Severe neonatal Legionella Pneumonia: Full recovery after extracorporeal life support

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Legionella pneumophila is responsible for hospital or community-acquired pneumonia. Neonatal legionellosis is associated with rapidly severe clinical course and high mortality rates. We describe a case of hospital-acquired Legionella pneumonia in a newborn with undiagnosed tracheoesophageal fistula and acute respiratory failure requiring venovenous extracorporeal membrane oxygenation support before fistula repair. Standardized multiplex polymerase chain reaction assay allowed early diagnosis. Extracorporeal life support associated with appropriate antibiotic therapy, surfactant, and steroid therapy was effective in achieving complete recovery. This is the first report of successful neonatal extracorporeal life support for respiratory failure secondary to L pneumophila.

Original languageEnglish
Pages (from-to)e1043-1046
JournalPediatrics
Volume136
Issue number4
DOIs
Publication statusPublished - Oct 1 2015

Fingerprint

Legionella
Extracorporeal Membrane Oxygenation
Pneumonia
Respiratory Insufficiency
Legionellosis
Tracheoesophageal Fistula
Legionella pneumophila
Multiplex Polymerase Chain Reaction
Surface-Active Agents
Fistula
Early Diagnosis
Steroids
Anti-Bacterial Agents
Mortality
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Severe neonatal Legionella Pneumonia : Full recovery after extracorporeal life support. / Moscatelli, Andrea; Buratti, Silvia; Castagnola, Elio; Mesini, Alessio; Tuo, Pietro.

In: Pediatrics, Vol. 136, No. 4, 01.10.2015, p. e1043-1046.

Research output: Contribution to journalArticle

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