Legionella pneumonia presenting with bilateral flank pain, hyponatraemia and acute renal failure
DOI:
https://doi.org/10.5489/cuaj.738Abstract
Legionnaires’ disease (LD) is an often overlooked but a possiblecause of sporadic community acquired pneumonia. High fever,
cough and gastrointestinal symptoms are non-specific symptoms.
Hyponatremia is more common in LD than pneumonia linked
with other causes. A definitive diagnosis is usually confirmed by
culture, urinary antigen testing for Legionella species. Macolide
or quinolone antibiotic is the treatment of choice. We describe a
case of Legionella pneumonia presenting with high fever, bilateral
flank pain and oliguria. It is important for clinicians to be aware
of this diagnosis when managing patients with flank pain. The
case highlights the problems in differentiating LD from renal colic
and the importance of proper history, physical examination with
laboratory tests for appropriate management.
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How to Cite
Birkin, C., Biyani, C. S., & Browning, A. J. (2013). Legionella pneumonia presenting with bilateral flank pain, hyponatraemia and acute renal failure. Canadian Urological Association Journal, 5(6), E96-E100. https://doi.org/10.5489/cuaj.738
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