesthesiology (Drs Ghaly and Wright), Bismarck Hospital, Bismarck, ND.

JAMA. 1979;241(12):1269-1270. doi:10.1001/jama.1979.03290380045028

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.