Abstract
A middle-aged African American male with a history of stage 2 chronic kidney disease status post double kidney transplant was admitted after developing symptoms of respiratory infection during the peak of COVID-19. The patient rapidly developed acute hypoxemic respiratory failure. Differentials for the patient included COVID-19, opportunistic infection such as mycoplasma, and legionella. During the admission, the patient had numerous infectious disease screening tests run including a COVID-19 test and Binax urine antigen test for legionella that all came back negative.
Highlights
Legionella pneumophila is an aerobic, pleomorphic, flagellated, non-spore-forming, Gram-negative bacilli
A middle-aged African American male with a history of stage 2 chronic kidney disease status post double kidney transplant was admitted after developing symptoms of respiratory infection during the peak of COVID-19
Legionella is transmitted through aerosolized particles and can be found in surface water, drinking water, and tap water used on surgical wounds [1]
Summary
Legionella pneumophila is an aerobic, pleomorphic, flagellated, non-spore-forming, Gram-negative bacilli. Differentials for the patient included COVID-19, opportunistic infection such as mycoplasma, and legionella. The patient had numerous infectious disease screening tests run including a COVID-19 test and Binax urine antigen test for legionella that all came back negative. Legionella, Binax, Urine antigen test (UAT), Atypical pneumonia
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