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November 1981

Legionnaires' Disease in an Immunologically Normal Child

Am J Dis Child. 1981;135(11):1065-1066. doi:10.1001/archpedi.1981.02130350065020

Legionnaires' disease is being recognized more frequently in children. Recent reports of cases in a child with lymphocytic leukemia1 and in one with Down's syndrome2 emphasize the possibility that immunocompromise is an antecedent risk factor. We report a case of Legionnaires' disease in an immunologically normal child.

Report of a Case.—A 4-year-old girl was referred to Naval Regional Medical Center, Portsmouth, Va, for fever, dyspnea, and an abnormal chest roentgenogram on March 1, 1980. Her illness had begun five days previously with mild congestion and generalized malaise.

Four days prior to admission, a school physical examination had revealed an erythematous throat but with no complaints. A throat culture had been done. During the 72 hours before admission, she had had temperature of 39.5 °C, and right-sided chest and shoulder pain had developed with rapid, shallow respirations. Chest roentgenogram revealed a right middle lung field perihilar infiltrate.