Year 2016 / Volume 108 / Number 8
Letter to the Editor
Community-acquired pneumonia by Legionella pneumophila. Do we need to include new recommendations for inflammatory bowel disease patients under immunomodulators?

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DOI: 10.17235/reed.2016.4213/2016

Tania Fernández Llamas, Antonio Sánchez Torres, Juan Egea Valenzuela,

Abstract
We present the case of a community-acquired pneumonia by Legionella Pneumophila in a 31-year-old patient with Crohn’s disease under anti-TNF agents. Following this and other similar cases reported in literature, we propose to include recommendations to prevent this infection in patients starting treatment with immunosuppressant drugs through simple measures regarding the control of water in the patients’ home.
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References
1. Hofmann A, Beaulieu Y, Bernard et al. Fulminant legionellosis in two patients treated with infliximab for Crohn's disease: case series and literature review. Can J Gastroenterol. 2009 ; 23: 829-33.
2. Ali T, Kaitha S, Mahmood S et al. Clinical use of anti-TNF therapy and increased risk of infections. Drug Healthc Patient Saf. 2013; 5: 79-99.
3. Beigel F, Jürgens M, Filik L et al. Severe Legionella pneumophila pneumonia following infliximab therapy in a patient with Crohn's disease. Inflamm Bowel Dis. 2009; 15: 1240-4.
4. Masatoshi H, Hiroshi K, Takeshi M et al. A Fatal Case of Relapsing Pneumonia Caused by Legionella pneumophila in a Patient with Rheumatoid Arthritis after Two Injections of Adalimumab. Clin Med Insights Case Rep. 2013; 6: 101–6.
5. Mercante JW, Winchell JM. Current and Emerging Legionella Diagnostics for Laboratory and Outbreak Investigations. Clin Microbiol Rev. 2015; 28: 95–133.
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Citation tools
Fernández Llamas T, Sánchez Torres A, Egea Valenzuela J. Community-acquired pneumonia by Legionella pneumophila. Do we need to include new recommendations for inflammatory bowel disease patients under immunomodulators?. 4213/2016


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Publication history

Received: 20/01/2016

Accepted: 01/02/2016

Online First: 03/03/2016

Published: 29/07/2016

Article Online First time: 43 days

Article editing time: 191 days


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