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May 1985

Legionella pneumophila Pericarditis Without Pneumonia

Author Affiliations

From the Departments of Medicine, Stanford (Calif) University School of Medicine (Drs Nelson and Raffin), and The University of Texas Health Sciences Center, Houston (Dr Rensimer).

Arch Intern Med. 1985;145(5):926. doi:10.1001/archinte.1985.00360050196036

• To our knowledge, Legionella pericarditis has been reported only four times in the literature and only once without pneumonia. We report the second case of nonpneumonic Legionella pericarditis in a man who eventually required pericardiectomy for constriction. Since Legionella endocarditis, myocarditis, and pericarditis have all been documented by culture or direct fluorescent antibody staining, it is important to be aware of the possibility of cardiac legionellosis.

(Arch Intern Med 1985;145:926)